Healthcare Provider Details

I. General information

NPI: 1992650097
Provider Name (Legal Business Name): EDUARDO HOLGUIN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2026
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 N CAMPO ST # 2
LAS CRUCES NM
88001-3434
US

IV. Provider business mailing address

420 N CAMPO ST # 2
LAS CRUCES NM
88001-3434
US

V. Phone/Fax

Practice location:
  • Phone: 575-639-9497
  • Fax:
Mailing address:
  • Phone: 575-639-9497
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC-2025-0016
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: