| LCA CASE NUMBER | I-200-24193-191175 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-07-11 |
| DECISION DATE | 2024-07-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician Assistant |
| SOC CODE | 29-1071.00 |
| SOC TITLE | Physician Assistants |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-07-31 |
| END DATE | 2026-07-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | ADMINISTRACION DE SERVICIOS MEDICOS DE PUERTO RICO INC. |
| EMPLOYER ADDRESS1 | Centro Medico de Puerto Rico |
| EMPLOYER ADDRESS2 | Barrio Monacillos |
| EMPLOYER CITY | San Juan |
| EMPLOYER STATE | PR |
| EMPLOYER POSTAL CODE | 00935 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17877773535 |
| EMPLOYER FEIN | 66-0433853 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | RAFAEL |
| EMPLOYER POC FIRST NAME | RODRIGUEZ MERCADO |
| EMPLOYER POC JOB TITLE | PROFESSOR OF NEUROSURGERY |
| EMPLOYER POC ADDRESS1 | P.O. Box 363185 |
| EMPLOYER POC CITY | SAN JUAN |
| EMPLOYER POC STATE | PR |
| EMPLOYER POC POSTAL CODE | 00936 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17877773535 |
| EMPLOYER POC EMAIL | rafael.rodriguez18@UPR.EDU |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | BELLO ROOSEN |
| AGENT ATTORNEY FIRST NAME | ADRIANA |
| AGENT ATTORNEY MIDDLE NAME | ELENA |
| AGENT ATTORNEY ADDRESS1 | PO BOX 941529 |
| AGENT ATTORNEY CITY | HOUSTON |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 77094 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12815031455 |
| AGENT ATTORNEY EMAIL ADDRESS | adriana@bbalawgroup.com |
| LAWFIRM NAME BUSINESS NAME | Bustillos, Bello & Associates PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York State Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | Centro Medico de Puerto Rico |
| WORKSITE ADDRESS2 | Barrio Monacillos |
| LCA CASE WORKLOC1 CITY | San Juan |
| WORKSITE COUNTY | GUAYNABO |
| LCA CASE WORKLOC1 STATE | PR |
| WORKSITE POSTAL CODE | 00935 |
| LCA CASE WAGE RATE FROM | 44.17 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 44.17 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |