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BORINQUEN PERIODONTICS & DENTAL IMPLANTS PLLC
NPI 1477273589
Clinic/Center - Dental in Jacksonville, FL

Active since August 30, 2022
14866 OLD SAINT AUGUSTINE RD STE 111, JACKSONVILLE, FL 32258(904) 342-6222 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Dental

About BORINQUEN PERIODONTICS & DENTAL IMPLANTS PLLC

This page provides the complete NPI Profile along with additional information for Borinquen Periodontics & Dental Implants Pllc, a provider established in Jacksonville, Florida operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1477273589 assigned on August 2022. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dr. Brenda Rodriguez Hamilton Dmd, Ms, Fagd (Ceo)

NPI
1477273589 Verify this NPI
Provider Name
BORINQUEN PERIODONTICS & DENTAL IMPLANTS PLLC
Entity Type
Organization
Location Address
14866 OLD SAINT AUGUSTINE RD STE 111 JACKSONVILLE, FL 32258
Location Phone
(904) 342-6222
Mailing Address
218 SCOTLAND YARD BLVD SAINT JOHNS, FL 32259
Mailing Phone
(904) 305-8555
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-30-2022
Last Update Date
08-30-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. BRENDA RODRIGUEZ HAMILTON DMD, MS, FAGD

Authorized Official Title
CEO
Authorized Official Phone
(904) 305-8555

Reviews for BORINQUEN PERIODONTICS & DENTAL IMPLANTS PLLC

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

CAROLINA GARCIA DMD
Dentist
14866 OLD SAINT AUGUSTINE RD STE 111
JACKSONVILLE, FL 32258
Duval County (904) 342-6222
DR. BRENDA R HAMILTON DMD, MS, FAGD
Dentist (Periodontics)
14866 OLD SAINT AUGUSTINE RD STE 111
JACKSONVILLE, FL 32258
Duval County (904) 342-6222

Frequently Asked Questions

What is BORINQUEN PERIODONTICS & DENTAL IMPLANTS PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1477273589, enumerated as an "organization" on August 30, 2022.

Where is the provider located?

The provider is located at 14866 OLD SAINT AUGUSTINE RD STE 111 JACKSONVILLE, FL 32258 and the phone number is (904) 342-6222.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.