Active NPI
Raul Holguin, M.D.
- Family Medicine Physician
- Venice, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME55506
- Practice address
- 1211 Jacaranda Blvd
Venice, FL 34292-4520 - Phone
- (914) 492-2212
- Fax
- (941) 496-9307
- NPI assigned
- Jul 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME55506 | FL | Primary |
Addresses
Primary practice location
1211 Jacaranda Blvd
Venice, FL 34292-4520
Mailing address
1211 Jacaranda Blvd
Venice, FL 34292-4520
Phone (914) 492-2212
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0098908001 | Other | FL | CIGNA |
| 41593 | Other | FL | BC/BS GROUP # |
| 1360442 | Other | FL | UNITED HEALTH CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of New Mexico School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1065 Tamiami TRL N
Nokomis, FL 34275-2144
Phone (941) 477-2364
13807 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 257-1108
13815 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 426-4900
13823 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 888-0770
1700 E Venice Ave
Venice, FL 34292-3190
Phone (941) 800-4700
171 Ctr Rd
Venice, FL 34285-5572
Phone (941) 499-5407
1720 E Venice Ave
Venice, FL 34292-3190
Phone (941) 483-9700
177 Ctr Rd
Venice, FL 34285-5572
Phone (941) 207-5350
19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535
2675 Winkler Ave
Fort Myers, FL 33901-9328
2675 Winkler Avenue
Suite 200
Fort Myers, FL 33901-9328
3000 S McCall Rd
Englewood, FL 34224-8616
Phone (941) 406-9029
3600 William Penn Way
Venice, FL 34293-5236
Phone (941) 483-0746
60 W Minister St N
Suite C
Lehigh Acres, FL 33936-6518
Phone (806) 553-3637
60 Westminster St N
Suite G
Lehigh Acres, FL 33936-6518
Phone (239) 491-0233
900 Pine St
Suite 221
Englewood, FL 34223-4458
Phone (941) 548-1708
Hospital & facility affiliations
- Millennium Home Care LLC
- Amedisys Home Health
- Trilogy Home Healthcare
- Aveanna Home Health
- Sarasota Memorial Hospital
- Sarasota Memorial Hospital - Venice
- Pam Health Rehabilitation Hospital of Venice
- Village on the Isle
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME55506 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Family Medicine | Current | Accepting new patients |
| Millennium Physician Group LLC | Family Medicine | Current | Accepting new patients |
Locations
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
1720 E Venice Ave
Fl 1
Venice, FL 34292
Phone (941) 483-9700
1720 E Venice Ave
Fl 2
Venice, FL 34292
Phone (941) 483-9730
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- raul.holguin.1@4290.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Health Service Clinic/Center
- Venice, FL
- NPI 1346912805
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Aveanna Home Health
- Home Health Agency
- Sarasota, FL
- NPI 1205051497
-
- Home Health Agency
- Port Charlotte, FL
- NPI 1700058583
-
dba PAM Health Rehabilitation Hospital of Venice
- Rehabilitation Hospital
- Nokomis, FL
- NPI 1457929747
Inpatient rehabilitation facility
-
dba Sarasota Memorial Hospital - Venice
- General Acute Care Hospital
- North Venice, FL
- NPI 1013534445
-
dba Sarasota Memorial Hospital
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
-
dba Village On The Isle
- Skilled Nursing Facility
- Venice, FL
- NPI 1881681328
Nursing home
-
dba Trilogy Home Healthcare
- Home Health Agency
- Sarasota, FL
- NPI 1073751780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1295733178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 JACARANDA BLVD",
"city": "VENICE",
"state": "FL",
"postal_code": "342924520",
"telephone_number": "914-492-2212",
"fax_number": "941-496-9307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 JACARANDA BLVD",
"city": "VENICE",
"state": "FL",
"postal_code": "342924520",
"telephone_number": "914-492-2212",
"fax_number": "941-496-9307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLGUIN",
"first_name": "RAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME55506",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0098908001",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS GROUP #",
"identifier": "41593",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1360442",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Venice, FL
- Nicole Denise Holbrook, OTR/L, CHT
- Ryan Stephen Holbrook, DMD
- Melissa J Holderbach, BCBA
- Russell Lane Holderness, DDS
- Sidney Wayne Holec, M.D.
- Holiday CVS LLC (CVS Pharmacy# 01120)
- Holiday CVS LLC (CVS Pharmacy #04266)
- Holiday CVS LLC (CVS Pharmacy 03647)
- Holiday CVS LLC (CVS Pharmacy #16261)
- Diane Holladay, OTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.