Healthcare Provider Details
I. General information
NPI: 1477529659
Provider Name (Legal Business Name): RX DEPOT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
27 CALLE CARAZO
GUAYNABO PR
00969-5715
US
IV. Provider business mailing address
271 CALLE SIERRA MORENA LA CUMBRE MSC 402
SAN JUAN PR
00926-5539
US
V. Phone/Fax
- Phone: 787-708-2375
- Fax: 787-783-3060
- Phone: 787-708-2375
- Fax: 787-783-3060
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | 07-F-2264 |
| License Number State | PR |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | 07-F-2264 |
| License Number State | PR |
VIII. Authorized Official
Name: MRS.
MARISOL
TOLEDO
Title or Position: PRESIDENT
Credential:
Phone: 787-708-2375