Individual
JORGE TIRADOR GONZALEZ
Active
Individual
JORGE TIRADOR GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301066290
MI
2084N0400X
Neurology Physician
MD-16258
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1004394
COUNTY HEALTH PLAN
MI
05
—
103237981
—
MI
01
—
130017016
RAILROAD MEDICARE
MI
01
—
1300400361
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
01/08/2007
Last updated
04/24/2025
Update your record
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