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Santiago Medical Group, Inc.

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Company Details

Name: Santiago Medical Group, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 31 Jul 2002 (23 years ago)
Identification Number: 000126207
ZIP code: 02904
City: Providence
County: Providence County
Purpose: THE PRACTICE OF MEDICINE AND OTHER LAWFUL BUSINESS
Fictitious names: Mineral Spring Pediatrics, Inc. (trading name, 2009-03-05 - )
Historical names: Mineral Spring Pediatrics, Inc.
Principal Address: Google Maps Logo 967 MINERAL SPRING AVENUE, NORTH PROVIDENCE, RI, 02904, 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
IGLIOZZI & REIS, LLP Agent 926 PARK AVENUE, CRANSTON, RI, 02910, USA

PRESIDENT

Name Role Address
MIGUEL FUENTES MD PRESIDENT 62 CAMPBELL AVENUE NORTH PROVIDENCE, RI 02904 USA

National Provider Identifier

NPI Number:
1790830339

Authorized Person:

Name:
DR. MIGUEL A FUENTES
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2080A0000X - Pediatric Adolescent Medicine Physician
Is Primary:
Yes

Contacts:

Events

Type Date Old Value New Value
Name Change 2009-03-05 Mineral Spring Pediatrics, Inc. Santiago Medical Group, Inc.

Filings

Number Name File Date
202454462010 Annual Report 2024-05-01
202333596380 Annual Report 2023-04-21
202215488770 Annual Report 2022-04-15
202193830000 Annual Report 2021-03-10
202035512020 Annual Report 2020-02-27

USAspending Awards / Financial Assistance

Business Type:
SMALL BUSINESS
Date:
2020-04-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
$10,000
Face Value Of Loan:
$0
Total Face Value Of Loan:
$0
Business Type:
SMALL BUSINESS
Date:
2020-04-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
$0
Face Value Of Loan:
$144,700
Total Face Value Of Loan:
$144,700

Paycheck Protection Program

Jobs Reported:
14
Initial Approval Amount:
$144,700
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$144,700
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$146,258
Servicing Lender:
Citizens Bank, National Association
Use of Proceeds:
Payroll: $144,700

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Date of last update: 10 Jul 2025

Sources: Rhode Island Department of State