Individual
DR. WILLIAM R VALDEZ BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17 LANSING ST, AUBURN, NY 13021-1983
(315) 255-7011
(315) 255-7099
Mailing address
1324 LAKELAND HILLS BLVD, ATTN: MANAGED CARE DEPT., LAKELAND, FL 33805-4543
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-34373
KS
208M00000X
Hospitalist Physician
04-34373
KS
208M00000X
Hospitalist Physician
Primary
277909
NY
208M00000X
Hospitalist Physician
ME121411
FL
Other
Enumeration date
05/26/2010
Last updated
11/28/2017
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