Individual ProviderMilmar Canare BautistaRegistered NurseNursing Service ProvidersPractice Address7925 Winchester Blvd, Queens Village, NY 11427-2128(917) 943-1980PECOS EnrollmentBased on the most recent information from CMS, provider Milmar Canare Bautista does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1740091263Provider TypeIndividualFull NameBautista, Milmar CanareTitleMr.GenderMaleSole ProprietorYesEnumeration Date1/15/2025Last Updated3/16/2026Contact InformationPractice LocationPractice Address7925 Winchester Blvd, Queens Village, NY 11427-2128Phone(917) 943-1980FaxUnlisted FaxMailing LocationMailing Address7925 Winchester Blvd, Queens Village, NY 11427-2128Phone(917) 943-1980FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense715773New York