Organization Active NPI

Wilmer Perez MD PC

  • Pulmonary Disease Physician
  • Pueblo, CO
National Provider Identifier
1730100769
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
CO026305 Issued in CO
Legal business name
WILMER PEREZ MD PC
Practice address
405 W 15TH St
# 400
Pueblo, CO 81003
Phone
(719) 542-5864
Fax
(719) 544-8450
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Wilmer Perez, MDNPI 1922037589
Title
Owner Physician
Phone
(719) 542-5864

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X CO026305 CO
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X CO026305 CO Primary

Addresses

Primary practice location

405 W 15TH St
# 400
Pueblo, CO 81003

Mailing address

405 W 15TH St
# 400
Pueblo, CO 81003
Phone (719) 542-5864

Other identifiers 1

IdentifierTypeStateIssuer
66508053MedicaidCO

National Provider Directory

National Provider Directory

Locations

405 W 15th St
Ste 400
Pueblo, CO 81003
Phone (719) 542-5864

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": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1730100769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W 15TH ST",
            "address_2": "# 400",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81003",
            "telephone_number": "719-542-5864",
            "fax_number": "719-544-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W 15TH ST",
            "address_2": "# 400",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81003",
            "telephone_number": "719-542-5864",
            "fax_number": "719-544-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMER PEREZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "WILMER",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "719-542-5864",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "CO026305",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CO",
            "license": "CO026305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66508053",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.