MEDICARE: MR. LUIS G COLON RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	4466	PR

General Provider Information

NPI Number	:	1003962028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LUIS G COLON RPH

Provider Business Mailing Address
First Line	:	12 PASEO DE LAS FLORES
Second Line	:	URBANIZACION PRIMAVERA
City	:	TRUJILLO ALTO
State	:	PR
Zip	:	00976-6075
Country	:	US
Telephone Number	:	787-293-2669
Fax Number	:

Provider Business Practice Location Address
First Line	:	K628 AVE JORGE VAZQUEZ SANES
Second Line	:	URBANIZACION VISTAMAR
City	:	CAROLINA
State	:	PR
Zip	:	00983-1402
Country	:	US
Telephone Number	:	787-768-6637
Fax Number	:	787-762-0780

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	12/04/2025

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