Healthcare Provider Details

I. General information

NPI: 1801978432
Provider Name (Legal Business Name): AMY BUONCRISTIANI CURRANO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 09/20/2022
Certification Date: 09/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5152 BECKNER RD
SANTA FE NM
87507-3197
US

IV. Provider business mailing address

5152 BECKNER RD
SANTA FE NM
87507-3197
US

V. Phone/Fax

Practice location:
  • Phone: 510-206-7959
  • Fax:
Mailing address:
  • Phone: 510-206-7959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA62545
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberMD2021-0252
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: