# PUEBLO CARE UT LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Pueblo Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922985175
- **Authorized official:** MARIO ANGLADA CORTES (CEO)
- **Authorized official phone:** (720) 761-1362

## Contact information

- **Practice address:** 1289 DEER PARK CIR UNIT 304, HEBER CITY, UT 84032-1255
- **Practice address phone:** (720) 761-1362
- **Mailing address:** PO BOX 6006, BROOMFIELD, CO 80021-0001
- **Mailing address phone:** (720) 761-1362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/19/2025
- **Last updated:** 08/19/2025