Organization Active NPI

Holistic Health and Wound Care Specialist LLC

  • General Practice Physician
  • Peoria, AZ
National Provider Identifier
1699649301
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
HOLISTIC HEALTH AND WOUND CARE SPECIALIST LLC
Practice address
16150 N Arrowhead Fountains Ctr Dr Ste 283
Peoria, AZ 85382-4762
Phone
(623) 289-3709
NPI assigned
Oct 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Authorized official

Name
Reynaldo Dela Cruz
Title
Owner
Phone
(623) 289-3709

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

16150 N Arrowhead Fountains Ctr Dr Ste 283
Peoria, AZ 85382-4762

Mailing address

16150 N Arrowhead Fountains Ctr Dr Ste 283
Peoria, AZ 85382-4762

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1699649301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16150 N ARROWHEAD FOUNTAINS CTR DR STE 283",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853824762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16150 N ARROWHEAD FOUNTAINS CTR DR STE 283",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853824762",
            "telephone_number": "623-289-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC HEALTH AND WOUND CARE SPECIALIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-03",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "DELA CRUZ",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-289-3709"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.