Borinquen Medical Centers - Behavioral Health & Specialty | |
2691 Ne 2nd Ave Miami FL 33137-4414 | |
(305) 576-6611 | |
Not Available |
Full Name | Borinquen Medical Centers - Behavioral Health & Specialty |
---|---|
Speciality | Clinic/Center |
Location | 2691 Ne 2nd Ave, Miami, Florida |
Authorized Official Name and Position | Paul C. Velez (CEO / PRESIDENT) |
Authorized Official Contact | 3055766611 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Borinquen Medical Centers - Behavioral Health & Specialty 3601 Federal Hwy Miami FL 33137-3795 Ph: (305) 576-6611 | Borinquen Medical Centers - Behavioral Health & Specialty 2691 Ne 2nd Ave Miami FL 33137-4414 Ph: (305) 576-6611 |
NPI Number | 1053637249 |
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Provider Enumeration Date | 04/13/2010 |
Last Update Date | 09/09/2022 |
Certification Date | 09/09/2022 |
Medicare PECOS PAC ID | 1951354067 |
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Medicare Enrollment ID | O20101217000887 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053637249 | NPI | - | NPPES |
029554005 | Medicaid | FL | |
029554019 | Medicaid | FL | |
029554018 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Florida) | Primary |
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