Provider Demographics
NPI:1366018152
Name:COLON, ALEX JAVIER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALEX
Middle Name:JAVIER
Last Name:COLON
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 1:1049 CALLE 3 SE APT 405
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-3002
Mailing Address - Country:US
Mailing Address - Phone:787-390-2143
Mailing Address - Fax:
Practice Address - Street 1:BO CEIBA NORTE CARR 31 KM 24.5
Practice Address - Street 2:
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777
Practice Address - Country:US
Practice Address - Phone:787-705-2239
Practice Address - Fax:888-580-6779
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6827183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist