Organization
INTERNATIONAL CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICK MERINO PAYAN (DIRECTOR)
(928) 388-3793
Entity
Organization
Contact information
Practice address
1776 E LOS OLIVOS DR, SAN LUIS, AZ 85336-0630
(928) 388-3793
Mailing address
POBOX 990 PMB 1372, SAN LUIS, AZ 85349
(928) 388-3793
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
302F00000X
Exclusive Provider Organization
Primary
—
—
302R00000X
Health Maintenance Organization
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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