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  5. PEDRO A. RODRIGUEZ, M.D., P.A.

PEDRO A. RODRIGUEZ, M.D., P.A.

Company Details

Entity Name: PEDRO A. RODRIGUEZ, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 08 May 1980 (45 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 25 Mar 1991 (34 years ago)
Document Number: 662465
FEI/EIN Number 59-1996303
Address: 258 NE 27 ST, MIAMI, FL 33137
Mail Address: 258 NE 27 ST, MIAMI, FL 33137
ZIP code: 33137
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1053447656 2007-02-26 2010-12-28 258 NE 27TH ST, MIAMI, FL, 331374522, US 258 NE 27TH ST, MIAMI, FL, 331374522, US

Contacts
Phone +1 305-573-9898
Fax 3055733711

Authorized person
Name PEDRO A RODRIGUEZ
Role PRESIDENT
Phone 3055739898

Taxonomy
Taxonomy Code 2084P0800X - Psychiatry Physician
License Number ME0028664
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 250245300
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEDRO A. RODRIGUEZ M.D. P.A. RETIREMENT PLAN 2023 591996303 2024-06-20 PEDRO A. RODRIGUEZ M.D. P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3055739898
Plan sponsor’s address 258 NE 27TH STREET, MIAMI, FL, 33137
PEDRO A. RODRIGUEZ M.D. P.A. RETIREMENT PLAN 2022 591996303 2023-06-15 PEDRO A. RODRIGUEZ M.D. P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3055739898
Plan sponsor’s address 258 NE 27TH STREET, MIAMI, FL, 33137
PEDRO A. RODRIGUEZ M.D. P.A. RETIREMENT PLAN 2021 591996303 2022-04-25 PEDRO A. RODRIGUEZ M.D. P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3055739898
Plan sponsor’s address 258 NE 27TH STREET, MIAMI, FL, 33137
PEDRO A. RODRIGUEZ M.D. P.A. RETIREMENT PLAN 2020 591996303 2021-04-22 PEDRO A. RODRIGUEZ M.D. P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3055739898
Plan sponsor’s address 258 NE 27TH STREET, MIAMI, FL, 33137
PEDRO A. RODRIGUEZ M.D. P.A. RETIREMENT PLAN 2019 591996303 2020-05-07 PEDRO A. RODRIGUEZ M.D. P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3055739898
Plan sponsor’s address 258 NE 27TH STREET, MIAMI, FL, 33137
PEDRO A. RODRIGUEZ M.D. P.A. RETIREMENT PLAN 2018 591996303 2019-04-22 PEDRO A. RODRIGUEZ M.D. P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3055739898
Plan sponsor’s address 258 NE 27TH STREET, MIAMI, FL, 33137
PEDRO A. RODRIGUEZ M.D. P.A. RETIREMENT PLAN 2017 591996303 2018-05-07 PEDRO A. RODRIGUEZ M.D. P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3055739898
Plan sponsor’s address 258 NE 27TH STREET, MIAMI, FL, 33137
PEDRO A. RODRIGUEZ M.D. P.A. RETIREMENT PLAN 2016 591996303 2017-09-15 PEDRO A. RODRIGUEZ M.D. P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3055739898
Plan sponsor’s address 258 NE 27TH STREET, MIAMI, FL, 33137

Signature of
Role Plan administrator
Date 2017-09-15
Name of individual signing CARLOS INCERA
Valid signature Filed with authorized/valid electronic signature
PEDRO A. RODRIGUEZ M.D. P.A. RETIREMENT PLAN 2015 591996303 2016-05-20 PEDRO A. RODRIGUEZ M.D. P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3055739898
Plan sponsor’s address 258 NE 27TH STREET, MIAMI, FL, 33137

Signature of
Role Plan administrator
Date 2016-05-20
Name of individual signing CARLOS INCERA
Valid signature Filed with authorized/valid electronic signature
PEDRO A. RODRIGUEZ M.D. P.A. RETIREMENT PLAN 2014 591996303 2015-05-04 PEDRO A. RODRIGUEZ M.D. P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3055739898
Plan sponsor’s address 258 NE 27TH STREET, MIAMI, FL, 33137

Signature of
Role Plan administrator
Date 2015-05-04
Name of individual signing PEDRO A. RODRIGUEZ M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
RODRIGUEZ, PEDRO A, M.D. Agent 258 NE 27 ST, MIAMI, FL 33137

DR.

Name Role Address
RODRIQUEZ, PEDRO A. DR. 258 NE 27 ST, MIAMI, FL 33137

Administrator

Name Role Address
Granda Rodriguez, Gladys Blanca, Phd Administrator 258 NE 27 ST, MIAMI, FL 33137

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2013-04-29 RODRIGUEZ, PEDRO A, M.D. No data
CHANGE OF PRINCIPAL ADDRESS 2004-04-27 258 NE 27 ST, MIAMI, FL 33137 No data
CHANGE OF MAILING ADDRESS 2004-04-27 258 NE 27 ST, MIAMI, FL 33137 No data
REGISTERED AGENT ADDRESS CHANGED 2004-04-27 258 NE 27 ST, MIAMI, FL 33137 No data
REINSTATEMENT 1991-03-25 No data No data
INVOLUNTARILY DISSOLVED 1989-10-13 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-02
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-04-18
ANNUAL REPORT 2021-06-30
ANNUAL REPORT 2020-05-20
ANNUAL REPORT 2019-04-29
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-04-05
ANNUAL REPORT 2016-03-02
ANNUAL REPORT 2015-01-13

Related by officers

No related officers

Related by address

258 NE 27 ST, MIAMI, FL 33137

PSYCHOLOGICAL CONSULTING, INC.

258 NE 27 ST, MIAMI, FL 33137

PSYCHOLOGICAL CONSULTING, INC.

Date of last update: 05 Feb 2025

Sources: Florida Department of State

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