Provider Demographics
NPI:1619846276
Name:COLON VAZQUEZ, RODNEY EDGARDO (PHARMD)
Entity type:Individual
Prefix:
First Name:RODNEY
Middle Name:EDGARDO
Last Name:COLON VAZQUEZ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 CARR 2
Mailing Address - Street 2:COLINAS DEL BOSQUE, BOX 130
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-7370
Mailing Address - Country:US
Mailing Address - Phone:787-237-6826
Mailing Address - Fax:
Practice Address - Street 1:998 SAN ROBERTO STREET
Practice Address - Street 2:PROFESSIONAL OFFICES PARK IV
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-0000
Practice Address - Country:US
Practice Address - Phone:787-773-6583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-03
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0069721835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy