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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARIANTONIETA TIRADO GONZALEZ, M.D.

Active

MARIANTONIETA TIRADO GONZALEZ, M.D. is a Dermatopathology (Pathology) healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1396025060 is currently active in the NPPES registry. Verify at CMS.

Dermatopathology (Pathology) · ALBUQUERQUE, NM

Registration Details

NPI Number
1396025060
Provider Type
Individual
Gender
Female
NPI Issued
Aug 25, 2011 (14.992262523635 yrs)
Last Updated
Aug 28, 2025
Licenses
2019025553 (MO)
2019025553 (MO)
60822 (TN)
MD2025-0726 (NM)

Practice Information

Address
1100 CENTRAL AVE SE
ALBUQUERQUE, NM, 871064930
Browse NM providers · Browse ZIP 87106
Phone
5059388100
Fax
5059388868
Primary Specialty
Dermatopathology (Pathology)
207ZD0900X
Additional Specialty
Dermatopathology (Pathology)
Additional Specialty
Dermatopathology (Pathology)
Additional Specialty
Dermatopathology (Pathology)

Other Dermatopathology (Pathology) Providers in ALBUQUERQUE, NM

Name Credential NPI
F ADELE BLAKELY MD 1952324238
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.