| Name: | Professional Internal Medicine Associates Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 24 Apr 2006 (19 years ago) |
| Date of Dissolution: | 11 Jun 2024 (10 months ago) |
| Date of Status Change: | 11 Jun 2024 (10 months ago) |
| Identification Number: | 000155604 |
| ZIP code: | 02861 |
| County: | Providence County |
| Principal Address: | 139 BENEFIT STREET, PAWTUCKET, RI, 02861, USA |
| Purpose: | INTERNAL MEDICINE |
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 | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376761544 | 2007-04-23 | 2019-09-23 | 139 BENEFIT ST, PAWTUCKET, RI, 028611024, US | 139 BENEFIT ST, PAWTUCKET, RI, 028611024, US | |||||||||||||||
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| Phone | +1 401-475-0002 |
| Fax | 4014755111 |
Authorized person
| Name | DR. LEVIS GUZMAN |
| Role | PHYSICIAN |
| Phone | 4014750002 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LEVIS GUZMAN, MD | Agent | 139 BENEFIT STREET, PAWTUCKET, RI, 02861, USA |
| Name | Role | Address |
|---|---|---|
| LEVIS GUZMAN | PRESIDENT | 107 WHEELER STREET REHOBOTH, MA 02769 USA |
| Number | Name | File Date |
|---|---|---|
| 202455662130 | Articles of Dissolution | 2024-06-11 |
| 202455662950 | Annual Report | 2024-06-11 |
| 202455664170 | Annual Report | 2024-06-11 |
| 202455664350 | Annual Report | 2024-06-11 |
| 202455662400 | Reinstatement | 2024-06-11 |
| 202223904350 | Revocation Certificate For Failure to File the Annual Report for the Year | 2022-10-12 |
| 202220092780 | Revocation Notice For Failure to File An Annual Report | 2022-06-27 |
| 202197373800 | Annual Report | 2021-06-02 |
| 202196839820 | Revocation Notice For Failure to File An Annual Report | 2021-05-19 |
| 202080989020 | Annual Report | 2020-12-21 |
| FAIN | Awarding Agency | Assistance Listings | Start Date | End Date | Description | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3822375000 | Small Business Administration | 59.012 - 7(A) LOAN GUARANTEES | No data | No data | TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE | |||||||||||||||||||
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| 3753455006 | Small Business Administration | 59.041 - 504 CERTIFIED DEVELOPMENT LOANS | No data | No data | TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR | |||||||||||||||||||
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| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2765768410 | 2021-02-04 | 0165 | PPS | 139 Benefit St, Pawtucket, RI, 02861-1024 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 10 Oct 2024
Sources: Rhode Island Department of State
