Organization
PUEBLO CARE WY LLC
Active
Organization
PUEBLO CARE WY LLC
Active
Other names
Pueblo Care WY
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO RAFAEL ANGLADA CORTES (CEO)
(720) 761-1362
Entity
Organization
Contact information
Practice address
1607 CAPITOL AVE STE 230, CHEYENNE, WY 82001-4525
(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
—
—
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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