Emmanuel Estavillo Bautista in Bridgeport - Family Medicine
Emmanuel Estavillo Bautista - NPI 1902965106
Emmanuel Estavillo Bautista is a Family Medicine in Bridgeport, Connecticut. Emmanuel Estavillo Bautista practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Emmanuel Estavillo Bautista is 1902965106. The last update date is 2007-07-08.
Emmanuel Estavillo Bautista's current location address is Southwest Ct Mental Health System Attn Sandra Grazynsk, Bridgeport, Connecticut. You can contact this provider via phone number 2035517660 and fax number 2035517481. The mailing address for Emmanuel Estavillo Bautista is Southwest Ct Mental Health System Attn Sandra Grazynsk, Bridgeport, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Emmanuel Estavillo Bautista |
|---|---|
| Address | Southwest Ct Mental Health System Attn Sandra Grazynsk, Bridgeport, Connecticut |
| Phone Number | 2035517660 |
| Fax Number | 2035517481 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1902965106 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Southwest Ct Mental Health System Attn Sandra Grazynsk |
|---|---|
| City | Bridgeport |
| State | Connecticut (CT) |
| Post Code | 6610 |
| Phone Number | 2035517660 |
| Fax Number | 2035517481 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 25021 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique 10-digit identifier code assigned to Emmanuel Estavillo Bautista by the Centers for Medicare & Medicaid Services?
The Emmanuel Estavillo Bautista has been issued the NPI (National Provider Identifier) 1902965106 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Emmanuel Estavillo Bautista located?
The Emmanuel Estavillo Bautista is located at Southwest Ct Mental Health System Attn Sandra Grazynsk, Bridgeport, CT 6610.
What is Emmanuel Estavillo Bautista's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Emmanuel Estavillo Bautista's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1902965106 to Emmanuel Estavillo Bautista?
The Centers for Medicare & Medicaid Services originally issued the 1902965106 to Emmanuel Estavillo Bautista on 2006-12-06.
As of what date were the details pertaining to Emmanuel Estavillo Bautista last refreshed?
The information related to the Emmanuel Estavillo Bautista, including its address, specialty, and other relevant details, was last updated on 2007-07-08.