| Organization Name: | BORINQUEN HEALTH CARE CENTER INC |
| NPI Number: | 1013386879 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT LINDER (CEO / PRESIDENT) |
| Mailing Address: | 5120 Sw 72 Street Sunset Elementary South Miami |
| State: | FL US |
| Postal Code: | 33143 |
| Phone Number: | 3056618527 |
| Fax Number: | 3056662327 |
| NPI Enumeration Date: | 09/22/2015 |
| NPI Last Update Date: | 09/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |