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Organization
PUEBLO CARE UT LLC
Active
Organization
PUEBLO CARE UT LLC
Active
Other names
Pueblo Care
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO ANGLADA CORTES (CEO)
(720) 761-1362
Entity
Organization
Contact information
Practice address
1289 DEER PARK CIR UNIT 304, HEBER CITY, UT 84032-1255
(720) 761-1362
Mailing address
PO BOX 6006, BROOMFIELD, CO 80021-0001
(720) 761-1362
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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