Provider Demographics
NPI:1144361643
Name:COLON, ANA C (R PH)
Entity type:Individual
Prefix:MRS
First Name:ANA
Middle Name:C
Last Name:COLON
Suffix:
Gender:F
Credentials:R PH
Other - Prefix:
Other - First Name:ANNIE
Other - Middle Name:
Other - Last Name:VALERO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:96 CALLE BARCELO
Mailing Address - Street 2:
Mailing Address - City:BARRANQUITAS
Mailing Address - State:PR
Mailing Address - Zip Code:00794-1614
Mailing Address - Country:US
Mailing Address - Phone:787-857-2750
Mailing Address - Fax:787-857-0707
Practice Address - Street 1:96 CALLE BARCELO
Practice Address - Street 2:
Practice Address - City:BARRANQUITAS
Practice Address - State:PR
Practice Address - Zip Code:00794-1614
Practice Address - Country:US
Practice Address - Phone:787-857-2750
Practice Address - Fax:787-857-0707
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2017183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist