Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Modern Pain & Spine PC

Organization Public Health & General Preventive Medicine Physician · NPI 1821695081

Modern Pain & Spine PC is a Public Health & General Preventive Medicine Physician in Albuquerque, New Mexico. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1540 Juan Tabo Blvd NE Ste A
Albuquerque, NM 87112-4460
Phone: (505) 529-8511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X
Public Health & General Preventive Medicine Physician Taxonomy 2083P0901X
Occupational Medicine Physician Taxonomy 2083X0100X
Neurology Physician Taxonomy 2084N0400X

Record details

NPI number1821695081
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Athanasios Manole — Medical Director · (505) 529-8511
NPI enumeratedOctober 1, 2020
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026
Mailing address1540 Juan Tabo Blvd Ne Ste A, Albuquerque, NM 87112-4460

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