Pneumexico Respiratory, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

FA0052168 Issued in NM

Legal business name

PNEUMEXICO RESPIRATORY, LLC

Practice address

102 Mountain Park PL NW
Suite a
Albuquerque, NM 87114-2290

Phone

(505) 898-8808

Fax

(505) 898-3479

NPI assigned

Apr 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Matt Ian Trujillo, CRT, RCP

Title

President / Respiratory Therapist

Phone

(505) 898-8808

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639134869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MOUNTAIN PARK PL NW",
            "address_2": "SUITE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871142290",
            "telephone_number": "505-898-8808",
            "fax_number": "505-898-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MOUNTAIN PARK PL NW",
            "address_2": "SUITE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871142290",
            "telephone_number": "505-898-8808",
            "fax_number": "505-898-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PNEUMEXICO RESPIRATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRUJILLO",
        "authorized_official_first_name": "MATT",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "PRESIDENT / RESPIRATORY THERAPIST",
        "authorized_official_telephone_number": "505-898-8808",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRT, RCP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NM",
            "license": "FA0052168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHEILD",
            "identifier": "NM00TA32",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09887253",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACM / UNITED HEALTHCARE",
            "identifier": "1025700",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Plunkett, OT
• Natty Plunkett, LMHC
• Thomas Jeremiah Plunkett III, PHARMD
• Plus Ultra Care Transit
• PMC Hospice Services, Inc. (Preferred Hospice of New Mexico-Albuquerque)
• Madison Poage, M.A., CCC-SLP
• Matthew D Poage, MD
• Gabriela Ivette Pobar
• Cynthia Poblano
• Eduardo Poblano

• Durable Medical Equipment & Medical Supplies in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Durable Medical Equipment & Medical Supplies in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.