NPIMap

Organization Active NPI

Borinquen Health Care Center, Inc.

Doing business as Bent Tree Elementary School HCIOS

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
National Provider Identifier
1154648228
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BORINQUEN HEALTH CARE CENTER, INC.
Doing business as
Bent Tree Elementary School HCIOS
Practice address
4861 SW 140TH Ave
Bent Tree Elementary School
Miami, FL 33175-4807
Phone
(305) 552-1201
Fax
(305) 552-1270
NPI assigned
Apr 28, 2010
Last updated
Sep 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paul C. Velez
Title
Ceo / President
Phone
(305) 576-6611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X FL Primary

Addresses

Primary practice location

4861 SW 140TH Ave
Bent Tree Elementary School
Miami, FL 33175-4807

Mailing address

3601 Federal Hwy
6TH Floor
Miami, FL 33137-3795
Phone (305) 576-6611

Other identifiers 2

IdentifierTypeStateIssuer
029554011MedicaidFL
029554010MedicaidFL

Other names 1

  • Bent Tree Elementary School HCIOS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Borinquen Health Care I47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

Organizations that report the same tax identification number in the National Provider Directory.

View all 46

Locations

7801 NE 2nd Ave
Miami, FL 33138
Phone (786) 235-7020

681 NE 125th St
North Miami, FL 33161
Phone (305) 895-7756

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1154648228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 FEDERAL HWY",
            "address_2": "6TH FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373795",
            "telephone_number": "305-576-6611",
            "fax_number": "305-576-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4861 SW 140TH AVE",
            "address_2": "BENT TREE ELEMENTARY SCHOOL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331754807",
            "telephone_number": "305-552-1201",
            "fax_number": "305-552-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORINQUEN HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CEO / PRESIDENT",
        "authorized_official_telephone_number": "305-576-6611"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029554011",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029554010",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bent Tree Elementary School HCIOS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bent Tree Elementary School HCIOS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.