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  5. Interventional and Functional Pain Center, Inc.

Interventional and Functional Pain Center, Inc.

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Company Details

Name: Interventional and Functional Pain Center, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Revocation
Date of Organization in Rhode Island: 07 Sep 2018 (7 years ago)
Date of Dissolution: 18 Jun 2025 (a month ago)
Date of Status Change: 18 Jun 2025 (a month ago)
Identification Number: 001688007
ZIP code: 02920
City: Cranston
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: Google Maps Logo 1150 RESERVOIR AVENUE SUITE 200, CRANSTON, RI, 02920, USA

Contact Details

Phone +1 401-648-6100

Industry & Business Activity

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

Companies doing Offices of physicians (except mental health specialists)

Agent

Name Role Address
JUAN CARLOS MIRT Agent 55 OSPREY DRIVE, EAST GREENWICH, RI, 02818, USA

PRESIDENT

Name Role Address
BLANKI CHERUBINI PRESIDENT 1150 RESERVOIR AVE STE 200 CRANSTON, RI 02920 US

VICE PRESIDENT

Name Role Address
JUAN CARLOS MIRT VICE PRESIDENT 1150 RESERVOIR AVE STE 200 CRANSTON, RI 02920 US

National Provider Identifier

NPI Number:
1356127773
Certification Date:
2023-09-01
Link:
View on NPI website

Authorized Person:

Name:
JUAN CARLOS MIRT
Role:
OWNER
Phone:
4016486100

Taxonomy:

Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
Yes

Contacts:

Phone:
+1 347-310-0149

Licenses

License No License Type Status Date Issued Expiration Date
RAD0289 Radiology Facility Active 2022-11-02 2025-08-31

Filings

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

Uniform Commercial Code

The Uniform Commercial Code (UCC) is a comprehensive set of laws governing all commercial transactions in the United States.

A UCC filing is a public notice of a secured transaction. A financing statement indicates a commercial agreement between a debtor and a secured party.

Uniform Commercial Code Summary

Type:
UCC-3 CONTINUATION
UCC Filing Number:
202532132640
Filing Date:
2025-05-21
Action:
Continuation

Parties

Party Name:
Interventional and Functional Pain Center, Inc.
Party Role:
Debtor(s)

Uniform Commercial Code Summary

Type:
UCC-1 Standard
UCC Filing Number:
202329997490
Filing Date:
2023-12-19
Action:
InitialFiling

Parties

Party Name:
Interventional and Functional Pain Center, Inc.
Party Role:
Debtor(s)
Party Name:
BLANKI CHERUBINI
Party Role:
Debtor(s)
Party Name:
NEWLANE FINANCE COMPANY
Party Role:
Secured Parties

Uniform Commercial Code Summary

Type:
UCC-3 CONTINUATION
UCC Filing Number:
202329884060
Filing Date:
2023-11-20
Action:
Continuation

Parties

Party Name:
Interventional and Functional Pain Center, Inc.
Party Role:
Debtor(s)

USAspending Awards / Financial Assistance

Business Type:
SMALL BUSINESS
Date:
2021-02-08
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
$0
Face Value Of Loan:
$47,236.77
Total Face Value Of Loan:
$47,236.77
Business Type:
SMALL BUSINESS
Date:
2020-05-27
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
$0
Face Value Of Loan:
$65,000
Total Face Value Of Loan:
$38,646
Business Type:
SMALL BUSINESS
Date:
2020-04-22
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
$0
Face Value Of Loan:
$62,400
Total Face Value Of Loan:
$62,400
Business Type:
SMALL BUSINESS
Date:
2020-04-12
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
$6,000
Face Value Of Loan:
$0
Total Face Value Of Loan:
$0

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$47,236.77
Date Approved:
2021-02-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$47,236.77
Race:
White
Ethnicity:
Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$47,622.43
Servicing Lender:
BankNewport
Use of Proceeds:
Payroll: $47,236.77
Jobs Reported:
6
Initial Approval Amount:
$65,000
Date Approved:
2020-05-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$38,646
Race:
White
Ethnicity:
Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$38,875.76
Servicing Lender:
BankNewport
Use of Proceeds:
Payroll: $38,646

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Date of last update: 15 Jul 2025

Sources: Rhode Island Department of State

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