NPIMap

Organization Active NPI

Borinquen Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
National Provider Identifier
1801210299
Registry record updated Sep 21, 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
5040 NW 7TH St # 100&170
Miami, FL 33126-3422
Phone
(305) 576-6611
NPI assigned
Feb 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Authorized official

Name
Paul Carl Velez
Title
Ceo
Phone
(305) 576-1828

Specialties & licenses 2

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

Addresses

Primary practice location

5040 NW 7TH St # 100&170
Miami, FL 33126-3422

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
029554042MedicaidFL
029554051MedicaidFL
029554041MedicaidFL

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
O20140425000531 FL Part A Provider - Federally Qualified Health Center (FQHC) 1951354067 Practice locations: Miami, FL

Federally qualified health center certification: CCN 101149

Legal name
BORINQUEN HEALTH CARE CENTER INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 25, 2014
Last certification
Apr 25, 2014
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 10, 1972 in FL
Enrollment address
5040 NW 7TH St
Miami, FL 33126-3422

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

5040 NW 7th St
Ste 100
Miami, FL 33126
Phone 7878400052 ext. 262

10528 SW 8th St
Miami, FL 33174
Phone (305) 552-1201

5040 NW 7th St
#100170
Miami, FL 33126

12603 NE 7th Ave
North Miami, FL 33161
Phone (305) 893-7979

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 Directors May 17, 2022
Jocelyn Michel Individual Corporate DirectorBoard of Directors May 17, 2022
Eva Perez Individual Corporate DirectorBoard of Directors Jan 1, 2012
Margaret Laforest Individual Corporate DirectorBoard of Directors May 17, 2022
Paul Carl Velez Individual 5% Or Greater Direct Ownership InterestChief Executive Officer Jan 1, 2018
Corporate OfficerCeo/ President Jan 1, 2018
Corporate DirectorCeo/ President Jan 1, 2018
W-2 Managing EmployeeCeo/ President Jan 1, 2018
Aurea Velez Individual Corporate DirectorBoard of Directors May 17, 2022
Nestor Chardon Individual Corporate DirectorBoard of Directors May 17, 2022
Ivan Naser Individual Corporate DirectorBoard of Directors May 17, 2022
Luis de Rosa Individual Corporate DirectorBoard of Directors May 17, 2022
Marie a Bobo Individual Corporate DirectorBoard of Directors Mar 17, 2022

Practitioners & affiliated clinicians

Practitioners 9

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": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1801210299",
    "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": "305-994-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 NW 7TH ST # 100&170",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263422",
            "telephone_number": "305-576-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORINQUEN HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-576-1828"
    },
    "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029554042",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029554051",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029554041",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.