CDT GMSP Inc

A Medicare group practice based in Bayamon, PR: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 1355317751), with 23 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1355317751The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
PR
Enrollments
3
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20040908000092 PR Part B Supplier - Clinic/Group Practice 1417922972
O20210311000132 PR Part B Supplier - Mass Immunization (Roster Biller Only) 1861629628
O20141028001030 PR Part B Supplier - Independent Clinical Laboratory 1790750529

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 23

Clinicians who reassign their Medicare benefits to this group (23) or whom Care Compare lists as members (6).

Sources for this page