Individual provider Active NPI

Juan Manuel Gonzalez Herran, M.D.

  • Pediatrics Physician
  • Hollywood, FL
National Provider Identifier
1942442538
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME162348 Issued in FL
Practice address
6975 Taft St
Hollywood, FL 33024-3801
Phone
(954) 466-0003
NPI assigned
Mar 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 239550 MA
Pediatrics Physician 208000000X ME162348 FL Primary

Addresses

Primary practice location

6975 Taft St
Hollywood, FL 33024-3801

Mailing address

2000 Palm Beach Lakes Blvd Ste 901
West Palm Beach, FL 33409-6506
Phone (561) 509-5009

Other identifiers 2

IdentifierTypeStateIssuer
110084121AMedicaidMA
118260700MedicaidFL

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Pediatrics CurrentSince May 23, 2025 Accepting new patients
Palm Beach Pediatrics, LLC Pediatrics Past Accepting new patients
Holyoke Pediatric Associates, LLP Pediatrics PastSince Mar 1, 2022 Accepting new patients
Riverbend Medical Group, Inc Past Accepting new patients

Locations

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

2771 Executive Park Dr
Ste 1
Weston, FL 33331
Phone (954) 251-0011

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1942442538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PALM BEACH LAKES BLVD STE 901",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096506",
            "telephone_number": "561-509-5009",
            "fax_number": "844-612-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6975 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330243801",
            "telephone_number": "954-466-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ HERRAN",
        "first_name": "JUAN",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-30",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "239550",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME162348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110084121A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118260700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.