NPIMap

Organization Active NPI

CDT GMSP, Inc

  • Federally Qualified Health Center (FQHC)
  • Bayamon, PR
National Provider Identifier
1790750529
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CDT GMSP, INC
Practice address
B7 Calle Santa Cruz
Ave. Santa Cruz
Bayamon, PR 00961-6902
Phone
(787) 780-9196
Fax
(787) 625-6120
NPI assigned
Feb 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Clinical Medical Laboratory 291U00000X 1028 PR

Addresses

Primary practice location

B7 Calle Santa Cruz
Ave. Santa Cruz
Bayamon, PR 00961-6902

Mailing address

B7 Calle Santa Cruz
Ave. Santa Cruz
Bayamon, PR 00961-6902
Phone (787) 780-9196

Other identifiers 4

IdentifierTypeStateIssuer
1790750529OtherPRNPI
0039200OtherPRMEDICARE PROVIDER
037546800MedicaidPR
40D0699278OtherPRCLIA NUMBER

Other names 1

  • Lab CDT Gmsp Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141028001030 PR Part B Supplier - Independent Clinical Laboratory 1355317751 Practice locations: Bayamon, PR

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

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

Other organizations with this tax ID 10

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1790750529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B7 CALLE SANTA CRUZ",
            "address_2": "AVE. SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616902",
            "telephone_number": "787-780-9196",
            "fax_number": "787-625-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B7 CALLE SANTA CRUZ",
            "address_2": "AVE. SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616902",
            "telephone_number": "787-780-9196",
            "fax_number": "787-625-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDT GMSP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "ZAYAS",
        "authorized_official_first_name": "ILIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXUCUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-780-9196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1028",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1790750529",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "0039200",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037546800",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "40D0699278",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lab CDT Gmsp",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Lab CDT Gmsp",
            "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 Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.