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Contact Information

MARIANTONIETA TIRADO GONZALEZ, MD
1100 CENTRAL AVE SE
ALBUQUERQUE, NM87106-4930
 Phone: 505-938-8100
 Fax: 505-938-8868
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatopathology

207ZD0900X 22 Physician/Pathology
 

Dermatopathology

207ND0900X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for MARIANTONIETA TIRADO GONZALEZ · (Female)

NPI # 1396025060
Status Active
Credentials MD
Entity Individual
Enumeration date 08/25/2011
Last updated 08/28/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • MO License # 2019025553
  • NM License # MD2025-0726
  • TN License # 60822
Hospital affiliation(s)
  • REGIONAL MEDICAL CENTER AT MEMPHIS - (Acute Care)
    877 JEFFERSON AVENUE
    MEMPHIS, TN 38103
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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