| Entity Name: | HEALTH NETWORK ONE OF PUERTO RICO, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 May 2019 (6 years ago) |
| Document Number: | P19000046765 |
| FEI/EIN Number | 84-2142996 |
| Address: | 2001 SOUTH ANDREWS AVENUE, FORT LAUDERDALE, FL, 33316 |
| Mail Address: | 2001 SOUTH ANDREWS AVENUE, FORT LAUDERDALE, FL, 33316 |
| ZIP code: | 33316 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780226639 | 2019-10-11 | 2019-10-11 | 2001 S ANDREWS AVE, FORT LAUDERDALE, FL, 333163429, US | 2001 S ANDREWS AVE, FORT LAUDERDALE, FL, 333163429, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 305-614-0100 |
Authorized person
| Name | MARTIN BILOWICH |
| Role | PRESIDENT |
| Phone | 3056140101 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ ALBERTO A | Agent | 2001 SOUTH ANDREWS AVENUE, FORT LAUDERDALE, FL, 33316 |
| Name | Role | Address |
|---|---|---|
| MOSQUERA LUIS G | Director | 2001 SOUTH ANDREWS AVENUE, FORT LAUDERDALE, FL, 33316 |
| BILOWICH MARTIN E | Director | 2001 SOUTH ANDREWS AVENUE, FORT LAUDERDALE, FL, 33316 |
| LEAHY ROBERT J | Director | 2001 SOUTH ANDREWS AVENUE, FORT LAUDERDALE, FL, 33316 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ ALBERTO A | Secretary | 2001 SOUTH ANDREWS AVENUE, FORT LAUDERDALE, FL, 33316 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-14 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-06-30 |
| Domestic Profit | 2019-05-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
