Organization
BORINQUEN HEALTH CARE CENTER, INC.
Active
Other names
Bent Tree Elementary School HCIOS
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL C. VELEZ (CEO / PRESIDENT)
(305) 576-6611
Entity
Organization
Contact information
Practice address
4861 SW 140TH AVE, BENT TREE ELEMENTARY SCHOOL, MIAMI, FL 33175-4807
(305) 552-1201
(305) 552-1270
Mailing address
3601 FEDERAL HWY, 6TH FLOOR, MIAMI, FL 33137-3795
(305) 576-6611
(305) 576-0008
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029554010
—
FL
05
—
029554011
—
FL
Enumeration date
04/28/2010
Last updated
09/09/2022
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