Provider Demographics
NPI:1275595803
Name:GUIMARAES, PAULO R S (MD)
Entity Type:Individual
Prefix:
First Name:PAULO
Middle Name:R S
Last Name:GUIMARAES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 4TH ST SE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55904-4717
Mailing Address - Country:US
Mailing Address - Phone:507-529-6600
Mailing Address - Fax:507-529-6622
Practice Address - Street 1:1650 4TH ST SE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904-4717
Practice Address - Country:US
Practice Address - Phone:507-529-6600
Practice Address - Fax:507-529-6622
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN35676207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1008411OtherPREFERRED ONE
MNHP17493OtherHEALTHPARTNERS
MN5127612OtherAETNA
MN584610OtherAMERICA'S PPO
MN01N01GUOtherBCBS OF MN
MN449568300Medicaid
MN140711OtherUCARE MN
MN0407548OtherMEDICA
MN140711OtherUCARE MN
MN01N01GUOtherBCBS OF MN