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Organization
JUAN R DEL RIO MD PA
Active
Organization
JUAN R DEL RIO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN ROSBALDO DEL RIO MD (DOCTOR)
(786) 506-9592
Entity
Organization
Contact information
Practice address
2001 W 68TH ST, HIALEAH, FL 33016-1801
(305) 823-5000
(305) 397-1825
Mailing address
PO BOX 4482, HIALEAH, FL 33014-0482
(786) 506-9592
(305) 397-1825
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373476500
—
FL
01
—
AA167
MEDICARE GROUP
FL
Enumeration date
09/16/2006
Last updated
08/14/2014
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