Subtropical rivers in developing countries often lack adequate monitoring, which makes it difficult to comprehensively determine their water quality when faced with different anthropic impacts. There are no proper protocols in the regulations to incorporate indicators and adapt them to different biogeographic regions, limiting the potential success of conservation and restoration of river ecosystems. This study proposes implementing macroinvertebrates as bioindicators of water quality in river ecosystems, and modifying the calibration of the widely used Biomonitoring Working Party (BMWP) index for its adaptation in a subtropical river. The Duero River, Mexico, was used as an example in this study. Data were explored with multivariate statistics, and the water quality and habitat values were averaged to obtain the families’ bioindication values and the index categories. The BMWP adequately described a deterioration gradient from the origin to the river mouth (from fair to extremely polluted), with some intermediate recovery points related to the presence of springs. Its performance was compared with other biological indices and exhibited a positive relationship with all of them. In addition, how BMWP changed over time was analyzed by examining previous samples, and highlighted increased river deterioration over time. A calibrated BMWP will allow for long-term monitoring at a low cost.