Organization
PUEBLO CARE UT LLC
Active
Other names
Pueblo Care
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO ANGLADA CORTES (CEO)
(720) 761-1362
Entity
Organization
Contact information
Practice address
1289 DEER PARK CIR UNIT 304, HEBER CITY, UT 84032-1255
(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
08/19/2025
Last updated
08/19/2025
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