Juan R del Rio MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JUAN R DEL RIO MD PA

Practice address

2001 W 68TH St
Hialeah, FL 33016-1801

Phone

(305) 823-5000

Fax

(305) 397-1825

NPI assigned

Sep 16, 2006

Last updated

Aug 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Juan Rosbaldo Del Rio, MDNPI 1326023730

Title

Doctor

Phone

(786) 506-9592

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juan R Del Rio

  • Internal Medicine Physician
  • Hialeah, FL
  • NPI 1326023730
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1114023827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4482",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330140482",
            "telephone_number": "786-506-9592",
            "fax_number": "305-397-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W 68TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161801",
            "telephone_number": "305-823-5000",
            "fax_number": "305-397-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN R DEL RIO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "DEL RIO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "ROSBALDO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "786-506-9592",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373476500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "AA167",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.