# SIRTAC ENTERPRISES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Innovative Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205006814
- **Authorized official:** DR. JOSE E SILVA MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (787) 281-7777

## Contact information

- **Practice address:** 735 AVE PONCE DE LEON, TORRE MEDICA AUXILIO MUTUO SUITE 604, SAN JUAN, PR 00917-5022
- **Practice address phone:** (787) 281-7777
- **Practice address fax:** (787) 281-7777
- **Mailing address:** 735 PONCE DE LEON AVE, TORRE MEDICA AUXILIO MUTUO SUITE 604, SAN JUAN, PR 00917-5022
- **Mailing address phone:** (787) 281-7777
- **Mailing address fax:** (787) 281-7777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 4145 | PR | Yes |

## Other

- **Enumeration date:** 03/11/2008
- **Last updated:** 03/11/2008