NPI | 1164737920 |
---|---|
Other Name | SAC-WEST |
Entity Type | Organization |
Authorized Contact | ERIC G ORTIZ Main Executive 787-882-5705 |
Organization Subpart ? | Yes |
Primary Taxonomy | 305R00000X Preferred Provider Organization |
Enumeration Date | 2010-08-17 |
Last Update Date | 2010-08-17 |