Healthcare Provider Details

I. General information

NPI: 1750143582
Provider Name (Legal Business Name): BARIENDO MEDICAL GROUP, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2024
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14601 SW 29TH ST STE 301
MIRAMAR FL
33027-4714
US

IV. Provider business mailing address

945 MARKET ST # 501
SAN FRANCISCO CA
94103-1701
US

V. Phone/Fax

Practice location:
  • Phone: 305-921-4219
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1201X
TaxonomyObesity and Weight Management Nutrition Registered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: MR. PICHAYUT JIRAPINYO
Title or Position: GENERAL MANAGER
Credential:
Phone: 650-704-3901