Organization Active NPI

Boriken Family Health and Wellness Center PL

  • Family Medicine Physician
  • Miramar, FL
National Provider Identifier
1265766224
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME86754 Issued in FL
Legal business name
BORIKEN FAMILY HEALTH AND WELLNESS CENTER PL
Practice address
12600 Pembroke Rd Ste 208
Miramar, FL 33027-2544
Phone
(954) 620-0026
Fax
(954) 620-0047
NPI assigned
Sep 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Authorized official

Name
Manuel Fernandez, MD
Title
Medical Director
Phone
(305) 331-1916

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X ME85860 FL
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME86754 FL Primary

Addresses

Primary practice location

12600 Pembroke Rd Ste 208
Miramar, FL 33027-2544

Mailing address

12600 Pembroke Rd Ste 208
Miramar, FL 33027-2544
Phone (954) 620-0026

Other names 1

  • Boriken Family Other name

National Provider Directory

National Provider Directory

Locations

1806 N Flamingo Rd
Ste 440
Pembroke Pines, FL 33028
Phone (954) 620-0025

NPI Registry JSON

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1265766224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 PEMBROKE RD STE 208",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272544",
            "telephone_number": "954-620-0026",
            "fax_number": "954-620-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 PEMBROKE RD STE 208",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272544",
            "telephone_number": "954-620-0026",
            "fax_number": "954-620-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORIKEN FAMILY HEALTH AND WELLNESS CENTER PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-331-1916",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME85860",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME86754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boriken Family",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.