| Borinquen Health Care Center, Inc. | |
|
5040 Nw 7th St # 100&170 Miami FL 33126-3422 | |
| (305) 576-6611 | |
| Not Available |
| Full Name | Borinquen Health Care Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 5040 Nw 7th St # 100&170, Miami, Florida |
| Authorized Official Name and Position | Paul Carl Velez (CEO) |
| Authorized Official Contact | 3055761828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Borinquen Health Care Center, Inc. 3601 Federal Hwy Miami FL 33137-3795 Ph: (305) 576-6611 | Borinquen Health Care Center, Inc. 5040 Nw 7th St # 100&170 Miami FL 33126-3422 Ph: (305) 576-6611 |
| NPI Number | 1801210299 |
|---|---|
| Provider Enumeration Date | 02/06/2014 |
| Last Update Date | 09/21/2022 |
| Certification Date | 09/21/2022 |
| Medicare PECOS PAC ID | 1951354067 |
|---|---|
| Medicare Enrollment ID | O20140425000531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801210299 | NPI | - | NPPES |
| 029554042 | Medicaid | FL | |
| 029554051 | Medicaid | FL | |
| 029554041 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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