Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Fernando Rafael Medina Carbonell, MD

Individual provider Pediatric Gastroenterology Physician · NPI 1467747659

Dr. Fernando Rafael Medina Carbonell, MD is a Pediatric Gastroenterology Physician in Saint Louis, Missouri. Works from 4 locations. Licensed in Missouri and Nebraska.

Licensed in
MO, NE
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone: (314) 268-4010
Fax: (314) 268-2775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 111 N 84th St, Omaha, NE 68114-4101 — (402) 955-5700
  • 982161 Nebraska Medical Ctr, Omaha, NE 68198 — (402) 559-2412
  • 4502 Medical Dr, San Antonio, TX 78229-4402 — (210) 358-4000

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X · Licence 2020001532 (MO)
Pediatric Gastroenterology Physician Taxonomy 2080P0206X · Licence 29938 (NE)

Record details

NPI number1467747659
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2011
Last updated in NPPESJanuary 18, 2021
Certification dateJanuary 18, 2021

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