Search › Massachusetts › 363L00000X
Roan Bautista, CNP
NPI 1336866995 · on the registry since 2022 · sole proprietor
Practice
- Address
- 55 Fruit St
Boston, MA 02114 - Phone
- (781) 259-8565
- Organisation at this address
- Mgh
Mgpo
Leanne Miller
Brandon Law, Md
Dennis W Burke Md PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5,283
Additional practice sites
- 115 Mill St, Belmont, MA
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-01-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts