Organization
PCA INTERVENTIONAL SPINE AT MACQUARIUM
Active
Organization
PCA INTERVENTIONAL SPINE AT MACQUARIUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODRIGO DURALDE M.D. (OWNER/MEDICAL DIRECTOR)
(404) 351-7654
Entity
Organization
Contact information
Practice address
1800 PEACHTREE ST NW, SUITE 775, ATLANTA, GA 30309-2530
(404) 351-7654
(770) 692-6082
Mailing address
PO BOX 40166, BELFAST, ME 04915-1241
(678) 971-4167
(833) 989-2501
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2014
Last updated
09/02/2026
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