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NPI Code Detail

MEDICARE: BORINQUEN HEALTH CARE CENTER, INC.

MEDICARE: BORINQUEN HEALTH CARE CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1306503388
Entity Type Code : Organization
Provider Name (Legal Business Name) : BORINQUEN HEALTH CARE CENTER, INC.
Provider Business Mailing Address
First Line : 3601 FEDERAL HWY
Second Line :
City : MIAMI
State : FL
Zip : 33137-3795
Country : US
Telephone Number : 300-557-6661
Fax Number :
Provider Business Practice Location Address
First Line : 5040 NW 7TH ST STE 170
Second Line :
City : MIAMI
State : FL
Zip : 33126-3425
Country : US
Telephone Number : 305-576-6611
Fax Number : 786-476-2813
Authorized Official
Title or Position : CEO / PRESIDENT
Name : PAUL C. VELEZ
Credential :
Telephone Number : 305-576-6611
Provider Enumeration Date : 11/24/2021
Last Update Date : 09/21/2022

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Directions to “BORINQUEN HEALTH CARE CENTER, INC. ” Practice Location

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