| Entity Name: | ESTEBAN J. DIAZ-RIVERA MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Mar 1999 (26 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 06 Feb 2008 (17 years ago) |
| Document Number: | P99000021686 |
| FEI/EIN Number | 650898469 |
| Address: | 777 E. 25 STREET, HIALEAH, FL, 33013, US |
| Mail Address: | 777 E. 25 STREET, HIALEAH, FL, 33013, US |
| ZIP code: | 33013 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184057275 | 2013-08-13 | 2016-01-21 | 777 E 25TH ST, SUITE 514, HIALEAH, FL, 330133825, US | 777 E 25TH ST, SUITE 514, HIALEAH, FL, 330133825, US | |||||||||||||||||||
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| Phone | +1 305-835-7502 |
| Fax | 3058357541 |
Authorized person
| Name | DR. ESTEBAN J DIAZ-RIVERA |
| Role | OWNER |
| Phone | 3058357502 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| License Number | ME66676 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DIAZ-RIVERA ESTEBAN J | Agent | 777 E. 25 STREET, HIALEAH, FL, 33013 |
| Name | Role | Address |
|---|---|---|
| DIAZ-RIVERA ESTEBAN J | Director | 777 E. 25 STREET, HIALEAH, FL, 33013 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-01 | 777 E. 25 STREET, 206, HIALEAH, FL 33013 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-01-09 | 777 E. 25 STREET, SUITE 206, HIALEAH, FL 33013 | No data |
| CHANGE OF MAILING ADDRESS | 2019-01-09 | 777 E. 25 STREET, SUITE 206, HIALEAH, FL 33013 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-04-25 | DIAZ-RIVERA, ESTEBAN J | No data |
| CANCEL ADM DISS/REV | 2008-02-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| CANCEL ADM DISS/REV | 2005-10-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2000-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-10 |
| ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-06-01 |
| ANNUAL REPORT | 2019-02-27 |
| ANNUAL REPORT | 2018-04-06 |
| ANNUAL REPORT | 2017-03-03 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-04-30 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4922677110 | 2020-04-13 | 0455 | PPP | 777 E 25 Street Ste 206, HIALEAH, FL, 33013-3804 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
