Individual
MARIANTONIETA TIRADO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 938-8100
(505) 938-8868
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
2019025553
MO
207ZD0900X
Dermatopathology (Pathology) Physician
2019025553
MO
207ZD0900X
Dermatopathology (Pathology) Physician
60822
TN
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
MD2025-0726
NM
Other
Enumeration date
08/25/2011
Last updated
08/28/2025
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