Healthcare Provider Details

I. General information

NPI: 1669393096
Provider Name (Legal Business Name): ASTRID NICOLE MALDONADO COLON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 130, KM 11.6, BO. CAMPO ALEGRE
HATILLO PR
00659
US

IV. Provider business mailing address

PO BOX 914
BAJADERO PR
00616-0914
US

V. Phone/Fax

Practice location:
  • Phone: 787-898-8616
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8679
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: