MR. RUDOLPH MARTINEZ VERDUGO I (NPI# 1780080689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780080689 |
| Entity Type | Individual |
| Full Name | MR. RUDOLPH MARTINEZ VERDUGO I |
| Other Name | MR. RUDY MARTINEZ VERDUGO I |
| Credential | RESPIRATORY THERAPIS |
| Practice Address |
Corner of Route N12 &n7 Ft Defiance AZ 86504 |
| Mailing Address |
Po Box 649 Fort Defiance AZ 86504-0649 |
| Practice Telephone | 9287298000 |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2019-10-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2278G1100X |
Respiratory Therapist, Certified Specialization: General Care |
001934 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
CORNER OF ROUTE N12 &N7 |
| City | FT DEFIANCE |
| State | AZ |
| Zip Code | 86504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807664 | Clifford Charles | Pharmacist | Corners of Route 7&12, Fort Defiance, AZ 86504 | 2020-10-06 |
| 1720605207 | Christopher A Will | Registered Nurse | 2126-1 Shandiin Circle, Fort Defiance, AZ 86504 | 2020-06-30 |
| 1750904207 | Crystal Salaz | Respiratory Therapist, Registered | Corner of Roue N12 and N7, Fort Defiance, AZ 86504 | 2020-05-19 |
| 1003451600 | Rebecca Reeve | Pharmacist | Tsehootsooi Medical Center, Corner of Indian Route 7 and 12, Fort Defiance, AZ 86504 | 2019-11-07 |
| 1851947485 | David Glen Webb | Pharmacist | Hwy 12 Nr 110, Fort Defiance, AZ 86504 | 2019-08-09 |
| 1952963647 | Eukerison Bobby Tsinajinie | Counselor | .25 Miles S Fieldhouse Ra 6905, Fort Defiance, AZ 86504 | 2019-07-02 |
| 1770145567 | Joann Tso I | Counselor | 1/4 Mile Ne of Ft. Defiance Fieldhouse, Ft. Defiance, AZ 86504 | 2019-07-02 |
| 1174185961 | James Leslie | Counselor | 1/4 Mile South of Ft Defiance Fieldhouse Ra#6905, Ft Defiance, AZ 86504 | 2019-07-02 |
| 1184192163 | Miranda Frances Blatchford | Social Worker | .5 Miles Sw of The Fd Field House, Bldg #6905, Fort Defiance, AZ 86504 | 2018-11-07 |
| 1477030914 | Michelle Rosario | Dietitian, Registered | Fort Defiance Indian Hospital Board, Inc., Corner of Route N12 and N7, Fort Defiance, AZ 86504 | 2018-07-27 |
| Find all providers in zip 86504 | ||||
| Taxonomy Code | 2278G1100X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Respiratory Therapist, Certified |
| Specialization | General Care |
| This level of care includes diagnostics testing, therapeutics, monitoring, rehabilitation of patients with disorders of the cardiopulmonary system, as well as, education of the patient and family in regard to those disorders. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508137373 | Debra J Gutierrez | Respiratory Therapist, Certified | 2585 Miracle Mile, Suite 107, Bullhead City, AZ 86442-7522 | 2012-01-25 |
| 1790087963 | Joseph Scardaci | Respiratory Therapist, Certified | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2010-11-22 |
| 1578708954 | Sherri Toledo | Respiratory Therapist, Certified | 167 N Main Street, Tuba City, AZ 86045-0600 | 2008-12-12 |
| City | FT DEFIANCE |
| Zip Code | 86504 |
Please comment or provide details below to improve the information on MR. RUDOLPH MARTINEZ VERDUGO I.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.