Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EMMANUEL ESTAVILLO BAUTISTA, MD
ActiveEMMANUEL ESTAVILLO BAUTISTA, MD is a Family Medicine healthcare provider located in BRIDGEPORT, Connecticut. NPI 1902965106 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · BRIDGEPORT, CT
Registration Details
- NPI Number
- 1902965106
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 6, 2006 (19.731161203335 yrs)
- Last Updated
- Jul 8, 2007
- License
-
025021 (CT)
Practice Information
- Address
-
SOUTHWEST CT MENTAL HEALTH SYSTEM ATTN SANDRA GRAZYNSKI1635 CENTRAL AVENUE ROOM 213BRIDGEPORT, CT, 06610Browse CT providers · Browse ZIP 06610
- Phone
- 2035517660
- Fax
- 2035517481
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in BRIDGEPORT, CT
| Name | Credential | NPI |
|---|---|---|
| DENNIS WILLIAMS | M.D. | 1093715955 |
| VICKY B TOLA | MD | 1689641821 |
| DR. MYRA WAYNIK | M.D. | 1841259827 |
| WANDA JUARROS HANLON | M.D. | 1720034242 |
| DR. JOHN P IANNARONE | MD | 1013943190 |
| TRACI J MARQUIS-EYDMAN | MD | 1578591780 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.