| Pueblo Care Wy | |
|
1607 Capitol Ave Ste 230 Cheyenne WY 82001-4525 | |
| (720) 761-1362 | |
| Not Available |
| Full Name | Pueblo Care Wy |
|---|---|
| Speciality | Internal Medicine |
| Location | 1607 Capitol Ave Ste 230, Cheyenne, Wyoming |
| Authorized Official Name and Position | Mario Rafael Anglada Cortes (CEO) |
| Authorized Official Contact | 7207611362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pueblo Care Wy Po Box 6006 Broomfield CO 80021-0001 Ph: (720) 761-1362 | Pueblo Care Wy 1607 Capitol Ave Ste 230 Cheyenne WY 82001-4525 Ph: (720) 761-1362 |
| NPI Number | 1780569004 |
|---|---|
| Provider Enumeration Date | 08/06/2025 |
| Last Update Date | 08/06/2025 |
| Certification Date | 08/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780569004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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