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  5. Primary Care Medical Associates of Cranston, Inc.

Primary Care Medical Associates of Cranston, Inc.

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Company Details

Name: Primary Care Medical Associates of Cranston, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Revocation
Date of Organization in Rhode Island: 27 May 2003 (22 years ago)
Date of Dissolution: 18 Jun 2025 (a month ago)
Date of Status Change: 18 Jun 2025 (a month ago)
Identification Number: 000132275
ZIP code: 02905
City: Providence
County: Providence County
Purpose: TO OPERATE A MEDICAL OFFICE AND MEDICAL LABORATORY
Principal Address: Google Maps Logo 1596 BROAD STREET, CRANSTON, RI, 02905, 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

Companies doing Offices of physicians (except mental health specialists)

Agent

Name Role Address
ELIZABETH G. DE JESUS Agent 1596 BROAD STREET, CRANSTON, RI, 02905, USA

PRESIDENT

Name Role Address
ELIZABETH DE JESUS PRESIDENT 1596 BROAD ST CRANSTON, RI 02905 USA

SECRETARY

Name Role Address
BENILDE DA SILVA SECRETARY 2475 PAWTUCKET AVE EAST PROVIDENCE, RI 02910 USA

National Provider Identifier

NPI Number:
1346307485
Link:
View on NPI website

Authorized Person:

Name:
DR. ELIZABETH G DEJESUS
Role:
MEDICAL DIRECTOR
Phone:
4014615400

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Phone:
+1 401-461-5400
Fax:
4014619039

Filings

Number Name File Date
202455180210 Annual Report 2024-05-31
202331222830 Annual Report 2023-03-21
202218055230 Annual Report 2022-05-31
202198175520 Annual Report 2021-06-11
202196817530 Revocation Notice For Failure to File An Annual Report 2021-05-19

Uniform Commercial Code

Uniform Commercial Code Summary

Type:
UCC-3 CONTINUATION
UCC Filing Number:
202329193180
Filing Date:
2023-06-14
Action:
Continuation

Parties

Party Name:
Primary Care Medical Associates of Cranston, Inc.
Party Role:
Debtor(s)

Uniform Commercial Code Summary

Type:
UCC-3 CONTINUATION
UCC Filing Number:
202329193090
Filing Date:
2023-06-14
Action:
Continuation

Parties

Party Name:
Primary Care Medical Associates of Cranston, Inc.
Party Role:
Debtor(s)

Uniform Commercial Code Summary

Type:
UCC-3 CONTINUATION
UCC Filing Number:
202227535640
Filing Date:
2022-08-30
Action:
Continuation

Parties

Party Name:
Primary Care Medical Associates of Cranston, Inc.
Party Role:
Debtor(s)

USAspending Awards / Financial Assistance

Business Type:
SMALL BUSINESS
Date:
2021-01-23
Link:
View on USAspending
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:
$15,000
Total Face Value Of Loan:
$15,000
Business Type:
SMALL BUSINESS
Date:
2020-05-02
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
$3,000
Face Value Of Loan:
$0
Total Face Value Of Loan:
$0
Business Type:
SMALL BUSINESS
Date:
2020-04-16
Link:
View on USAspending
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:
$15,000
Total Face Value Of Loan:
$15,000

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$15,000
Date Approved:
2020-04-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$15,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$15,140.96
Servicing Lender:
Santander Bank, National Association
Use of Proceeds:
Payroll: $15,000
Jobs Reported:
2
Initial Approval Amount:
$15,000
Date Approved:
2021-01-21
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$15,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$15,080.14
Servicing Lender:
Santander Bank, National Association
Use of Proceeds:
Payroll: $14,998
Utilities: $1

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Related by address

1596 BROAD STREET, CRANSTON, RI, 02905, USA

WALLACE E. GONSALVES, JR., D.O., INC.
Professional Service Corporation
WALLACE E. GONSALVES, JR., D.O., INC., which currently Revoked Entity, had registered address 1596 BROAD STREET, CRANSTON, RI, 02905, USA.

Date of last update: 10 Jul 2025

Sources: Rhode Island Department of State

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