Healthcare Provider Details

I. General information

NPI: 1619897915
Provider Name (Legal Business Name): GAS EXCHANGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/17/2026
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: 505-550-0423
  • Fax:
Mailing address:
  • Phone: 505-550-0423
  • Fax: 505-933-4235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number
License Number State

VIII. Authorized Official

Name: JESSICA MONTANO
Title or Position: ADMINISTRATOR
Credential: RRT-NPS
Phone: 505-550-0423