| Name: | RI Integrated Medicine, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 22 May 2003 (22 years ago) |
| Date of Dissolution: | 05 Feb 2021 (4 years ago) |
| Date of Status Change: | 05 Feb 2021 (4 years ago) |
| Identification Number: | 000132234 |
| ZIP code: | 02910 |
| County: | Providence County |
| Principal Address: | 521 PARK AVENUE, CRANSTON, RI, 02910, USA |
| Purpose: | SERVICES PROVIDED BY PHYSICIANS, DENTISTS, REGISTERED NURSES, PODIATRISTS, OPTOMETRISTS, PHYSICIAN ASSISANTS AND CHIROPRACTIC PHYSICIANS |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Fictitious names: |
Rhode Island Integrated Medicine, Inc. (trading name, 2016-05-10 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396766069 | 2006-07-21 | 2016-08-24 | 521 PARK AVE, CRANSTON, RI, 029102346, US | 521 PARK AVE, CRANSTON, RI, 029102346, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 401-781-3374 |
| Fax | 4017813376 |
Authorized person
| Name | DR. VICTOR M PEDRO |
| Role | DIRECTOR |
| Phone | 4017813374 |
Taxonomy
| Taxonomy Code | 163WP0200X - Pediatric Registered Nurse |
| License Number | NPP32472 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE NUMBER |
| Number | NPP32472 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| JONATHAN V. KALANDER, ESQ. | Agent | 931 JEFFERSON BOULEVARD SUITE 2004, WARWICK, RI, 02886, USA |
| Name | Role | Address |
|---|---|---|
| VICTOR M PEDRO DC | TREASURER | 521 PARK AVENUE CRANSTON, RI 02910 USA |
| Name | Role | Address |
|---|---|---|
| VICTOR M PEDRO DC | SECRETARY | 521 PARK AVENUE CRANSTON, RI 02910 USA |
| Name | Role | Address |
|---|---|---|
| VICTOR M PEDRO DC | PRESIDENT | 521 PARK AVENUE CRANSTON, RI 02910- USA |
| Name | Role | Address |
|---|---|---|
| VICTOR M PEDRO DC | VICE PRESIDENT | 521 PARK AVENUE CRANSTON, RI 02910 USA |
| Number | Name | File Date |
|---|---|---|
| 202190171070 | Articles of Dissolution | 2021-02-05 |
| 202036488630 | Annual Report | 2020-03-18 |
| 201986987600 | Annual Report | 2019-02-19 |
| 201859319930 | Annual Report | 2018-02-28 |
| 201738164970 | Annual Report | 2017-03-17 |
| 201698762700 | Fictitious Business Name Statement | 2016-05-10 |
| 201693394960 | Annual Report | 2016-02-29 |
| 201557893110 | Annual Report | 2015-03-21 |
| 201436862420 | Annual Report | 2014-03-07 |
| 201320593810 | Annual Report | 2013-05-17 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
