Organization
BORINQUEN HEALTH CARE CENTER, INC.
Active
Other names
Borinquen Medical Centers - North Miami Dental
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL C. VELEZ (CEO / PRESIDENT)
(305) 576-6611
Entity
Organization
Contact information
Practice address
12601 NE 7TH AVE, NORTH MIAMI, FL 33161-4813
(305) 576-6611
(786) 476-2818
Mailing address
3601 FEDERAL HWY, MIAMI, FL 33137-3795
(305) 576-6611
(786) 476-2819
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023294202
—
FL
05
—
023294203
—
FL
Enumeration date
12/14/2016
Last updated
09/09/2022
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