Organization
CDT GMSP INC
Active
Organization
CDT GMSP INC
Active
Other names
CDT GMSP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILIA E ZAYAS MD, MPH (EXECUTIVE DIRECTOR)
(787) 780-9196
Entity
Organization
Contact information
Practice address
B7 CALLE SANTA CRUZ, BAYAMON, PR 00961-6902
(787) 786-1325
(787) 625-6124
Mailing address
B7 CALLE SANTA CRUZ, BAYAMON, PR 00961-6902
(787) 786-1325
(787) 625-6124
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
PR
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0056768
MEDICARE PROVIDER
PR
05
—
037468400
—
PR
Enumeration date
02/20/2006
Last updated
02/06/2026
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