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Contact Information

MODERN PAIN & SPINE PC
1540 JUAN TABO BLVD NE STE A
ALBUQUERQUE, NM87112-4460
 Phone: 505-529-8511
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Neurology

2084N0400X 13 Physician/Neurology
 

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
 

Public Health & General Preventive Medicine

2083P0901X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for MODERN PAIN & SPINE PC

NPI Number 1821695081
LBN Legal business name MODERN PAIN & SPINE PC
Authorized official ATHANASIOS MANOLE - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/01/2020
Last updated 03/20/2026 - About 3 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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