MEDICARE: FE POBLETE FUENTES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	35954	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548470032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FE POBLETE FUENTES MD

Provider Business Mailing Address
First Line	:	84 GRASSO PLZ
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63123-3108
Country	:	US
Telephone Number	:	314-638-9309
Fax Number	:	314-638-9333

Provider Business Practice Location Address
First Line	:	84 GRASSO PLZ
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63123-3108
Country	:	US
Telephone Number	:	314-638-9309
Fax Number	:	314-638-9333

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	01/13/2010

Similar Medicare Providers

1093924516 — FAITH ALEXIS BOONE ATC
Practice Location Address:

4401 BEGG BLVD
SAINT LOUIS, MO
63121-3108

Practice Phone: 314-383-6733
Practice Fax:

1992972129 — MRS. ANGELA RENEE BRATCHER
Practice Location Address:

211 SELMA AVE
SAINT LOUIS, MO
63119-3108

Practice Phone: 314-623-3251
Practice Fax:

1609131879 — DR. WILLIAM ARTHUE GAY JR. M.D.
Practice Location Address:

1 BARNES JEWISH HOSPITAL PLZ , SUITE 3108 QUEENY TOWER
SAINT LOUIS, MO
63110-1003

Practice Phone: 314-747-1315
Practice Fax: 314-367-8459

1891211017 — MR. JERRAD LEE BENTON LMT, MMP
Practice Location Address:

2430 TELLICHERRY DR
SAINT LOUIS, MO
63125-3108

Practice Phone: 314-600-6293
Practice Fax:

1922657048 — TIFFANY MEEK LPC
Practice Location Address:

74 GRASSO PLZ
SAINT LOUIS, MO
63123-3108

Practice Phone: 618-444-8021
Practice Fax:

1396379574 — ABBEY MICHELE MILLS RBT
Practice Location Address:

96 GRASSO PLZ
SAINT LOUIS, MO
63123-3108

Practice Phone: 816-608-1500
Practice Fax: 800-687-5070

Directions to “ FE POBLETE FUENTES MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.