PEDRO ENRIQUE PALOMO JR.
NPI 1417840067
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since June 02, 2025
2211 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 330-1000 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pedro Enrique Palomo Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDRO ENRIQUE PALOMO JR. (NPI 1417840067) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1417840067
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePEDRO ENRIQUE PALOMO JR.
Location Address2211 RIVERSIDE AVEMinneapolis, MN 55454-1350
Mailing Address7445 Oak Park Village Dr Apt 6St Louis Park, MN 55426-4143 · (224) 254-8757
Sole ProprietorNo
Enumeration DateJune 2, 2025
NPPES CertifiedJune 2, 2025
NPI 1417840067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedPhysician AssistantTaxonomy 363A00000X
2211 RIVERSIDE AVE, Minneapolis, MN 55454

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist/Technologist (Athletic Trainer)
2211 RIVERSIDE AVE, CAMPUS BOX 313
MINNEAPOLIS, MN 55454
Physician Assistant (Surgical)
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Specialist/Technologist (Athletic Trainer)
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Specialist/Technologist (Athletic Trainer)
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Specialist/Technologist (Athletic Trainer)
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Specialist/Technologist (Athletic Trainer)
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Counselor (Addiction (Substance Use Disorder))
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Student in an Organized Health Care Education/Training Program
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Student in an Organized Health Care Education/Training Program
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Specialist/Technologist (Athletic Trainer)
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Student in an Organized Health Care Education/Training Program
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Specialist/Technologist (Athletic Trainer)
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Student in an Organized Health Care Education/Training Program
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Behavior Technician
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Physician Assistant
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Student in an Organized Health Care Education/Training Program
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Physician Assistant
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Physician Assistant
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Student in an Organized Health Care Education/Training Program
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Physician Assistant
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417840067, enumerated as an "individual" on June 02, 2025.

The provider is located at 2211 RIVERSIDE AVE MINNEAPOLIS, MN 55454 and the phone number is (612) 330-1000.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.