Organization Active NPI

Southwest Respiratory LLC

  • Durable Medical Equipment & Medical Supplies
  • Albuquerque, NM
National Provider Identifier
1376502591
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Jan 22, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000B6822MedicaidNM

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.