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R. GUILLEN, M.D., P.C.

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Company Details

Name: R. GUILLEN, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 30 Oct 2007 (18 years ago)
Entity Number: 3586869
ZIP code: 10455
County: Bronx
Place of Formation: New York
Address: 509 WILLIS AVENUE, 4TH FL., BRONX, NY, United States, 10455
Principal Address: 509 WILLLIS AVENUE, 4TH FLOOR, BRONX, NY, United States, 10455

Contact Details

Phone +1 718-401-2300

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
RAFAEL A. GUILLEN, MD Chief Executive Officer 509 WILLIS AVENUE, 4TH FLOOR, BRONX, NY, United States, 10455

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 509 WILLIS AVENUE, 4TH FL., BRONX, NY, United States, 10455

National Provider Identifier

NPI Number:
1467612499
Certification Date:
2020-05-28

Authorized Person:

Name:
DR. RAFAEL ANTONIO GUILLEN
Role:
MEDICAL DOCTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
7184012322

Filings

Filing Number Date Filed Type Effective Date
131017006489 2013-10-17 BIENNIAL STATEMENT 2013-10-01
111101002710 2011-11-01 BIENNIAL STATEMENT 2011-10-01
091027002515 2009-10-27 BIENNIAL STATEMENT 2009-10-01
071030000337 2007-10-30 CERTIFICATE OF INCORPORATION 2007-10-30

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$40,062
Date Approved:
2020-05-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$40,062
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$40,457.13
Servicing Lender:
Wells Fargo Bank, National Association
Use of Proceeds:
Payroll: $40,062

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State