Individual provider Active NPI

Milagros C Colon Renovales, RPH

  • Pharmacist
  • Coto Laurel, PR
National Provider Identifier
1235485194
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2614 Issued in PR
Practice address
1730 PR 506 Flamboyanes St
03171-61
Coto Laurel, PR 00780-3171
Phone
(787) 840-8801
Fax
(787) 840-8798
NPI assigned
Jul 30, 2012
Last updated
Jul 30, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2614 PR Primary

Addresses

Primary practice location

1730 PR 506 Flamboyanes St
03171-61
Coto Laurel, PR 00780-3171

Mailing address

1730 PR 506 Flamboyanes St
03171-61
Coto Laurel, PR 00780-0000
Phone (787) 840-8801

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
2614PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1235485194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 PR 506 FLAMBOYANES ST",
            "address_2": "03171-61",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007800000",
            "telephone_number": "787-840-8801",
            "fax_number": "787-840-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 PR 506 FLAMBOYANES ST",
            "address_2": "03171-61",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007803171",
            "telephone_number": "787-840-8801",
            "fax_number": "787-840-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON RENOVALES",
        "first_name": "MILAGROS",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "2614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coto Laurel, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.