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Ernesto Mirabal, M.D., LLC

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Company Details

Name: Ernesto Mirabal, M.D., LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 26 Apr 2017 (8 years ago)
Identification Number: 001673204
ZIP code: 02863
County: Providence County
Purpose: TO RENDER PROFESSIONAL MEDICAL SERVICES
Fictitious names: CENTRAL FALLS PRIMARY CARE (trading name, 2017-10-17 - )
Principal Address: Google Maps Logo 1002 BROAD ST SUITE 1, CENTRAL FALLS, RI, 02863, 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

Agent

Name Role Address
ERNESTO MIRABAL Agent 1002 BROAD STREET SUITE 3, CENTRAL FALLS, RI, 02863, USA

National Provider Identifier

NPI Number:
1720502008

Authorized Person:

Name:
DR. ERNESTO ANTONIO MIRABAL
Role:
MD
Phone:

Taxonomy:

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

Contacts:

Filings

Number Name File Date
202455412780 Annual Report 2024-06-06
202327913870 Annual Report 2023-02-09
202213410980 Annual Report 2022-03-24
202100519310 Annual Report 2021-08-30
202057048710 Annual Report 2020-09-23

USAspending Awards / Financial Assistance

Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
1000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 02 Jun 2025

Sources: Rhode Island Department of State