Individual provider Active NPI

Luis G Colon, RPH

  • Pharmacist
  • Carolina, PR
National Provider Identifier
1003962028
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
4466 Issued in PR
Practice address
K628 Ave Jorge Vazquez Sanes
Urbanizacion Vistamar
Carolina, PR 00983-1402
Phone
(787) 768-6637
Fax
(787) 762-0780
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 4466 PR Primary

Addresses

Primary practice location

K628 Ave Jorge Vazquez Sanes
Urbanizacion Vistamar
Carolina, PR 00983-1402

Mailing address

12 Paseo de Las Flores
Urbanizacion Primavera
Trujillo Alto, PR 00976-6075
Phone (787) 293-2669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
4466PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Inversiones Vistamar, Inc CurrentSince Dec 7, 2025 Accepting new patients

Locations

K628 Ave Jorge Vazquez Sanes
Carolina, PR 00983
Phone (787) 768-6637

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1003962028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PASEO DE LAS FLORES",
            "address_2": "URBANIZACION PRIMAVERA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766075",
            "telephone_number": "787-293-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "K628 AVE JORGE VAZQUEZ SANES",
            "address_2": "URBANIZACION VISTAMAR",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009831402",
            "telephone_number": "787-768-6637",
            "fax_number": "787-762-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "LUIS",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "4466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.