| NPI | 1962844704 |
|---|---|
| Other Name | PRIMARY CARE CDT GMSP, INC |
| Entity Type | Organization |
| Authorized Contact | ILIA ZAYAS Executive Director 787-780-9196 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2016-11-16 |