Pueblo Care Wy LLC

NPI #1780569004 in Cheyenne, Wyoming

Provider Information

NPI Number: 1780569004
Entity Type: Organization
Organization Name: Pueblo Care Wy LLC
Primary Specialty: Internal Medicine
Enumeration Date: Aug 6, 2025
Last Updated: Aug 6, 2025

Practice Location

Address: 1607 CAPITOL AVE STE 230
City: Cheyenne
State: Wyoming
ZIP Code: 82001-4525
Phone: (720) 761-1362

Authorized Official

Name: MARIO RAFAEL ANGLADA CORTES
Title: CEO
Phone: (720) 761-1362

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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