Provider Demographics
NPI:1376129452
Name:COLON, DARLENE (CPHT)
Entity Type:Individual
Prefix:MISS
First Name:DARLENE
Middle Name:
Last Name:COLON
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2113
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00970-2113
Mailing Address - Country:US
Mailing Address - Phone:939-401-6702
Mailing Address - Fax:
Practice Address - Street 1:C1 CALLE PARKSIDE 4
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968-3305
Practice Address - Country:US
Practice Address - Phone:787-792-0780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-20
Last Update Date:2021-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11519183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician