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INFECTIOUS DISEASE SPECIALIST OF SOUTHERN COLORADO, PLLC
NPI 1922351279
Clinic/Center in Pueblo, CO

Active since October 24, 2012
2001 LAKE AVE, SUITE 2, PUEBLO, CO 81004(719) 582-8425(888) 719-1380 Get Directions Write a Review

NPPES record last updated: January 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Infectious Disease Specialist Of Southern Colorado, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INFECTIOUS DISEASE SPECIALIST OF SOUTHERN COLORADO, PLLC (NPI 1922351279) is a healthcare organization registered as a clinic/center in Pueblo, Colorado and active in the NPI registry since October 2012. The organization lists Victor Nwanguma, Ceo, as its authorized official.

NPPES Registry Identity

NPI1922351279
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameINFECTIOUS DISEASE SPECIALIST OF SOUTHERN COLORADO, PLLC
Location Address2001 LAKE AVE, SUITE 2Pueblo, CO 81004-3538
Mailing AddressPo Box 470238Aurora, CO 80047-0238 · (719) 582-8425 · Fax (888) 719-1380
Phone(719) 582-8425
Fax(888) 719-1380
Organization SubpartNo
Authorized OfficialVictor NwangumaCeo · (719) 582-8425
Enumeration DateOctober 24, 2012
Last NPPES UpdateJanuary 29, 2023
NPPES CertifiedJanuary 29, 2023
✔ NPI 1922351279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in CO · DR51262
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2001 LAKE AVE, Pueblo, CO 81004
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Other Identifiers 1

Other1336601387Npi

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELCHOR SIPALAY MD LLC
Internal Medicine
2001 LAKE AVE
PUEBLO, CO 81004
Pueblo County (719) 564-0300
KYRA K HOOTMAN DO
Internal Medicine
2001 LAKE AVE
PUEBLO, CO 81004
Pueblo County (719) 564-0300
LARRY D WALLS MD PROF LLC
Internal Medicine
2001 LAKE AVE
PUEBLO, CO 81004
Pueblo County (719) 564-0300
KYRA HOOTMAN DO PC
Internal Medicine
2001 LAKE AVE
PUEBLO, CO 81004
Pueblo County (719) 564-0300
KRYSTAL J HOLDERNESS NAKAMURA M.D.
Dermatology
2001 LAKE AVE
PUEBLO, CO 81004
Pueblo County (719) 564-5544

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Infectious Disease Specialist Of Southern Colorado, PLLC's NPI number?

The NPI number for Infectious Disease Specialist Of Southern Colorado, PLLC is 1922351279. It was assigned to this organization in the NPPES registry on October 24, 2012.

Where is Infectious Disease Specialist Of Southern Colorado, PLLC located?

Infectious Disease Specialist Of Southern Colorado, PLLC is located at 2001 Lake Ave Suite 2, Pueblo, CO 81004. The listed phone number is (719) 582-8425.

What is Infectious Disease Specialist Of Southern Colorado, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Infectious Disease Specialist Of Southern Colorado, PLLC was last updated on January 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.