| Name: | Interventional and Functional Pain Center, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 07 Sep 2018 (7 years ago) |
| Identification Number: | 001688007 |
| ZIP code: | 02920 |
| County: | Providence County |
| Purpose: | THIS IS A MEDICAL OFFICE THAT EVALUATES AND TREAT PATIENTS WITH MEDICAL CONDITIONS INVOLVING PAIN IN THE SPINE, JOINT, MUSCLES, TENDONS, LIGAMENTS, AND NERVES AREAS. |
| Fictitious names: |
Pain Center of Rhode Island (trading name, 2022-05-12 - ) |
| Principal Address: |
1150 RESERVOIR AVENUE SUITE 200, CRANSTON, RI, 02920, USA
|
| Phone |
+1 401-648-6100 |
NAICS
621111 Offices of Physicians (except Mental Health Specialists)This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
| Name | Role | Address |
|---|---|---|
| JUAN CARLOS MIRT | Agent | 55 OSPREY DRIVE, EAST GREENWICH, RI, 02818, USA |
| Name | Role | Address |
|---|---|---|
| BLANKI CHERUBINI | PRESIDENT | 1150 RESERVOIR AVE STE 200 CRANSTON, RI 02920 US |
| Name | Role | Address |
|---|---|---|
| JUAN CARLOS MIRT | VICE PRESIDENT | 1150 RESERVOIR AVE STE 200 CRANSTON, RI 02920 US |
| License No | License Type | Status | Date Issued | Expiration Date |
|---|---|---|---|---|
| RAD0289 | Radiology Facility | Active | 2022-11-02 | 2025-08-31 |
| Number | Name | File Date |
|---|---|---|
| 202455441050 | Annual Report | 2024-06-07 |
| 202326362110 | Annual Report | 2023-01-21 |
| 202217285700 | Fictitious Business Name Statement | 2022-05-12 |
| 202212968770 | Annual Report | 2022-03-16 |
| 202185236920 | Annual Report | 2021-01-08 |
Date of last update: 02 Jun 2025
Sources: Rhode Island Department of State
