# CDT DIAGNOSTIX LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205540010
- **Authorized official:** DR. LUIS M BENALCAZAR-PUGA MD (PHYSICIAN)
- **Authorized official phone:** (201) 463-8004

## Contact information

- **Practice address:** 185 CALLE PROGRESO, AGUADILLA, PR 00603-4802
- **Practice address phone:** (787) 882-1070
- **Practice address fax:** (787) 882-1070
- **Mailing address:** P.O. BOX 142, AGUADILLA, PR 00605
- **Mailing address phone:** (201) 463-8004
- **Mailing address fax:** (201) 464-2519

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/06/2023
- **Last updated:** 02/18/2025