| Doctor Name: | DR. JUAN R DEL RIO |
| NPI Number: | 1326023730 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | ME55089 |
| Business Practice Address: | 2001 W 68th St Hialeah, FL - 330161801 |
| Business Phone Number: | 3058235000 |
| Business Fax Number: | 3053971825 |
| Mailing Address: | Po Box 4482, HIALEAH |
| State: | FL |
| Postal Code: | 330140482 |
| Phone Number: | 7865069592 |
| Fax Number: | 3053971825 |
| NPI Enumeration Date: | 12/08/2005 |
| NPI Last Update Date: | 08/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | ME55089 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |