Individual provider Active NPI

Juan Manuel Del Rio Garcia, M.D.

  • Hospitalist Physician
  • Cape Coral, FL
National Provider Identifier
1346498730
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME108134 Issued in FL
Practice address
636 Del Prado Blvd S
Cape Coral, FL 33990-2668
Phone
(239) 424-3123
Fax
(239) 424-4041
NPI assigned
Aug 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 108134 FL
Internal Medicine Physician 207R00000X 108134 FL
Hospitalist Physician 208M00000X ME108134 FL Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME 108134 FL
Pulmonary Disease Physician 207RP1001X 108134 FL

Addresses

Primary practice location

636 Del Prado Blvd S
Cape Coral, FL 33990-2668

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 424-3123

Other practice location 1

4007 Estate Diamond Ruby
Christiansted, VI 00820-4435
Phone (787) 671-0870

Other practice location 2

3663 S Miami Ave
Miami, FL 33133-4253
Phone (787) 671-0870

Other identifiers 2

IdentifierTypeStateIssuer
005800200MedicaidFL
GF456ZMedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220920002512 VI Practitioner - Critical Care (Intensivists) 2860657392 Reassigns benefits to 1 organization
I20240606004077 FL Practitioner - Hospitalist 2860657392 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 108134FLMDCritical Care Medicine (Internal Medicine) Physician
108134FLMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Memorial Health System CurrentSince Jun 10, 2024 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Jul 31, 2022 Accepting new patients
Lee Memorial Health System CurrentSince Jun 10, 2024 Accepting new patients
Lee Memorial Health System Internal Medicine Current Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Jul 31, 2022 Accepting new patients

Locations

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Organizations & group practices 5

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": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1346498730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-424-3123",
            "fax_number": "239-424-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339902668",
            "telephone_number": "239-424-3123",
            "fax_number": "239-424-4041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4007 Estate Diamond Ruby",
            "address_purpose": "LOCATION",
            "city": "Christiansted",
            "state": "VI",
            "postal_code": "008204435",
            "country_code": "US",
            "telephone_number": "787-671-0870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3663 S Miami Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331334253",
            "country_code": "US",
            "telephone_number": "787-671-0870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEL RIO GARCIA",
        "first_name": "JUAN",
        "middle_name": "MANUEL",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-28",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "FL",
            "license": "108134",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "108134",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME108134",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME 108134",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "108134",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005800200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GF456Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.