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

Doreen Marie Siracusano, PA-C/MA

Individual provider Medical Physician Assistant · NPI 1679583710

Doreen Marie Siracusano, PA-C/MA is a Medical Physician Assistant in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2006.

Licensed in
NM
In the registry since
2006

Practice location Address checks out

1501 San Pedro Dr SE
Albuquerque, NM 87108-5153
Phone: (505) 265-1711
Fax: (505) 256-2819
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 85PA013 (NM)

Record details

NPI number1679583710
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C/MA
Sole proprietorNo
NPI enumeratedAugust 9, 2006
Last updated in NPPESJuly 8, 2007

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