Provider Demographics
NPI:1295036150
Name:BARDINAS MEDICAL CARE INC
Entity Type:Organization
Organization Name:BARDINAS MEDICAL CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROGELIO
Authorized Official - Middle Name:O
Authorized Official - Last Name:BARDINAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-712-7151
Mailing Address - Street 1:3148 SW 143RD PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-7435
Mailing Address - Country:US
Mailing Address - Phone:786-712-7151
Mailing Address - Fax:305-250-5688
Practice Address - Street 1:14255 SW 42ND ST UNIT 13-A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-6408
Practice Address - Country:US
Practice Address - Phone:305-306-3400
Practice Address - Fax:305-402-2800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-09
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME106246207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty