Provider Demographics
NPI:1700918158
Name:COLON-RODRIGUEZ, RAMONA (PT)
Entity type:Individual
Prefix:MRS
First Name:RAMONA
Middle Name:
Last Name:COLON-RODRIGUEZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLA TORRESILLA #2214
Mailing Address - Street 2:URB. VILLA DEL CARMEN
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716
Mailing Address - Country:US
Mailing Address - Phone:787-601-1883
Mailing Address - Fax:787-281-1167
Practice Address - Street 1:CALLA TORRESILLA #2214
Practice Address - Street 2:URB. VILLA DEL CARMEN
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716
Practice Address - Country:US
Practice Address - Phone:787-601-1883
Practice Address - Fax:787-281-1167
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11908183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4194362OtherDRIVER'S LICENSE