Organization Active NPI

Pueblo Care Ny LLC

  • Internal Medicine Physician
  • East Rochester, NY
National Provider Identifier
1174404669
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PUEBLO CARE NY LLC
Practice address
333 W Commercial St FL 3
East Rochester, NY 14445-2400
Phone
(315) 353-9191
NPI assigned
Sep 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mario R Anglada Cortes, MBA
Title
Ceo
Phone
(720) 761-1362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

333 W Commercial St FL 3
East Rochester, NY 14445-2400

Mailing address

333 W Commercial St FL 3
East Rochester, NY 14445-2400
Phone (315) 353-9191

Other names 1

  • Pueblo Care Doing business as

National Provider Directory

National Provider Directory

Locations

333 W Commercial St
Fl 3
East Rochester, NY 14445
Phone (315) 353-9191

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1174404669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W COMMERCIAL ST FL 3",
            "city": "EAST ROCHESTER",
            "state": "NY",
            "postal_code": "144452400",
            "telephone_number": "315-353-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W COMMERCIAL ST FL 3",
            "city": "EAST ROCHESTER",
            "state": "NY",
            "postal_code": "144452400",
            "telephone_number": "315-353-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUEBLO CARE NY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "ANGLADA CORTES",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-761-1362",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pueblo Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.