| NPI | 1790750529 |
|---|---|
| Other Name | LAB CDT GMSP |
| Entity Type | Organization |
| Authorized Contact | ILIA E ZAYAS Exucutive Director 787-780-9196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: PR 1028) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2026-02-06 |