OrganizationActive
Modern Pain & Spine PC
NPI 1821695081 · Interventional Pain Medicine Physician · Albuquerque, NM
Provider details
- NPI number
- 1821695081
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Athanasios Manole, Medical Director(505) 529-8511
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Occupational Medicine Physician2083X0100X
Allopathic & Osteopathic Physicians
- Neurology Physician2084N0400X
Allopathic & Osteopathic Physicians
Practice location
1540 Juan Tabo Blvd Ne Ste a
Albuquerque, NM 87112-4460
Phone: (505) 529-8511
Approximate (ZIP-level) locationGet directions
Mailing address
1540 Juan Tabo Blvd Ne Ste a
Albuquerque, NM 87112-4460
Registry dates
- Enumerated
- 2020-10-01
- Last updated
- 2026-03-20
- Certified
- 2026-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.