Provider Demographics
NPI:1689603888
Name:FIOL, MIGUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:MIGUEL
Middle Name:
Last Name:FIOL
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 1:420 DELAWARE ST SE
Mailing Address - Street 2:UNIVERSITY OF MINNESOTA PHYSICIANS, MMC 295
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455-0341
Mailing Address - Country:US
Mailing Address - Phone:612-625-9900
Mailing Address - Fax:612-625-7950
Practice Address - Street 1:516 DELAWARE ST SE
Practice Address - Street 2:UNIV. OF MN PHYSICIANS PWB 1ST FLOOR, CLINIC 1A
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455-0356
Practice Address - Country:US
Practice Address - Phone:602-626-3004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN210332084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN770125OtherARAZ
MN1001132OtherPREFERRED ONE
MN05-00009OtherMEDICA PRIMARY
MNHP13284OtherHEALTHPARTNERS
MN05-00063OtherMEDICA CHOICE
MN678267100Medicaid
MN105443OtherUCARE
MNHP13284OtherHEALTHPARTNERS
MNA96375Medicare UPIN