DR. JUAN R DEL RIO
NPI 1326023730
Internal Medicine in Hialeah, FL

Q: What is Juan Del Rio's NPI number?

The NPI number for Juan Del Rio is 1326023730. It was assigned to this individual provider in the NPPES registry on December 8, 2005.

Q: What is Juan Del Rio's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Juan Del Rio was last updated on July 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 08, 2005PECOS EnrolledAccepts Medicare Assignment

2001 W 68TH ST, HIALEAH, FL 33016(305) 823-5000(305) 397-1825 Get Directions Write a Review

NPPES record last updated: July 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2020, Jul 13, 2020 (2 updates tracked since 2020).

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About Dr. Juan R Del Rio NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JUAN R DEL RIO (NPI 1326023730) is an individual internal medicine provider in Hialeah, Florida, licensed in Florida (ME0055089) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital West, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1326023730

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JUAN R DEL RIO

Location Address2001 W 68TH STHialeah, FL 33016-1801

Mailing AddressPo Box 4482Hialeah, FL 33014-0482 · (786) 506-9592 · Fax (305) 397-1825

Phone(305) 823-5000

Fax(305) 397-1825

Sole ProprietorYes

Medical School CMSOtherGraduated 1985

Enumeration DateDecember 8, 2005

Last NPPES UpdateJuly 22, 20202 updates tracked since enumeration

NPPES CertifiedJuly 22, 2020

✔ NPI 1326023730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME0055089

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedSpecialistTaxonomy 174400000X · License ME55089 (FL)

2001 W 68TH ST, Hialeah, FL 33016

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Other Identifiers 2

Medicaid373476500FL

Other18746NFL · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Juan R Del Rio is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284635053

PECOS Enrollment IDI20070122000293

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

218 services35 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

111 services34 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

50 services40 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

21 services19 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

19 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hospital West

Acute Care Hospitals · Pembroke Pines, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100281

Location703 N Flamingo RdPembroke Pines, FL 33028 · Broward County

Emergency services Birthing friendly

Memorial Hospital Miramar

Acute Care Hospitals · Miramar, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100285

Location1901 SW 172nd AveMiramar, FL 33029 · Broward County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEWARD PGH, INC.

Psychiatric Hospital