NPIMap

Organization Active NPI

CDT GMSP, Inc

  • Primary Care Clinic/Center
  • Bayamon, PR
National Provider Identifier
1588028039
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CDT GMSP, INC
Practice address
B7 Calle Santa Cruz
Bayamon, PR 00961-6902
Phone
(787) 780-9196
NPI assigned
Apr 11, 2016
Organization subpart
Yes
Parent organization
CDT GMSP, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ilia Zayas, MD
Title
Executive Director
Phone
(787) 780-9196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

B7 Calle Santa Cruz
Bayamon, PR 00961-6902

Mailing address

B7 Calle Santa Cruz
Bayamon, PR 00961-6902

Other names 1

  • Primary Care CDT GMSP, Inc Other name

National Provider Directory

National Provider Directory
Tax ID family
Clinica Dental CDT GMSP Inc11 organizations share this tax ID, including this one
Part of
Clinica Dental CDT GMSP Inc

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1588028039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B7 CALLE SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B7 CALLE SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616902",
            "telephone_number": "787-780-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDT GMSP, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CDT GMSP, INC",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "ZAYAS",
        "authorized_official_first_name": "ILIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-780-9196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Care CDT GMSP, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.