Organization
SOUTHWEST RESPIRATORY LLC
Active
Organization
SOUTHWEST RESPIRATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PEDRO MORENO SR. RCP (PRESIDENT / CEO)
(505) 888-6200
Entity
Organization
Contact information
Practice address
5109 MENAUL BLVD NE, ALBUQUERQUE, NM 87110-3045
(505) 888-6200
(505) 888-6202
Mailing address
PO BOX 30186, ALBUQUERQUE, NM 87190-0186
(505) 888-6200
(505) 888-6202
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000B6822
—
NM
Enumeration date
03/17/2006
Last updated
01/22/2008
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