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NPI Code Detail

MEDICARE: CDT G.M,S.P., INC RADIOLOGIA

MEDICARE: CDT G.M,S.P., INC RADIOLOGIA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0200XRadiology Clinic/CenterPR
2261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609841436
Entity Type Code : Organization
Provider Name (Legal Business Name) : CDT G.M,S.P., INC RADIOLOGIA
Provider Business Mailing Address
First Line : B7 CALLE SANTA CRUZ
Second Line : AVE SANTA CRUZ
City : BAYAMON
State : PR
Zip : 00961-6902
Country : US
Telephone Number : 787-786-1325
Fax Number : 787-778-4793
Provider Business Practice Location Address
First Line : B7 CALLE SANTA CRUZ
Second Line : AVE SANTA CRUZ
City : BAYAMON
State : PR
Zip : 00961-6902
Country : US
Telephone Number : 787-786-1325
Fax Number : 787-778-4793
Authorized Official
Title or Position : FACULTAD MEDICA
Name : DIANNETTE MALDONADO
Credential :
Telephone Number : 787-780-9196
Provider Enumeration Date : 02/23/2006
Last Update Date : 02/06/2026

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Practice Location Address:
B7 CALLE SANTA CRUZ
BAYAMON, PR
00961-6902
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Practice Fax:
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BAYAMON, PR
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BAYAMON, PR
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Practice Fax:
1861629628 — CDT GMSP INC
Practice Location Address:
B7 CALLE SANTA CRUZ
BAYAMON, PR
00961-6902
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1912341884 — CDT G.M,S.P., INC
Practice Location Address:
B7 CALLE SANTA CRUZ
BAYAMON, PR
00961-6902
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Practice Fax:
1790750529 — CDT GMSP, INC
Practice Location Address:
B7 CALLE SANTA CRUZ , AVE. SANTA CRUZ
BAYAMON, PR
00961-6902
Practice Phone: 787-780-9196
Practice Fax: 787-625-6120

Directions to “CDT G.M,S.P., INC RADIOLOGIA ” Practice Location

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