| NPI | 1780569004 |
|---|---|
| Doing Business As | PUEBLO CARE WY |
| Entity Type | Organization |
| Authorized Contact | MARIO RAFAEL ANGLADA CORTES CEO 720-761-1362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2025-08-06 |
| Last Update Date | 2025-08-06 |