Juan R Del Rio Md Pa | |
2001 W 68th St Hialeah FL 33016-1801 | |
(305) 823-5000 | |
(305) 397-1825 |
Full Name | Juan R Del Rio Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 2001 W 68th St, Hialeah, Florida |
Authorized Official Name and Position | Juan Rosbaldo Del Rio (DOCTOR) |
Authorized Official Contact | 7865069592 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Juan R Del Rio Md Pa Po Box 4482 Hialeah FL 33014-0482 Ph: (786) 506-9592 | Juan R Del Rio Md Pa 2001 W 68th St Hialeah FL 33016-1801 Ph: (305) 823-5000 |
NPI Number | 1114023827 |
---|---|
Provider Enumeration Date | 09/16/2006 |
Last Update Date | 08/14/2014 |
Medicare PECOS PAC ID | 8921009598 |
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Medicare Enrollment ID | O20070124000659 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114023827 | NPI | - | NPPES |
373476500 | Medicaid | FL | |
AA167 | Other | FL | MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Juan R Del Rio |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326023730 PECOS PAC ID: 4284635053 Enrollment ID: I20070122000293 |
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