NPIMap

Organization Active NPI

Borinquen Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • North Miami, FL
National Provider Identifier
1295032803
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.
Practice address
708 NE 125TH St
North Miami, FL 33161-5612
Phone
(305) 576-6611
Fax
(786) 476-2811
NPI assigned
Feb 16, 2011
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Federally Qualified Health Center (FQHC) 261QF0400X FL Primary

Addresses

Primary practice location

708 NE 125TH St
North Miami, FL 33161-5612

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
029554023MedicaidFL
029554024MedicaidFL

Other names 1

  • Borinquen Medical Centers - North Miami Pediatrics & Behavioral Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080401000836 FL Part B Supplier - Clinic/Group Practice 1951354067 Receives reassigned benefits from 58 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Miami, FL; North Miami, FL
O20121108000253 FL Part A Provider - Federally Qualified Health Center (FQHC) 1951354067 Practice locations: North Miami, FL

Federally qualified health center certification: CCN 101106

Legal name
BORINQUEN HEALTH CARE CENTER INC
Doing business as
BORINQUEN MEDICAL CENTERS OF MIAMI DADE / NORTH MIAMI SITE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 14, 2012
Last certification
Nov 14, 2012
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 10, 1972 in FL
Enrollment address
708 NE 125 Street
North Miami, FL 33161-5612

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Borinquen Health Care Center47 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

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Victor Alba Individual Corporate DirectorBoard of Director Jan 1, 2000
Jocelyn Michel Individual Corporate DirectorBoard of Directors Jan 1, 2022
Eva Perez Individual Corporate DirectorBoard Chair Feb 11, 1996 5%
Margaret Laforest Individual Corporate DirectorBoard of Directors Jan 1, 2022
Paul Carl Velez Individual Corporate OfficerCeo/President Jan 1, 2018
Corporate DirectorCeo/President Jan 1, 2018
W-2 Managing EmployeeCeo/ President Jan 1, 2018
OtherCeo/President Jan 1, 2018
Aurea Velez Individual Corporate DirectorBoard of Directors Jan 1, 2022
Nestor Chardon Individual Corporate DirectorBoard of Directors Jan 1, 2022
Ivan Naser Individual Corporate DirectorBoard of Directors Jan 1, 2022
Luis de Rosa Individual Corporate DirectorBoard of Directors Jan 1, 2022
Marie a Bobo Individual Corporate DirectorBoard of Directors Jan 1, 2022

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1295032803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 FEDERAL HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373795",
            "telephone_number": "305-576-6611",
            "fax_number": "786-476-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 NE 125TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615612",
            "telephone_number": "305-576-6611",
            "fax_number": "786-476-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORINQUEN HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-16",
        "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": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": "029554023",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029554024",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Borinquen Medical Centers - North Miami Pediatrics & Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.