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Contact Information

CDT GMSP, INC
B7 CALLE SANTA CRUZ
AVE. SANTA CRUZ
BAYAMON, PR00961-6902
 Phone: 787-780-9196
 Fax: 787-625-6120
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
Indicates primary specialty

NPI Profile & details for CDT GMSP, INC

NPI Number 1790750529
LBN Legal business name CDT GMSP, INC
Authorized official ILIA ZAYAS - (EXUCUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/23/2006
Last updated 02/06/2026 - About 4 months ago
Identifiers
PR License # 1028
PR Medicaid 037546800
PR Other 40D0699278 CLIA NUMBER
PR Other 0039200 MEDICARE PROVIDER
PR Other 1790750529 NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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