Provider Demographics
NPI:1659439420
Name:BORRAS MEDICAL SERVICES
Entity Type:Organization
Organization Name:BORRAS MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:BORRAS
Authorized Official - Suffix:
Authorized Official - Credentials:MHT
Authorized Official - Phone:305-556-7556
Mailing Address - Street 1:12620 NW 15TH AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33167-2203
Mailing Address - Country:US
Mailing Address - Phone:786-413-3823
Mailing Address - Fax:
Practice Address - Street 1:3450 W 84TH ST STE 101
Practice Address - Street 2:
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33018-4924
Practice Address - Country:US
Practice Address - Phone:305-556-7556
Practice Address - Fax:305-558-0690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 82190207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty