Organization
CLINICA DENTAL CDT GMSP, INC
Active
Parent organization
CDT GMSP, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CDT GMSP, INC
Authorized official
DR. ISMAEL TORO (EXECUTIVE DIRECTOR)
(787) 780-9196
Entity
Organization
Contact information
Practice address
URB SANTA CRUZ, B-7 SANTA CRUZ ST, BAYAMON, PR 00961
(787) 780-9196
Mailing address
URB SANTA CRUZ, B-7 CALLE SANTA CRUZ, BAYAMON, PR 00961
(787) 780-9196
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037582000
—
PR
Enumeration date
02/24/2011
Last updated
02/06/2026
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