Healthcare Provider Details

I. General information

NPI: 1962322537
Provider Name (Legal Business Name): JESSICA MONTANO RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1004 COYOTE BUSH RD NE
RIO RANCHO NM
87144-5745
US

IV. Provider business mailing address

1004 COYOTE BUSH RD NE
RIO RANCHO NM
87144-5745
US

V. Phone/Fax

Practice location:
  • Phone: 505-933-4235
  • Fax: 505-933-4235
Mailing address:
  • Phone: 505-550-4023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2278P1005X
TaxonomyPulmonary Rehabilitation Certified Respiratory Therapist
License NumberRCP2970
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code2279C0205X
TaxonomyCritical Care Registered Respiratory Therapist
License NumberRCP2970
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code2279H0200X
TaxonomyHome Health Registered Respiratory Therapist
License NumberRCP2970
License Number StateNM
# 4
Primary TaxonomyN
Taxonomy Code2279P1006X
TaxonomyPulmonary Function Technologist Registered Respiratory Therapist
License NumberRCP2970
License Number StateNM
# 5
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberRCP2970
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: