# WILMER PEREZ MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730100769
- **Authorized official:** WILMER PEREZ MD (OWNER PHYSICIAN)
- **Authorized official phone:** (719) 542-5864

## Contact information

- **Practice address:** 405 W 15TH ST, \# 400, PUEBLO, CO 81003
- **Practice address phone:** (719) 542-5864
- **Practice address fax:** (719) 544-8450
- **Mailing address:** 405 W 15TH ST, \# 400, PUEBLO, CO 81003
- **Mailing address phone:** (719) 542-5864
- **Mailing address fax:** (719) 544-8450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | CO026305 | CO | — |
| 207RP1001X | Pulmonary Disease Physician | CO026305 | CO | Yes |

## Other

- **Enumeration date:** 07/23/2006
- **Last updated:** 09/11/2025