NPI | 1598248023 |
---|---|
Doing Business As | BORINQUEN MEDICAL CENTERS - MAIN SITE DENTAL |
Entity Type | Organization |
Authorized Contact | PAUL C. VELEZ CEO / President 305-576-6611 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 122300000X Dentist |
208D00000X General Practice | |
Enumeration Date | 2018-09-11 |
Last Update Date | 2022-09-09 |