| 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 |
| Fictitious names: |
Rhode Island Integrated Medicine, Inc. (trading name, 2016-05-10 - ) |
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
| 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 | |||||||||||||||||||||||||
|
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| 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: 11 Apr 2025
Sources: Rhode Island Department of State
