Active NPI
Juan Holguin de la Cruz, MD
- General Practice Physician
- Hollywood, FL
National Provider Identifier
1750569042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN666
- Practice address
- 4801 Hollywood Blvd Ste B
Hollywood, FL 33021-6545 - Phone
- (954) 927-5905
- NPI assigned
- Feb 8, 2008
- Last updated
- Aug 5, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ACN666 | FL | Primary |
| General Practice Physician | 208D00000X | 16995 | PR |
Addresses
Primary practice location
4801 Hollywood Blvd Ste B
Hollywood, FL 33021-6545
Mailing address
14859 SW 42ND St
Miramar, FL 33027-3335
Phone (786) 769-5885
Other practice location 1
Urb Vista del Mar
1 B8
Guayama, PR 00784
Phone (787) 864-6378
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1750569042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14859 SW 42ND ST",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330273335",
"telephone_number": "786-769-5885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 HOLLYWOOD BLVD STE B",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330216545",
"telephone_number": "954-927-5905"
}
],
"practiceLocations": [
{
"address_1": "URB VISTA DEL MAR",
"address_2": "1 B8",
"address_purpose": "LOCATION",
"city": "GUAYAMA",
"state": "PR",
"postal_code": "00784",
"country_code": "US",
"telephone_number": "787-864-6378",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLGUIN DE LA CRUZ",
"first_name": "JUAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-08",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN666",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "16995",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
- Emin Hodzic, D.O.
- Terri Lynne Hoffman-Menchel, CRNA
- Seth Asher-Kraines Hoffman, MD
- Shahriar Hoghooghi, DMD
- Carmen Andreea Hoisan, APRN, FNP-BC, FNP-C
- Holiday CVS LLC (CVS Pharmacy 05142)
- Holiday CVS LLC (CVS Pharmacy 03982)
- Holiday CVS LLC (CVS Pharmacy #02732)
- Holiday CVS LLC (CVS Pharmacy #16314)
- Holiday CVS LLC (CVS Pharmacy # 05966)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.