International Consultants LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

INTERNATIONAL CONSULTANTS LLC

Practice address

1776 E Los Olivos Dr
San Luis, AZ 85336-0630

Phone

(928) 388-3793

NPI assigned

Mar 29, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Erick Merino Payan

Title

Director

Phone

(928) 388-3793

Specialties & licenses 4

Addresses

Electronic endpoints 3

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1275111767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POBOX 990 PMB 1372",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "85349",
            "telephone_number": "928-388-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 E LOS OLIVOS DR",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "853360630",
            "telephone_number": "928-388-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "MERINO PAYAN",
        "authorized_official_first_name": "ERICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "928-388-3793"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TUOTEMPO",
            "affiliation": "N",
            "address_1": "1776 E Los Olivos Dr",
            "city": "San Luis",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853360630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tuOtempOGDPR",
            "affiliation": "N",
            "address_1": "1776 E Los Olivos Dr",
            "city": "San Luis",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853360630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tuOtempOGDPR",
            "affiliation": "N",
            "address_1": "1776 E Los Olivos Dr",
            "city": "San Luis",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853360630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Exclusive Provider Organization in San Luis, AZ
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• Exclusive Provider Organization in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.