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MIAMI KIDNEY GROUP, PLLC - Florida Company Profile

Company Details

Entity Name: MIAMI KIDNEY GROUP, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

MIAMI KIDNEY GROUP, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 22 Nov 2016 (8 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 05 Mar 2019 (6 years ago)
Document Number: L16000213261
FEI/EIN Number 65-0436438

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 7900 SW 57TH AVENUE, SUITE 21, MIAMI, FL, 33143
Mail Address: 7900 SW 57TH AVENUE, SUITE 21, MIAMI, FL, 33143
ZIP code: 33143
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396894952 2007-01-10 2024-08-17 7900 SW 57TH AVE, #21, SOUTH MIAMI, FL, 331435522, US 7900 SW 57TH AVE, #21, SOUTH MIAMI, FL, 331435522, US

Contacts

Phone +1 305-662-3984
Fax 3056611129

Authorized person

Name DR. ALBERTO ESQUENAZI
Role PARTNER
Phone 3056623984

Taxonomy

Taxonomy Code 207RN0300X - Nephrology Physician
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 374286500
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MIAMI KIDNEY GROUP PLLC GHT BENEFIT PLAN 2023 650436438 2025-01-30 MIAMI KIDNEY GROUP PLLC 23
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2022-02-01
Business code 621111
Sponsor’s telephone number 3056623984
Plan sponsor’s address 7900 SW 57TH AVE, SOUTH MIAMI, FL, 331435546

Plan administrator’s name and address

Administrator’s EIN 851828091
Plan administrator’s name MARILU RIOS
Plan administrator’s address 1 SE 3RD AVENUE, SUITE 1410, MIAMI, FL, 33131
Administrator’s telephone number 3053507700

Signature of

Role Plan administrator
Date 2025-01-30
Name of individual signing MARILU RIOS
Valid signature Filed with authorized/valid electronic signature
MIAMI KIDNEY GROUP CASH BALANCE PLAN 2023 650436438 2024-07-29 MIAMI KIDNEY GROUP 37
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3056623984
Plan sponsor’s address 7900 S.W. 57TH AVENUE, SUITE 21, MIAMI, FL, 33143
MIAMI KIDNEY GROUP 401(K) PLAN 2023 650436438 2024-07-17 MIAMI KIDNEY GROUP 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3056623984
Plan sponsor’s address 7900 S.W. 57TH AVENUE, SUITE 21, MIAMI, FL, 33143
MIAMI KIDNEY GROUP CASH BALANCE PLAN 2022 650436438 2023-10-03 MIAMI KIDNEY GROUP 32
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3056623984
Plan sponsor’s address 7900 S.W. 57TH AVENUE, SUITE 21, MIAMI, FL, 33143
MIAMI KIDNEY GROUP 401(K) PLAN 2022 650436438 2023-08-21 MIAMI KIDNEY GROUP 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3056623984
Plan sponsor’s address 7900 S.W. 57TH AVENUE, SUITE 21, MIAMI, FL, 33143
MIAMI KIDNEY GROUP PLLC GHT BENEFIT PLAN 2022 650436438 2024-01-30 MIAMI KIDNEY GROUP PLLC 18
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2022-02-01
Business code 621111
Sponsor’s telephone number 3056623984
Plan sponsor’s address 7900 SW 57TH AVE, SOUTH MIAMI, FL, 331435546

Plan administrator’s name and address

Administrator’s EIN 851828091
Plan administrator’s name MARILU RIOS
Plan administrator’s address 1 SE 3RD AVENUE, SUITE 1410, MIAMI, FL, 33131
Administrator’s telephone number 3053507700

Signature of

Role Plan administrator
Date 2024-01-30
Name of individual signing MARILU RIOS
Valid signature Filed with authorized/valid electronic signature
MIAMI KIDNEY GROUP CASH BALANCE PLAN 2021 650436438 2022-08-16 MIAMI KIDNEY GROUP 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3056623984
Plan sponsor’s address 7900 S.W. 57TH AVENUE, SUITE 21, MIAMI, FL, 33143
MIAMI KIDNEY GROUP 401(K) PLAN 2021 650436438 2022-07-12 MIAMI KIDNEY GROUP 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3056623984
Plan sponsor’s address 7900 S.W. 57TH AVENUE, SUITE 21, MIAMI, FL, 33143
MIAMI KIDNEY GROUP PLLC GHT BENEFIT PLAN 2021 650436438 2022-12-30 MIAMI KIDNEY GROUP PLLC 20
Three-digit plan number (PN) 501
Effective date of plan 2022-02-01
Business code 621111
Sponsor’s telephone number 3056623984
Plan sponsor’s address 7900 SW 57TH AVE, SOUTH MIAMI, FL, 331435546

Plan administrator’s name and address

Administrator’s EIN 851828091
Plan administrator’s name MARILU RIOS
Plan administrator’s address 1 SE 3RD AVENUE, SUITE 1410, MIAMI, FL, 33131
Administrator’s telephone number 3053507700

Signature of

Role Plan administrator
Date 2022-12-30
Name of individual signing MARILU RIOS
Valid signature Filed with authorized/valid electronic signature
MIAMI KIDNEY GROUP CASH BALANCE PLAN 2020 650436438 2021-10-12 MIAMI KIDNEY GROUP 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 3056623984
Plan sponsor’s address 7900 S.W. 57TH AVENUE, SUITE 21, MIAMI, FL, 33143

Key Officers & Management

Name Role Address
ESQUENAZI ALBERTO BM.D. Manager 7900 SW 57TH AVENUE #21, MIAMI, FL, 33143
CORPORATION SERVICE COMPANY Agent -

Events

Event Type Filed Date Value Description
LC STMNT OF RA/RO CHG 2019-03-05 - -
REGISTERED AGENT NAME CHANGED 2019-03-05 CORPORATION SERVICE COMPANY -
REGISTERED AGENT ADDRESS CHANGED 2019-03-05 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 -
CONVERSION 2016-11-22 - GEN-COR CONVERSION RESULT. THE CONVERTING ENTITY WAS GP1600001378 ORIGINALLY FILED ON 11/22/2016. CONVERSION NUMBER 900000165959

Documents

Name Date
ANNUAL REPORT 2025-01-08
ANNUAL REPORT 2024-01-06
ANNUAL REPORT 2023-01-08
ANNUAL REPORT 2022-01-03
ANNUAL REPORT 2021-01-04
ANNUAL REPORT 2020-03-18
CORLCRACHG 2019-03-05
ANNUAL REPORT 2019-01-03
ANNUAL REPORT 2018-01-12
ANNUAL REPORT 2017-02-15

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9167537101 2020-04-15 0455 PPP 7900 SW 57 AVENUE SUITE 21, MIAMI, FL, 33143
Loan Status Date 2021-10-23
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 210257
Loan Approval Amount (current) 210257
Undisbursed Amount 0
Franchise Name -
Lender Location ID 67422
Servicing Lender Name First Horizon Bank
Servicing Lender Address 165 Madison Ave, MEMPHIS, TN, 38103-2723
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address MIAMI, MIAMI-DADE, FL, 33143-1400
Project Congressional District FL-27
Number of Employees 25
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Partnership
Originating Lender ID 78586
Originating Lender Name IberiaBank, A Division of First Horizon Bank
Originating Lender Address Lafayette, LA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 213124.67
Forgiveness Paid Date 2021-09-07

Date of last update: 01 Apr 2025

Sources: Florida Department of State