Healthcare Provider Details

I. General information

NPI: 1245643709
Provider Name (Legal Business Name): BORINQUEN HEALTH CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2014
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 BISCAYNE BLVD FL 5
MIAMI FL
33137-4130
US

IV. Provider business mailing address

3601 FEDERAL HWY
MIAMI FL
33137-3795
US

V. Phone/Fax

Practice location:
  • Phone: 305-576-6611
  • Fax: 786-476-2845
Mailing address:
  • Phone: 305-576-6611
  • Fax: 786-476-2819

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PAUL CARL VELEZ
Title or Position: CEO/PRESIDENT
Credential:
Phone: 305-576-6611