CDT GMSP, INC (NPI# 1790750529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790750529 |
| Entity Type | Organization |
| Organization Name | CDT GMSP, INC |
| Other Organization Name | LAB CDT GMSP |
| Practice Address |
B7 Calle Santa Cruz Ave. Santa Cruz Bayamon PR 00961-6902 |
| Practice Telephone | 7877809196 |
| Practice Fax Number | 7876256120 |
| Mailing Telephone | 7877809196 |
| Mailing Fax Number | 7876256120 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2014-09-12 |
| Authorized Official Name | DR. ILIA E ZAYAS (EXUCUTIVE DIRECTOR) |
| Authorized Official Telephone | 7877809196 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 1028 | PR | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | MEDICARE PROVIDER | 0039200 | 01 |
| PR | CLIA NUMBER | 40D0699278 | 01 |
| PR | NPI | 1790750529 | 01 |
| Other Name | Type Code |
|---|---|
| Lab CDT Gmsp | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588028039 | Cdt Gmsp, Inc | Clinic/Center | B7 Calle Santa Cruz, Bayamon, PR 00961-6902 | 2016-04-11 |
| 1073955951 | Cdt Gmsp, Inc | Clinic/Center | B7 Calle Santa Cruz, Bayamon, PR 00961-6902 | 2013-07-22 |
| 1528409653 | Cdt Gmsp, Inc | Optometrist | B7 Calle Santa Cruz, Bayamon, PR 00961-6902 | 2013-07-17 |
| Street Address |
B7 CALLE SANTA CRUZ AVE. SANTA CRUZ |
| City | BAYAMON |
| State | PR |
| Zip Code | 00961-6902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700851268 | Grupo Medico San Pablo Inc | General Practice | B7 Calle Santa Cruz, Bayamon, PR 00961-6902 | 2006-02-20 |
| 1770058398 | Sana Accountable Care Organization of Puerto Rico Inc | Clinic/Center | B7 Calle Santa Cruz, Bayamon, PR 00961-6902 | 2018-10-10 |
| 1588028039 | Cdt Gmsp, Inc | Clinic/Center | B7 Calle Santa Cruz, Bayamon, PR 00961-6902 | 2016-04-11 |
| 1033587928 | Maria Alamo | Health Educator | B7 Calle Santa Cruz, Bayamon, PR 00961-6902 | 2015-09-09 |
| 1811364482 | Anizeida Laboy | Nutritionist | B7 Calle Santa Cruz, Bayamon, PR 00961-6902 | 2015-08-30 |
| 1205202249 | Wanda Torres | Case Manager/Care Coordinator | B7 Calle Santa Cruz, Bayamon, PR 00961-6902 | 2015-08-13 |
| 1447626486 | Angelica Leon | Case Manager/Care Coordinator | B7 Calle Santa Cruz, Bayamon, PR 00961-6902 | 2015-08-13 |
| 1144696105 | Wanda Martinez | Licensed Practical Nurse | B7 Calle Santa Cruz, Bayamon, PR 00961-6902 | 2015-08-13 |
| 1740656792 | Jeannette Rivera | Licensed Practical Nurse | B7 Calle Santa Cruz, Bayamon, PR 00961-6902 | 2015-08-13 |
| 1023400587 | Diannette Maldonado | Case Manager/Care Coordinator | B7 Calle Santa Cruz, Bayamon, PR 00961-6902 | 2015-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929206 | Raul Alexis Ocasio Gonzalez | Physician Assistant | Urb, Santa Cruz, B7 Calle Santa Cruz, Bayamon, PR 00961 | 2020-10-12 |
| 1073128047 | Bianca Paola Vega | Psychologist | 73 Sabra Cruz Street Suit 405, Bayamon, PR 00961 | 2020-09-15 |
| 1457960940 | Lymari Barnecet | Physician Assistant | Calle Isabel II Suite 107, Edificio Joaquin Montesino, Bayamon, PR 00961 | 2020-07-30 |
| 1104443027 | Sheila Grisel Alicea | Psychologist | Condominio Alborada Apt 1132, Bayamon, PR 00961 | 2020-06-26 |
| 1407471477 | Noemi Burgos | Psychologist | Calle 2 Km 11.8 Edificio Centurion Piso 3, Bayamon, PR 00961 | 2020-06-15 |
| 1740802362 | Carlos Alexis Sepulveda | Social Worker | C-17 Calle Marginal, Santa Cruz, Bayamon, PR 00961 | 2020-05-18 |
| 1245859669 | Angelisse Julianna Rivera Gonzalez | Pharmacist | Ave. Munoz Rivera #425-ng, San Juan, PR 00961 | 2020-04-15 |
| 1003445750 | Miranda Kay Berger Nordelo | Student in an Organized Health Care Education/Training Program | 58-3 Calle 50, Urb Sierra Bayamon, Bayamon, PR 00961 | 2020-04-05 |
| 1215562558 | Gabriela Isabel Oquendo-claudio | Student in an Organized Health Care Education/Training Program | Urb Rio Hondo 1 Rio Caguitas M14, Bayamon, PR 00961 | 2020-03-06 |
| 1265063754 | Iris Angelica Gonzalez Rosa | Psychologist | Ave. West Main, #26, Blq. 48 #22, Sierra Bayamon, Bayamon, PR 00961 | 2020-02-03 |
| Find all providers in zip 00961 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| 1225562499 | Corporacion Para El Desarrollo De La Salud En El Municipio De Bayamon | Clinical Medical Laboratory | Calle Manuel F Rossy Esq Degetau Isabel II, Bayamon, PR 00960-2759 | 2017-04-14 |
| 1144774076 | Pedro Juan Santiago | Clinical Medical Laboratory | 39 Calle Betances, Pueblo, Bayamon, PR 00961-6207 | 2016-08-09 |
| 1487029450 | Laboratorios Del Sueno De Puerto Rico | Clinical Medical Laboratory | 1845 Carr 2 Ste 703, Road #2, Bayamon, PR 00959-7206 | 2015-12-02 |
| 1841694072 | Metro Pavia Healthcare Center | Clinical Medical Laboratory | Carr 167 Urb Bella Vista, Marginal Ad-10, Bayamon, PR 00959 | 2014-10-17 |
| 1467879445 | Servicios De Salud La Morenita Inc | Clinical Medical Laboratory | Pr 174 Km 10.2, Barrio Guaraguao, Bayamon, PR 00956 | 2014-03-27 |
| 1124443213 | Laboratorio Teresita | Clinical Medical Laboratory | J-1 Calle 3 Urb. Teresita, Bayamon, PR 00961 | 2014-02-26 |
| Find all providers in BAYAMON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.