Rudolph Martinez Verdugo I, RESPIRATORY THERAPIS

Primary specialty

General Care Certified Respiratory TherapistTaxonomy code 2278G1100X

License

001934 Issued in AZ

Practice address

Corner of Route N12 &N7
Ft Defiance, AZ 86504

Phone

(928) 729-8000

NPI assigned

Nov 5, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Rudy Martinez Verdugo I Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1780080689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 649",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "865040649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORNER OF ROUTE N12 &N7",
            "city": "FT DEFIANCE",
            "state": "AZ",
            "postal_code": "86504",
            "telephone_number": "928-729-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDUGO",
        "first_name": "RUDOLPH",
        "middle_name": "MARTINEZ",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "RESPIRATORY THERAPIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-05",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, General Care",
            "state": "AZ",
            "license": "001934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUDY",
            "last_name": "VERDUGO",
            "middle_name": "MARTINEZ",
            "prefix": "MR.",
            "suffix": "I",
            "credential": "RESPIRATORY THERAPIS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brian Lynn Valdez, RD/PLD
• Cristina Vale, RN
• John Mark Van Eyk, MPT
• Johannes Henricus Van Ooyen, PT, MTC
• Lisa A Vanhevel, DO
• Beth Vermont, M.D.
• Marco Antonio Vidaurri, PHARMD
• James M Villareal, MD
• Anthony S Vitelli, MD
• My-Ngoc Thi Vo, DMD

• General Care Certified Respiratory Therapist in Ft Defiance, AZ
• Providers in Ft Defiance, AZ by specialty
• General Care Certified Respiratory Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.