Individual
DR. ROBERT-MARLO FELICILDA BAUTISTA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 682-6983
Mailing address
1150 NW 72ND AVE, MIAMI, FL 33126-1936
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
58628
KY
208600000X
Surgery Physician
R3708
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2015
Last updated
07/26/2024
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