| 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) |
| 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 |
Date of last update: 19 Oct 2024
Sources: Rhode Island Department of State
