NPIMap

Organization Active NPI

Borinquen Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
National Provider Identifier
1710124482
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
10528 SW 8TH St
Miami, FL 33174-2602
Phone
(305) 552-1201
Fax
(786) 476-2809
NPI assigned
Jan 16, 2009
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 Primary

Addresses

Primary practice location

10528 SW 8TH St
Miami, FL 33174-2602

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
029554020MedicaidFL

Other names 1

  • Borinquen Medical Centers - West Dade 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
O20100907001117 FL Part A Provider - Federally Qualified Health Center (FQHC) 1951354067 Practice locations: Miami, FL

Federally qualified health center certification: CCN 101053

Legal name
BORINQUEN HEALTH CARE CENTER INC
Organization structure
CorporationNon-profit
Incorporated
Jul 10, 1992 in FL
Enrollment address
10528-10530 SW 8TH Street
Miami, FL 33174-2602

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

Locations

3601 Federal Hwy
#6
Miami, FL 33137

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 Feb 1, 2009
Cynthia Wolper Individual Corporate Director Jan 1, 2014
Jocelyn Michel Individual Corporate Director Feb 1, 2009
Eva Perez Individual Corporate Director Feb 1, 2009
Margaret Laforest Individual Corporate Director Feb 1, 2009
Paul Carl Velez Individual Corporate DirectorPresident & Ceo Jan 1, 2002
W-2 Managing EmployeePresident & Ceo Jan 1, 2002
Sindia Rosenay Individual Corporate DirectorCfo Oct 1, 2019
Aurea Velez Individual Corporate Director Feb 1, 2009
Nestor Chardon Individual Corporate DirectorBoard of Directors Feb 1, 2013
Ivan Naser Individual Corporate DirectorBoard of Director Feb 1, 2014
Luis de Rosa Individual Corporate Director Feb 1, 2009
Hector Collazo Individual Corporate Director Jan 1, 2024
Marie a Bobo Individual Corporate Director Feb 1, 2009

Practitioners & affiliated clinicians

Practitioners 5

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": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1710124482",
    "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": "10528 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742602",
            "telephone_number": "305-552-1201",
            "fax_number": "786-476-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORINQUEN HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "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": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029554020",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Borinquen Medical Centers - West Dade",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.