| Name: | ANGELS MEDICAL ASSOCIATES, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 12 Nov 2014 (10 years ago) |
| Identification Number: | 001006365 |
| ZIP code: | 02919 |
| County: | Providence County |
| Principal Address: | 1524 ATWOOD AVENUE SUITE 327, JOHNSTON, RI, 02919, USA |
| Mailing Address: | 2 FERNCREST COURT, LINCOLN, RI, 02865, USA |
| Purpose: | MEDICAL SERVICES |
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 | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922406875 | 2014-12-09 | 2014-12-18 | 1524 ATWOOD AVE, SUITE 327, JOHNSTON, RI, 029193228, US | 1524 ATWOOD AVE, SUITE 327, JOHNSTON, RI, 029193228, US | |||||||||||||||||||||||||||
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| Phone | +1 401-383-0400 |
| Fax | 4013830410 |
Authorized person
| Name | P. WILFREDO CANCHIS |
| Role | OWNER |
| Phone | 4013830400 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | RI09384 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 207RG0100X - Gastroenterology Physician |
| License Number | RI09384 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JOSEPH A. SCIACCA, ESQ. | Agent | 121 PHENIX AVENUE, CRANSTON, RI, 02920, USA |
| Number | Name | File Date |
|---|---|---|
| 202448225560 | Annual Report | 2024-03-06 |
| 202328489220 | Annual Report | 2023-02-10 |
| 202214427040 | Annual Report | 2022-04-07 |
| 202103155650 | Annual Report | 2021-10-12 |
| 202074525920 | Annual Report | 2020-11-10 |
| 201921962240 | Annual Report | 2019-09-30 |
| 201878879330 | Annual Report | 2018-10-04 |
| 201752143100 | Annual Report | 2017-10-23 |
| 201611656910 | Annual Report | 2016-11-02 |
| 201588817710 | Annual Report | 2015-12-02 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8186747106 | 2020-04-15 | 0165 | PPP | 1524 Atwood Ave. 327, Johnston, RI, 02919 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5590018300 | 2021-01-25 | 0165 | PPS | 1524 Atwood Ave Ste 327, Johnston, RI, 02919-3228 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 19 Oct 2024
Sources: Rhode Island Department of State
