Organization
CDT GMSP, INC
Active
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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