| Entity Name: | DR. RAFAEL A. PENALVER CLINIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 08 Dec 1995 (29 years ago) |
| Document Number: | N95000005588 |
| FEI/EIN Number | 650661761 |
| Address: | 971 N.W.2ND STREET, MIAMI, FL, 33128 |
| Mail Address: | 971 N.W.2ND STREET, MIAMI, FL, 33128 |
| ZIP code: | 33128 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508095050 | 2009-07-06 | 2009-07-06 | 971 NW 2ND ST, MIAMI, FL, 331281205, US | 971 NW 2ND STREET, MIAMI, FL, 331281205, US | |||||||||||||||||||||
|
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| Phone | +1 305-545-7737 |
| Fax | 3055455862 |
Authorized person
| Name | MR. BORIS ALVAREZ |
| Role | EXECUTIVE DIRECTOR |
| Phone | 3055457737 |
Taxonomy
| Taxonomy Code | 261QC1500X - Community Health Clinic/Center |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ALVAREZ BORIS | Agent | 971 N.W. 2ND STREET, MIAMI, FL, 33128 |
| Name | Role | Address |
|---|---|---|
| ARMAND JOCELYN JEsq. | Chairman | 971 N.W.2ND STREET, MIAMI, FL, 33128 |
| Name | Role | Address |
|---|---|---|
| ARENCIBIA FERNANDO J | Vice President | 971 N.W.2ND STREET, MIAMI, FL, 33128 |
| Name | Role | Address |
|---|---|---|
| BERTOT CHRISTIAN | Treasurer | 971 N.W.2ND STREET, MIAMI, FL, 33128 |
| ANDREU ALFRED JEsq. | Treasurer | 971 NW 2 STREET, MIAMI, FL, 33128 |
| Name | Role | Address |
|---|---|---|
| ALEGRE CLAUDIO JEsq. | Secretary | 971 N.W.2ND STREET, MIAMI, FL, 33128 |
| Name | Role | Address |
|---|---|---|
| ALVAREZ BORIS | Executive | 971 NW 2ND STREET, MIAMI, FL, 33128 |
| Name | Role | Address |
|---|---|---|
| ANDREU ALFRED JEsq. | Co | 971 NW 2 STREET, MIAMI, FL, 33128 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08084900258 | DR. RAFAEL PENALVER CLINIC | EXPIRED | 2008-03-24 | 2013-12-31 | No data | 971 N.W. 2ND STREET, MIAMI, FL, 33128 |
| G08084900256 | PENALVER CLINIC | EXPIRED | 2008-03-24 | 2013-12-31 | No data | 971 N.W. 2ND STREET, MIAMI, FL, 33128 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-02-01 | 971 N.W.2ND STREET, MIAMI, FL 33128 | No data |
| CHANGE OF MAILING ADDRESS | 2025-02-01 | 971 N.W.2ND STREET, MIAMI, FL 33128 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-01-14 | ALVAREZ, BORIS | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-02-15 |
| ANNUAL REPORT | 2022-02-28 |
| ANNUAL REPORT | 2021-03-09 |
| ANNUAL REPORT | 2020-01-21 |
| AMENDED ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2019-03-01 |
| ANNUAL REPORT | 2018-01-30 |
| ANNUAL REPORT | 2017-02-08 |
| ANNUAL REPORT | 2016-03-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
