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

Individual provider Family Medicine Physician · NPI 1902965106

Emmanuel Estavillo Bautista, MD is a Family Medicine Physician in Bridgeport, Connecticut. Licensed in Connecticut. Registered with an NPI since 2006.

Licensed in
CT
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

SW CT Mental Health System Attn Sandra Grazynski 1635 Central Ave Rm 213
Bridgeport, CT 06610
Phone: (203) 551-7660
Fax: (203) 551-7481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 025021 (CT)

Record details

NPI number1902965106
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 6, 2006
Last updated in NPPESJuly 8, 2007

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