DR. FRED ROANLD MONTERUBIO M.D. NPI 1962400143

NPI Information

  • NPI: 1962400143
  • Provider Name: DR. FRED ROANLD MONTERUBIO, M.D.
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • Address: 3009 N BALLAS RD
    STE 356C
    SAINT LOUIS, MO
    ZIP 63131
  • Phone: (314) 432-2880

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NPI Details

DR. Fred Roanld Monterubio, M.D. is an obstetrics gynecology in Saint Louis, MO. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Fred Roanld Monterubio, M.D. NPI is 1962400143. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3009 N BALLAS RD
STE 356C
SAINT LOUIS, MO
ZIP 63131-322
Phone: (314) 432-2880
Fax: (314) 432-4810

The enumeration date for this NPI number is 7/12/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyR9A68MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14217036OTHERAETNA
20700217OTHERUNITED HEALTH CARE
346318OTHERGROUP HEALTH PLAN
4101340OTHERHEALTHLINK
5A14056MEDICARE UPIN
6SP15678OTHERCIGNA
75143OTHERHEALTHCARE USA
807-00217OTHERMEDICARE COMPLETE
9112759OTHERBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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