SearchOhio208000000X

Irene Bautista, MD

NPI 1659311660 · on the registry since 2006 · sole proprietor

Practice

Address
17951 Jefferson Park Rd
Cleveland, OH 44130
Phone
(440) 816-6414
Fax
(440) 816-6421
Clinicians at this address
7

Registry record

Primary taxonomy
208000000X
208000000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-03-23

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 Ohio