Provider Demographics
NPI:1932549680
Name:COLON, ANA F (PH)
Entity type:Individual
Prefix:MISS
First Name:ANA
Middle Name:F
Last Name:COLON
Suffix:
Gender:F
Credentials:PH
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Mailing Address - Street 1:182 SP AVE WEST MAIN 500
Mailing Address - Street 2:3C 2 VILLAS DE BAYAMON
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961
Mailing Address - Country:US
Mailing Address - Phone:787-288-0136
Mailing Address - Fax:
Practice Address - Street 1:615 STREET
Practice Address - Street 2:BLQ 237 #21
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985
Practice Address - Country:US
Practice Address - Phone:787-752-9644
Practice Address - Fax:787-257-0770
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR2072183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist