Del Rio, Juan R

Del Rio, Juan R is an sole proprietor health care provider with primary practice located at 2001 W 68Th St , Hialeah FL 33016-1801. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Del Rio, Juan R can be contacted via phone (305) 823-5000.

Contact Information

Primary practice address
2001 W 68Th St Hialeah FL 33016-1801
Phone: (305) 823-5000
Fax: (305) 397-1825
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME55089 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME0055089 Florida

Profile Details

NPI number 1326023730
LBN Legal business name Del Rio, Juan R
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2005
Last updated Jul 22nd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326023730 NPPES
Florida Other 18746N MEDICARE PTAN
Florida MEDICAID 373476500 MEDICARE PTAN

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