Organization
CDT G.M,S.P., INC
Active
Parent organization
CDT G.M,S.P., INC
Other names
Medicina Primaria CDT GMSP
Organization subpart
Yes
Provider details
NPI number
Legal business name
CDT G.M,S.P., INC
Authorized official
DIANNETTE MALDONADO (FACULTAD MEDICA)
(787) 780-9196
Entity
Organization
Contact information
Practice address
B7 CALLE SANTA CRUZ, BAYAMON, PR 00961-6902
(787) 780-9196
Mailing address
B7 CALLE SANTA CRUZ, BAYAMON, PR 00961-6902
(787) 780-9196
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/30/2024
Last updated
02/27/2026
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