Active NPI
Southwest Respiratory LLC
- Durable Medical Equipment & Medical Supplies
- Albuquerque, NM
National Provider Identifier
1376502591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SOUTHWEST RESPIRATORY LLC
- Practice address
- 5109 Menaul Blvd NE
Albuquerque, NM 87110-3045 - Phone
- (505) 888-6200
- Fax
- (505) 888-6202
- NPI assigned
- Mar 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Pedro Moreno Sr., RCP
- Title
- President / Ceo
- Phone
- (505) 888-6200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
5109 Menaul Blvd NE
Albuquerque, NM 87110-3045
Mailing address
PO Box 30186
Albuquerque, NM 87190-0186
Phone (505) 888-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000B6822 | Medicaid | NM |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200960000000",
"number": "1376502591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30186",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871900186",
"telephone_number": "505-888-6200",
"fax_number": "505-888-6202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5109 MENAUL BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871103045",
"telephone_number": "505-888-6200",
"fax_number": "505-888-6202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST RESPIRATORY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-17",
"last_updated": "2008-01-22",
"status": "A",
"authorized_official_last_name": "MORENO",
"authorized_official_first_name": "PEDRO",
"authorized_official_title_or_position": "PRESIDENT / CEO",
"authorized_official_telephone_number": "505-888-6200",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "RCP"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000B6822",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
- Southwest Psychotherapy, Inc (Susan Lane LPCC)
- Southwest Pueblo Consultants & Counseling Services
- Southwest Pueblo Consultants and Counseling Services, LLC
- Southwest Recovery and Wellness LLC
- Southwest Residential Living (Roma Gardens)
- Southwest Retina PC
- Southwest Services for the Deaf, Inc
- Southwest Supported Living LLC
- Southwest Therapies LLC
- Southwest Urology Associates PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.