ROBERT GERONIMO BAUTISTA — OIG Excluded Provider (SAN DIEGO, CA, 1128b4)
ROBERT GERONIMO BAUTISTA — OIG Excluded Provider (SAN DIEGO, CA, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: ROBERT GERONIMO BAUTISTA; Type: Individual; Provider category: SKILLED NURSING FAC.
| Name | ROBERT GERONIMO BAUTISTA |
|---|---|
| Type | Individual |
| Provider category | SKILLED NURSING FAC |
| Specialty | NURSE/NURSES AIDE |
| City | SAN DIEGO |
| State | CA |
| ZIP | 92112 |
| Exclusion authority | 1128b4 |
| Exclusion reason | License revocation, suspension, or surrender |
| Exclusion date | 2006-12-20 |
| Source | HHS-OIG LEIE |
$1499/mo
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