Active NPI
Pueblo Care Ny LLC
- Internal Medicine Physician
- East Rochester, NY
National Provider Identifier
1174404669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Hematology (Internal Medicine) Physician
- Ponce, PR
- NPI 1235348947
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.