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 Not confirmed with CMS for 19 years — call before visiting
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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