NPIMap

Organization Active NPI

CDT Centro de Servicios Medicos Integrados, Inc.

  • Clinic/Center
  • Bayamon, PR
National Provider Identifier
1942408067
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CDT CENTRO DE SERVICIOS MEDICOS INTEGRADOS, INC.
Practice address
59 Calle Santa Cruz
4TH Floor
Bayamon, PR 00961-6900
Phone
(787) 778-2146
NPI assigned
Jul 10, 2007
Last updated
Jul 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Mrs. Zaida Castro
Title
Administrator
Phone
(787) 778-2145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

59 Calle Santa Cruz
4TH Floor
Bayamon, PR 00961-6900

Mailing address

PO Box 6598
Bayamon, PR 00960-5598

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110623000128 PR Part B Supplier - Clinic/Group Practice 5092996652 Receives reassigned benefits from 12 practitioners
Practice locations: Bayamon, PR

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
CDT Centro de Servicios Med5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

59 Calle Santa Cruz
Fl 4
Bayamon, PR 00961
Phone (787) 740-6722

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1942408067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6598",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009605598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 CALLE SANTA CRUZ",
            "address_2": "4TH FLOOR",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616900",
            "telephone_number": "787-778-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDT CENTRO DE SERVICIOS MEDICOS INTEGRADOS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "ZAIDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-778-2145",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 10, 2007; 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.