| Entity Name: | RODRIGUEZ COMMUNITY CENTER, CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 24 Jul 2020 (5 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 18 Apr 2024 (10 months ago) |
| Document Number: | P20000055484 |
| FEI/EIN Number | 85-2246162 |
| Address: | 1301 PALM AVE, #102, HIALEAH, FL 33010 |
| Mail Address: | 1301 PALM AVE, #102, HIALEAH, FL 33010 |
| ZIP code: | 33010 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295311728 | 2021-03-23 | 2024-04-15 | 1301 PALM AVE UNIT 102, HIALEAH, FL, 330103461, US | 1301 PALM AVE UNIT 102, HIALEAH, FL, 330103461, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 786-391-1206 |
Authorized person
| Name | MR. CARLOS L RODRIGUEZ |
| Role | OWNER |
| Phone | 7863911206 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 109975600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, CARLOS L | Agent | 1301 PALM AVE., STE. 102, HIALEAH, FL 33010 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, CARLOS L. | Treasurer | 1301 PALM AVE., STE. 102, HIALEAH, FL 33010 |
| Name | Role | Address |
|---|---|---|
| CAMEJO GOMEZ, IDALIA | President | 1301 PALM AVE., STE. 102, HIALEAH, FL 33010 |
| Name | Role | Address |
|---|---|---|
| VALIDO, DAMIAN | Vice President | 1301 PALM AVE., STE. 102, HIALEAH, FL 33010 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000043219 | MOROCHAS MEDICAL CENTER CORP | ACTIVE | 2023-04-04 | 2028-12-31 | No data | 1301 PALM AVE #102, HIALEAH, FL, 33010 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2024-04-18 | No data | No data |
| AMENDMENT | 2023-12-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-12-27 | RODRIGUEZ, CARLOS L | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-10-27 | 1301 PALM AVE., STE. 102, HIALEAH, FL 33010 | No data |
| AMENDMENT | 2023-10-27 | No data | No data |
| AMENDMENT | 2023-09-05 | No data | No data |
| NAME CHANGE AMENDMENT | 2022-09-16 | RODRIGUEZ COMMUNITY CENTER, CORP | No data |
| NAME CHANGE AMENDMENT | 2022-03-09 | RODRIGUEZ MEDICAL CENTER CORP | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-03 | 1301 PALM AVE, #102, HIALEAH, FL 33010 | No data |
| CHANGE OF MAILING ADDRESS | 2021-03-03 | 1301 PALM AVE, #102, HIALEAH, FL 33010 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| Amendment | 2024-04-18 |
| Amendment | 2023-12-27 |
| Amendment | 2023-10-27 |
| Amendment | 2023-09-05 |
| ANNUAL REPORT | 2023-08-30 |
| Name Change | 2022-09-16 |
| ANNUAL REPORT | 2022-04-05 |
| Name Change | 2022-03-09 |
| ANNUAL REPORT | 2021-03-04 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State
