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Richard P. San Antonio, M.D., FACC, Inc.

Company Details

Name: Richard P. San Antonio, M.D., FACC, Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 06 Aug 1985 (40 years ago)
Date of Dissolution: 12 Sep 2023 (2 years ago)
Date of Status Change: 12 Sep 2023 (2 years ago)
Identification Number: 000035446
ZIP code: 02886
County: Kent County
Purpose: PRACTICE OF MEDICINE
Principal Address: Google Maps Logo 215 TOLLGATE ROAD, WARWICK, RI, 02886, USA

Industry & Business Activity

NAICS

621111 Offices of Physicians (except Mental Health Specialists)

This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau

Agent

Name Role Address
JOHN S. DIBONA, ESQ. Agent 78 KENWOOD STREET, CRANSTON, RI, 02907, USA

PRESIDENT

Name Role Address
RICHARD P SAN ANTONIO PRESIDENT 215 TOLLGATE ROAD WARWICK, RI 02886 USA

National Provider Identifier

NPI Number:
1669647012

Authorized Person:

Name:
DR. RICHARD P. SAN ANTONIO
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

Fax:
4017382660

Form 5500 Series

Employer Identification Number (EIN):
050415620
Plan Year:
2017
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
7
Sponsors Telephone Number:

Filings

Number Name File Date
202341447780 Revocation Certificate For Failure to File the Annual Report for the Year 2023-09-12
202337995710 Revocation Notice For Failure to File An Annual Report 2023-06-19
202212413810 Annual Report 2022-03-02
202190949930 Annual Report 2021-02-10
202038594500 Statement of Change of Registered Office by the Registered Agent 2020-04-23

Date of last update: 17 May 2025

Sources: Rhode Island Department of State