| 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 |