Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Infectious Disease Specialist of Southern Colorado, PLLC

Organization Clinic/Center · NPI 1922351279

Infectious Disease Specialist of Southern Colorado, PLLC is a Clinic/Center in Pueblo, Colorado. Licensed in Colorado. Registered with an NPI since 2012.

Licensed in
CO
In the registry since
2012
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2001 Lake Ave Ste 2
Pueblo, CO 81004-3538
Phone: (719) 582-8425
Fax: (888) 719-1380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence DR51262 (CO)

Record details

NPI number1922351279
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victor Nwanguma — Ceo · (719) 582-8425
NPI enumeratedOctober 24, 2012
Last updated in NPPESJanuary 29, 2023
Certification dateJanuary 29, 2023
Mailing addressPo Box 470238, Aurora, CO 80047-0238

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