Organization
PUEBLO CARE LLC
Active
Organization
PUEBLO CARE LLC
Active
Other names
Pueblo Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO RAFAEL ANGLADA CORTES (CEO)
(720) 761-1362
Entity
Organization
Contact information
Practice address
109 E 17TH ST STE 6178, CHEYENNE, WY 82001-4543
(720) 761-1362
Mailing address
109 E 17TH ST STE 6178, CHEYENNE, WY 82001-4543
(720) 761-1362
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
251E00000X
Home Health Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
Other
Enumeration date
03/24/2025
Last updated
05/22/2025
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