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Cdt Gmsp Inc — NPI 1417922972, Bayamon, PR | NPI Central

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NPI 1417922972

OrganizationActive

Cdt Gmsp Inc

NPI 1417922972 · Federally Qualified Health Center (FQHC) · Bayamon, PR

Provider details

NPI number: 1417922972
Entity type: Organization
Primary specialty: Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Organization subpart: No
Authorized official: Ilia Zayas, Executive Director(787) 780-9196

Specialties & taxonomies

Federally Qualified Health Center (FQHC)Primary261QF0400X
Ambulatory Health Care Facilities
Diagnostic Radiology Physician2085R0202X
Allopathic & Osteopathic Physicians
Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Urgent Care Clinic/Center261QU0200X
Ambulatory Health Care Facilities
Clinical Medical Laboratory291U00000X
Laboratories

Practice location

B7 Calle Santa Cruz

Bayamon, PR 00961-6902

Phone: (787) 786-1325

Fax: (787) 625-6124

More PR providers

Mailing address

B7 Calle Santa Cruz

Bayamon, PR 00961-6902

Other names (DBA / former)

Other name: Cdt Gmsp
Other name: Cdt Gmsp

Registry dates

Enumerated: 2006-02-20
Last updated: 2026-02-06
Certified: 2026-02-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.