Individual provider Active NPI

Roberto Andres Colon-Rosa

  • Pharmacist
  • Toa Baja, PR
National Provider Identifier
1154951846
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6677 Issued in PR
Practice address
60 Ave Los Dominicos
Toa Baja, PR 00949-4724
Phone
(787) 795-8630
NPI assigned
Jan 22, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6677 PR Primary

Addresses

Primary practice location

60 Ave Los Dominicos
Toa Baja, PR 00949-4724

Mailing address

PO Box 2695
Guayama, PR 00785-2695
Phone (787) 212-8863

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

State licenses

LicenseStateTypeSpecialty
6677PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Caribe Pharmacy Management LLC CurrentSince Apr 21, 2024 Accepting new patients
Caribe Pharmacy Management LLC PastSince Jan 26, 2020 Accepting new patients

Locations

60 Ave Los Dominicos
Toa Baja, PR 00949
Phone (787) 795-8630

Organizations & group practices 2

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": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1154951846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2695",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007852695",
            "telephone_number": "787-212-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 AVE LOS DOMINICOS",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009494724",
            "telephone_number": "787-795-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON-ROSA",
        "first_name": "ROBERTO",
        "middle_name": "ANDRES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "6677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.