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Organization

CDT GMSP, INC

Active
Parent organization
CDT GMSP, INC
Other names
Primary Care CDT GMSP, Inc
Organization subpart
Yes

Provider details

NPI number
Legal business name
CDT GMSP, INC
Authorized official
DR. ILIA ZAYAS MD (EXECUTIVE DIRECTOR)
(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

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
04/11/2016
Last updated
04/11/2016
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