Healthcare Provider Details

I. General information

NPI: 1972226132
Provider Name (Legal Business Name): MONTE BELLO MEDICAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2022
Last Update Date: 11/09/2025
Certification Date: 11/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3865 E LOHMAN AVE STE 4
LAS CRUCES NM
88011-8292
US

IV. Provider business mailing address

3851 E LOHMAN AVE STE 4
LAS CRUCES NM
88011-8296
US

V. Phone/Fax

Practice location:
  • Phone: 575-644-6686
  • Fax:
Mailing address:
  • Phone: 575-993-5611
  • Fax: 575-483-7224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: YOLIE DELGADO
Title or Position: DIRECTOR OF OPERATIONS/OWNER
Credential:
Phone: 575-644-6686