CDT GMSP INC NPI 1588028039

NPI Information

  • NPI: 1588028039
  • Provider Name: CDT GMSP, INC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Other Name: PRIMARY CARE CDT GMSP, INC
  • CLIA Number: 40D0699278
  • Address: B7 CALLE SANTA CRUZ
    BAYAMON, PR
    ZIP 00961
  • Phone: (787) 780-9196

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NPI Details

CDT GMSP, INC is a primary care clinic center in Bayamon, PR. CDT GMSP, INC NPI is 1588028039. The provider is registered as an organization entity type.
The provider Other Name Is Primary Care Cdt Gmsp, Inc.

The provider's business location address is:

B7 CALLE SANTA CRUZ
BAYAMON, PR
ZIP 00961-902
Phone: (787) 780-9196

The provider's authorized official is Ilia Zayas .
The authorized official title is Executive Director and has the following contact phone number (787) 780-9196.

The CLIA number assigned to this NPI record is 40D0699278 - practitioner other with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/11/2016 and was last updated on 4/11/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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