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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