Pueblo Care Wy LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PUEBLO CARE WY LLC

Doing business as

Pueblo Care WY

Practice address

1607 Capitol Ave Ste 230
Cheyenne, WY 82001-4525

Phone

(720) 761-1362

NPI assigned

Aug 6, 2025

Organization subpart

No

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

Authorized official

Name

Mario Rafael Anglada Cortes

Title

Ceo

Phone

(720) 761-1362

Specialties & licenses 1

Addresses

Other names 1

• Pueblo Care WY Doing business as

Locations

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1780569004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6006",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800210001",
            "telephone_number": "720-761-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 CAPITOL AVE STE 230",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014525",
            "telephone_number": "720-761-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUEBLO CARE WY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "ANGLADA CORTES",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-761-1362"
    },
    "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 WY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chris E Pry
• Mary Jane Prysock, RN, BSN
• Psychological and Consulting Services, P.C.
• Kerri Puckett
• Pueblo Care LLC
• Kacie R Pugel, PT, DPT
• Take George Pullos, M.D.
• Kimberly S Purifoy, FNP-C
• Cheryl Pushcar
• Emily Marlene Pyska, MS

• Internal Medicine Physician in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Internal Medicine Physician in Wyoming

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