NPIMap

Organization Active NPI

Borinquen Health Care Center, Inc.

Doing business as Borinquen Medical Centers - North Miami Dental

  • Federally Qualified Health Center (FQHC)
  • North Miami, FL
National Provider Identifier
1730623414
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.
Doing business as
Borinquen Medical Centers - North Miami Dental
Practice address
12601 NE 7TH Ave
North Miami, FL 33161-4813
Phone
(305) 576-6611
Fax
(786) 476-2818
NPI assigned
Dec 14, 2016
Last updated
Sep 9, 2022By the provider in NPPES
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
Federally Qualified Health Center (FQHC) 261QF0400X Primary
General Practice Physician 208D00000X

Addresses

Primary practice location

12601 NE 7TH Ave
North Miami, FL 33161-4813

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
023294202MedicaidFL
023294203MedicaidFL

Other names 1

  • Borinquen Medical Centers - North Miami Dental 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
O20170504000079 FL Part A Provider - Federally Qualified Health Center (FQHC) 1951354067 Practice locations: North Miami, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730623414. Details of each certification follow.

Federally qualified health center certification: CCN 681090

Legal name
BORINQUEN HEALTH CARE CENTER INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 4, 2017
Last certification
May 4, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 10, 1972 in FL
Enrollment address
12601 NE 7TH Ave
North Miami, FL 33161-4813

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 I47 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 11

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 OtherBoard of Director Jan 1, 2013
Jocelyn Michel Individual OtherBoard of Director Jan 1, 2013
Eva Perez Individual Corporate DirectorBoard Chais of Bod Jan 1, 2012
Margaret Laforest Individual OtherBoard of Director Feb 1, 2006
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 OtherCfo Oct 20, 2019
Aurea Velez Individual OtherBoard of Director Jan 1, 2013
Nestor Chardon Individual OtherProgram Manager Feb 1, 2013
Ivan Naser Individual OtherBoard of Director Jan 1, 2004
Luis de Rosa Individual OtherBoard of Director Jan 1, 2013
Marie a Bobo Individual OtherBoard of Director Jan 1, 2013

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1730623414",
    "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": "12601 NE 7TH AVE",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331614813",
            "telephone_number": "305-576-6611",
            "fax_number": "786-476-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORINQUEN HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "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
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023294202",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023294203",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Borinquen Medical Centers - North Miami Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.