Provider Demographics
NPI:1003706862
Name:YUMA ADVANCED MEDICAL, LLC
Entity type:Organization
Organization Name:YUMA ADVANCED MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HUMBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTERO
Authorized Official - Suffix:
Authorized Official - Credentials:DOC
Authorized Official - Phone:928-782-2233
Mailing Address - Street 1:1881 S 4TH AVE STE B
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-5668
Mailing Address - Country:US
Mailing Address - Phone:928-782-2233
Mailing Address - Fax:928-782-2001
Practice Address - Street 1:1536 S 9TH AVE
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-4516
Practice Address - Country:US
Practice Address - Phone:928-941-8205
Practice Address - Fax:928-782-2001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center