Individual provider Active NPI

Raul Holguin, M.D.

  • Family Medicine Physician
  • Venice, FL
National Provider Identifier
1295733178
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME55506 Issued in FL
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

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0098908001OtherFLCIGNA
41593OtherFLBC/BS GROUP #
1360442OtherFLUNITED 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100809000662 FL Practitioner - Family Practice 6608769047 Reassigns benefits to 1 organization

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
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians
Empath Therapies LLCGroup PAC ID 5496144529, 108 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME55506FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC Family Medicine CurrentSince Jan 3, 2022 Accepting new patients
Millennium Physician Group LLC Family Medicine CurrentSince Jan 3, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.