Wilbur Pulido, DBA

Primary specialty

Hospice Registered NurseTaxonomy code 163WH1000X

License

458246 Issued in CA

Practice address

291 S Main St
Ste L
Yuma, AZ 85364-1414

Phone

(928) 783-0705

Fax

(928) 783-4349

NPI assigned

Nov 6, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Business Administration

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Destiny Rose Hospice

  • Community Based Hospice Care Agency
  • Yuma, AZ
  • NPI 1770956054
  NPD Authorized official
• Destiny Rose Hospice Inc

  • Community Based Hospice Care Agency
  • Upland, CA
  • NPI 1104431071
  NPD

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1669845004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 S MAIN ST",
            "address_2": "STE L",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853641414",
            "telephone_number": "928-783-0705",
            "fax_number": "928-783-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 S MAIN ST",
            "address_2": "STE L",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853641414",
            "telephone_number": "928-783-0705",
            "fax_number": "928-783-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULIDO",
        "first_name": "WILBUR",
        "credential": "DBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "CA",
            "license": "458246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Psychological Empowerment Services PLC
• Emilio Puentedura, P.T.
• Rebecca Pugliese, RN
• Joncy Johny Pulickal, FNP-C
• Estrella Pulido
• Pulmonary Diagnostic Specialists P.L.L.C.
• Pure Image Mobile Ultrasound
• Pure Image Mobile Ultrasound Group LLC
• Cathrine Maureen Putman, C.PED.
• James Edward Putman, PT

• Hospice Registered Nurse in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Hospice Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.