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  5. PEREZ & RIVERA, P.L.

PEREZ & RIVERA, P.L.

Company Details

Entity Name: PEREZ & RIVERA, P.L.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 28 Aug 2003 (21 years ago)
Document Number: L03000032514
FEI/EIN Number 651202222
Address: 800 CENTURY MEDICAL DR., STE. A, TITUSVILLE, FL, 32796
Mail Address: 800 CENTURY MEDICAL DR., STE. A, TITUSVILLE, FL, 32796
ZIP code: 32796
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710944558 2006-04-26 2008-05-07 800 CENTURY MEDICAL DR, SUITE A, TITUSVILLE, FL, 327962151, US 800 CENTURY MEDICAL DR, SUITE A, TITUSVILLE, FL, 327962151, US

Contacts
Phone +1 321-269-5101
Fax 3212696871

Authorized person
Name BEATRIZ PEREZ
Role FINANCIAL MANAGER
Phone 3212695101

Taxonomy
Taxonomy Code 174400000X - Specialist
Is Primary Yes

Other Provider Identifiers
Issuer AETNA GROUP NUMBER
Number 3371883
State FL
Issuer BCBS FLORIDA GROUP NUMBER
Number 34973
State FL
Issuer MEDICARE RAILROAD GROUP
Number DA6120
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEREZ & RIVERA, P.L., 401(K) PROFIT SHARING PLAN 2019 651202222 2020-05-26 PEREZ & RIVERA, P.L. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3212695101
Plan sponsor’s address 800 CENTURY MEDICAL DRIVE, SUITE A, TITUSVILLE, FL, 32796

Signature of
Role Plan administrator
Date 2020-05-26
Name of individual signing BEATRIZ PEREZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-26
Name of individual signing BEATRIZ PEREZ
Valid signature Filed with authorized/valid electronic signature
PEREZ & RIVERA, P.L., 401(K) PROFIT SHARING PLAN 2018 651202222 2019-07-22 PEREZ & RIVERA, P.L. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3212695101
Plan sponsor’s address 800 CENTURY MEDICAL DRIVE, SUITE A, TITUSVILLE, FL, 32796

Signature of
Role Plan administrator
Date 2019-07-22
Name of individual signing JUAN PEREZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-22
Name of individual signing JUAN PEREZ
Valid signature Filed with authorized/valid electronic signature
PEREZ & RIVERA, P.L., 401(K) PROFIT SHARING PLAN 2017 651202222 2018-04-04 PEREZ & RIVERA, P.L. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3212695101
Plan sponsor’s address 800 CENTURY MEDICAL DRIVE, SUITE A, TITUSVILLE, FL, 32796

Signature of
Role Plan administrator
Date 2018-04-04
Name of individual signing JUAN PEREZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-04
Name of individual signing JUAN PEREZ
Valid signature Filed with authorized/valid electronic signature
PEREZ & RIVERA, P.L., 401(K) PROFIT SHARING PLAN 2016 651202222 2017-05-24 PEREZ & RIVERA, P.L. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3212695101
Plan sponsor’s address 800 CENTURY MEDICAL DRIVE, SUITE A, TITUSVILLE, FL, 32796

Signature of
Role Plan administrator
Date 2017-05-24
Name of individual signing JUAN J PEREZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-24
Name of individual signing JUAN J PEREZ
Valid signature Filed with authorized/valid electronic signature
PEREZ & RIVERA, P.L., 401(K) PROFIT SHARING PLAN 2015 651202222 2016-07-11 PEREZ & RIVERA, P.L. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3212695101
Plan sponsor’s address 800 CENTURY MEDICAL DRIVE, SUITE A, TITUSVILLE, FL, 32796

Signature of
Role Plan administrator
Date 2016-07-11
Name of individual signing JUAN PEREZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-11
Name of individual signing JUAN PEREZ
Valid signature Filed with authorized/valid electronic signature
PEREZ & RIVERA, P.L., 401(K) PROFIT SHARING PLAN 2014 651202222 2015-05-11 PEREZ & RIVERA, P.L. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3212695101
Plan sponsor’s address 800 CENTURY MEDICAL DRIVE, SUITE A, TITUSVILLE, FL, 32796

Signature of
Role Plan administrator
Date 2015-05-11
Name of individual signing JUAN PEREZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-11
Name of individual signing JUAN PEREZ
Valid signature Filed with authorized/valid electronic signature
PEREZ & RIVERA, P.L., 401(K) PROFIT SHARING PLAN 2013 651202222 2014-07-02 PEREZ & RIVERA, P.L. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3212695101
Plan sponsor’s address 800 CENTURY MEDICAL DRIVE, SUITE A, TITUSVILLE, FL, 32796

Signature of
Role Plan administrator
Date 2014-07-02
Name of individual signing JUAN PEREZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-02
Name of individual signing JUAN PEREZ
Valid signature Filed with authorized/valid electronic signature
PEREZ & RIVERA, P.L., PROFIT SHARING PLAN 2012 651202222 2013-06-24 PEREZ & RIVERA, P.L. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3212695101
Plan sponsor’s address 800 CENTURY MEDICAL DRIVE, SUITE A, TITUSVILLE, FL, 32796

Signature of
Role Plan administrator
Date 2013-06-24
Name of individual signing JUAN PEREZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-24
Name of individual signing JUAN PEREZ
Valid signature Filed with authorized/valid electronic signature
PEREZ & RIVERA, P.L., PROFIT SHARING PLAN 2011 651202222 2012-06-19 PEREZ & RIVERA, P.L. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3212695101
Plan sponsor’s address 800 CENTURY MEDICAL DRIVE, SUITE A, TITUSVILLE, FL, 32796

Plan administrator’s name and address
Administrator’s EIN 651202222
Plan administrator’s name PEREZ & RIVERA, P.L.
Plan administrator’s address 800 CENTURY MEDICAL DRIVE, SUITE A, TITUSVILLE, FL, 32796
Administrator’s telephone number 3212695101

Signature of
Role Plan administrator
Date 2012-06-19
Name of individual signing JUAN PEREZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-19
Name of individual signing JUAN PEREZ
Valid signature Filed with authorized/valid electronic signature
PEREZ & RIVERA, P.L., PROFIT SHARING PLAN 2010 651202222 2011-05-12 PEREZ & RIVERA, P.L. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3212695101
Plan sponsor’s address 800 CENTURY MEDICAL DRIVE, SUITE A, TITUSVILLE, FL, 32796

Plan administrator’s name and address
Administrator’s EIN 651202222
Plan administrator’s name PEREZ & RIVERA, P.L.
Plan administrator’s address 800 CENTURY MEDICAL DRIVE, SUITE A, TITUSVILLE, FL, 32796
Administrator’s telephone number 3212695101

Signature of
Role Plan administrator
Date 2011-05-12
Name of individual signing JUAN PEREZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-12
Name of individual signing JUAN PEREZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
RIVERA RICARDO Dr. Agent 800 CENTURY MEDICAL DR., STE. A, TITUSVILLE, FL, 32796

Managing Member

Name Role Address
RIVERA RICARDO P Managing Member 800 CENTURY MEDICAL DRIVE, SUITE A, TITUSVILLE, FL, 32796

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2020-04-24 RIVERA, RICARDO, Dr. No data

Documents

Name Date
ANNUAL REPORT 2024-02-22
ANNUAL REPORT 2023-03-01
ANNUAL REPORT 2022-02-17
ANNUAL REPORT 2021-01-20
ANNUAL REPORT 2020-04-24
ANNUAL REPORT 2019-03-11
ANNUAL REPORT 2018-02-21
ANNUAL REPORT 2017-04-05
ANNUAL REPORT 2016-03-24
ANNUAL REPORT 2015-01-12

Related by officers

RIVERA RICARDO P

AMERICAN CAR CRAFT 3, LLC AMERICAN CAR CRAFT 11 INC.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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