| 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 (7 months ago) |
| Date of Status Change: | 11 Jun 2024 (7 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) |
| 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 |
Date of last update: 10 Oct 2024
Sources: Rhode Island Department of State
