| Name: | Park International, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 09 Jul 2002 (23 years ago) |
| Date of Dissolution: | 01 Feb 2008 (17 years ago) |
| Date of Status Change: | 01 Feb 2008 (17 years ago) |
| Identification Number: | 000125761 |
| ZIP code: | 02910 |
| County: | Providence County |
| Principal Address: | 801 PARK AVENUE, CRANSTON, RI, 02910-, USA |
| Purpose: | THE OPERATION OF A PEDIATRIC MEDICAL PRACTICE |
| Historical names: |
Park Pediatrics, Inc. |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578554275 | 2005-11-02 | 2020-08-22 | 801 PARK AVE, CRANSTON, RI, 029102036, US | 801 PARK AVE, CRANSTON, RI, 029102036, US | |||||||||||||||||||||||
|
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| Phone | +1 401-274-6575 |
| Fax | 4012732597 |
Authorized person
| Name | MR. RICK MANUEL QUILES |
| Role | MD |
| Phone | 4012746575 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | MD11641 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NHPRI |
| Number | 30943 |
| Name | Role | Address |
|---|---|---|
| ORSON AND BRUSINI LTD. | Agent | 325 ANGELL STREET, PROVIDENCE, RI, 02906, USA |
| Name | Role | Address |
|---|---|---|
| HECTOR CORDERO MD | PRESIDENT | 801 PARK AVENUE CRANSTON, RI 02910- USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 2006-11-27 | Park Pediatrics, Inc. | Park International, Inc. |
| Number | Name | File Date |
|---|---|---|
| 200806388450 | Articles of Dissolution | 2008-02-01 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
