Pueblo Care Ut LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PUEBLO CARE UT LLC

Practice address

1289 Deer Park Cir Unit 304
Heber City, UT 84032-1255

Phone

(720) 761-1362

NPI assigned

Aug 19, 2025

Organization subpart

No

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

Authorized official

Name

Mario Anglada Cortes

Title

Ceo

Phone

(720) 761-1362

Specialties & licenses 1

Addresses

Other names 1

• Pueblo Care Doing business as

Practitioners 1

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

• Hilton T. Perez Armendariz, M.D.

  • Hematology (Internal Medicine) Physician
  • Ponce, PR
  • NPI 1235348947
  NPD

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

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1922985175",
    "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": "1289 DEER PARK CIR UNIT 304",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840321255",
            "telephone_number": "720-761-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUEBLO CARE UT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "ANGLADA CORTES",
        "authorized_official_first_name": "MARIO",
        "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",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Annette Probst, L.P.C.
• Kent T Probst, D.D.S.
• Adam Proctor, D.M.D.
• Anika Hills Prows
• Psychiatric Consultation Services
• Amber Pulley, LPN
• Purple Sky Counseling, PLLC
• Isaac Micheal Ralphs, PA-C
• Tawnya Lee Ray, WHNP-BC
• Megan Rieck

• Internal Medicine Physician in Heber City, UT
• Providers in Heber City, UT by specialty
• Internal Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.