Provider Demographics
NPI:1255904918
Name:COLON CARDONA, PEDRO J I (PHARM)
Entity type:Individual
Prefix:
First Name:PEDRO
Middle Name:J
Last Name:COLON CARDONA
Suffix:I
Gender:M
Credentials:PHARM
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 621
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:PR
Mailing Address - Zip Code:00751-0621
Mailing Address - Country:US
Mailing Address - Phone:787-813-6131
Mailing Address - Fax:787-824-1677
Practice Address - Street 1:11.5 KM BO. JAUCA
Practice Address - Street 2:#393
Practice Address - City:SANTA ISABEL
Practice Address - State:PR
Practice Address - Zip Code:00757-0075
Practice Address - Country:US
Practice Address - Phone:787-845-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-21
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2055183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist