Healthcare Provider Details

I. General information

NPI: 1780621573
Provider Name (Legal Business Name): M&M RESPIRATORY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

385 RIO COMMUNITIES BLVD
BELEN NM
87002-6173
US

IV. Provider business mailing address

385 RIO COMMUNITIES BLVD
BELEN NM
87002-6173
US

V. Phone/Fax

Practice location:
  • Phone: 505-861-2011
  • Fax: 505-861-2013
Mailing address:
  • Phone: 505-861-2011
  • Fax: 505-861-2013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNM

VIII. Authorized Official

Name: MR. SCHUYLER MICHAEL
Title or Position: OWNER
Credential: RRT,RCP
Phone: 505-861-2011