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Contact Information

CDT G.M,S.P., INC
B7 CALLE SANTA CRUZ
BAYAMON, PR00961-6902
 Phone: 787-780-9196
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for CDT G.M,S.P., INC

NPI Number 1912341884
LBN Legal business name CDT G.M,S.P., INC
Authorized official ILIA ZAYAS - (EXCUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/23/2013
Last updated 02/06/2026 - About 4 months ago
Identifiers
PR Medicaid 037582600
Other FL377A FIRST COAST PTAN
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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