MEDICARE: MR. RONALDO D HOLGADO DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213EP1101X	Primary Podiatric Medicine Podiatrist	36002299H	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801849468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RONALDO D HOLGADO DPM

Provider Business Mailing Address
First Line	:	9165 W. THUNDERBIRD RD.
Second Line	:	STE 200
City	:	PEORIA
State	:	AZ
Zip	:	85381
Country	:	US
Telephone Number	:	623-876-3870
Fax Number	:	623-285-2707

Provider Business Practice Location Address
First Line	:	13640 N. PLAZA DEL RIO BLVD STE 120
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85381
Country	:	US
Telephone Number	:	623-876-3870
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	01/27/2026

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