Organization
WILMER PEREZ MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILMER PEREZ MD (OWNER PHYSICIAN)
(719) 542-5864
Entity
Organization
Contact information
Practice address
405 W 15TH ST, # 400, PUEBLO, CO 81003
(719) 542-5864
(719) 544-8450
Mailing address
405 W 15TH ST, # 400, PUEBLO, CO 81003
(719) 542-5864
(719) 544-8450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
CO026305
CO
207RP1001X
Pulmonary Disease Physician
Primary
CO026305
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66508053
—
CO
Enumeration date
07/23/2006
Last updated
09/11/2025
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