Provider Demographics
NPI:1982995015
Name:BORJA, NICHOLAS ALEXANDER (MD)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:ALEXANDER
Last Name:BORJA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1501 NW 10TH AVENUE
Mailing Address - Street 2:FLOOR 6, SUITE M860
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1012
Mailing Address - Country:US
Mailing Address - Phone:305-243-6006
Mailing Address - Fax:305-243-3919
Practice Address - Street 1:1601 NW 12TH AVE FL 1
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1005
Practice Address - Country:US
Practice Address - Phone:305-243-6006
Practice Address - Fax:305-243-3919
Is Sole Proprietor?:No
Enumeration Date:2011-04-24
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME-137924207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)