NPIMap

Organization Active NPI

Borinquen Health Care Center, Inc.

Doing business as Borinquen Medical Centers - Main Site

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
National Provider Identifier
1407913338
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
280358-4 Issued in FL
Legal business name
BORINQUEN HEALTH CARE CENTER, INC.
Doing business as
Borinquen Medical Centers - Main Site
Practice address
3601 Federal Hwy
Miami, FL 33137-3795
Phone
(305) 576-6611
NPI assigned
Jan 2, 2007
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 280358-4 FL Primary

Addresses

Primary practice location

3601 Federal Hwy
Miami, FL 33137-3795

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
029554004MedicaidFL
029554000MedicaidFL

Other names 1

  • Borinquen Medical Centers - Main Site 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
Practice locations: Miami, FL; North Miami, FL
O20100712000607 FL Part A Provider - Federally Qualified Health Center (FQHC) 1951354067 Practice locations: Miami, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407913338. Details of each certification follow.

Federally qualified health center certification: CCN 101869

Legal name
BORINQUEN HEALTH CARE CENTER INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 10, 1972 in FL
Enrollment address
3601 Federal Hwy
Miami, FL 33137-3795

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

Locations

3601 Federal Hwy
Ste 125
Miami, FL 33137
Phone (305) 422-1140

3000 Biscayne Blvd
Ste 508
Miami, FL 33137

Networks

  • HealthSun Health Plans Network

Ownership & related parties

All disclosed owners & managing parties 13

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 Directors Jan 1, 2013
Cynthia Wolper Individual Corporate DirectorBoard of Directors Jan 1, 2014
Jocelyn Michel Individual Corporate Director Jan 1, 2013
Eva Perez Individual Corporate DirectorBoard of Directors Mar 1, 2010
Margaret Laforest Individual Corporate Director Jan 1, 2013
Paul Carl Velez Individual Corporate OfficerCeo/ President Jan 1, 2018
Corporate DirectorCeo/President Jan 1, 2018
W-2 Managing EmployeeCeo/ President Jan 1, 2018
Sindia Rosenay Individual Corporate Director Oct 1, 2019
Aurea Velez Individual Corporate Director Jan 1, 2013
Nestor Chardon Individual Corporate Director Feb 1, 2013
Ivan Naser Individual Corporate Director Jan 1, 2014
Luis de Rosa Individual Corporate Director Jan 1, 2013
Hector Collazo Individual Corporate Director Jan 1, 2024
Marie a Bobo Individual Corporate DirectorBoard of Directors Jan 1, 2013

Practitioners & affiliated clinicians

Practitioners 61

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1407913338",
    "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": "305-576-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 FEDERAL HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373795",
            "telephone_number": "305-576-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORINQUEN HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "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": "280358-4",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029554004",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029554000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Borinquen Medical Centers - Main Site",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.