| Borinquen Medical Centers - North Miami Dental | |
|
12601 Ne 7th Ave North Miami FL 33161-4813 | |
| (305) 576-6611 | |
| (786) 476-2818 |
| Full Name | Borinquen Medical Centers - North Miami Dental |
|---|---|
| Speciality | Clinic/Center |
| Location | 12601 Ne 7th Ave, North 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 - North Miami Dental 3601 Federal Hwy Miami FL 33137-3795 Ph: (305) 576-6611 | Borinquen Medical Centers - North Miami Dental 12601 Ne 7th Ave North Miami FL 33161-4813 Ph: (305) 576-6611 |
| NPI Number | 1730623414 |
|---|---|
| Provider Enumeration Date | 12/14/2016 |
| Last Update Date | 09/09/2022 |
| Medicare PECOS PAC ID | 1951354067 |
|---|---|
| Medicare Enrollment ID | O20170504000079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730623414 | NPI | - | NPPES |
| 023294203 | Medicaid | FL | |
| 023294202 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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