Borinquen Periodontics & Dental Implants PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BORINQUEN PERIODONTICS & DENTAL IMPLANTS PLLC

Practice address

14866 Old Saint Augustine Rd Ste 111
Jacksonville, FL 32258-2611

Phone

(904) 342-6222

NPI assigned

Aug 30, 2022

Last updated

Aug 30, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brenda Rodriguez Hamilton, DMD, MS, FAGDNPI 1891765731

Title

Ceo

Phone

(904) 305-8555

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Brenda R Hamilton, DMD, MS, FAGD

  • Periodontics
  • Jacksonville, FL
  • NPI 1891765731
  NPD Authorized official
• Carolina Garcia, DMD

  • Dentist
  • Jacksonville, FL
  • NPI 1235796954
  NPD

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1477273589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 SCOTLAND YARD BLVD",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322595914",
            "telephone_number": "904-305-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14866 OLD SAINT AUGUSTINE RD STE 111",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582611",
            "telephone_number": "904-342-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORINQUEN PERIODONTICS & DENTAL IMPLANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "RODRIGUEZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-305-8555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS, FAGD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Borer, PH.D. LMFT
• Courtney Elizabeth Borg, MD
• Mary Ann Borgman, PA
• Paul Gregory Borgman Jr., D.O
• Paul Gregory Borgman III, MD
• Kayela Faye Borisade, ARNP
• Duane L. Bork, M.D.
• Jeffrey Paul Borkoski, MD
• Stephen Patrick Borkowski, MPT
• Zachalis Maite Borkowski, M.A.

• Dental Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.