Mariantonieta Tirado Gonzalez
Dermatopathologist
930 Madison Ave Ste 890
Memphis
, Tennessee 38103-3413
Mariantonieta Tirado Gonzalez
Dermatopathologist
930 Madison Ave Ste 890
Memphis
, Tennessee 38103-3413
(901) 302-2003
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About
Features
Specialties
- Dermatopathologist
Languages spoken
- English
Location
First Address
- Mariantonieta Tirado Gonzalez
- 1407 Union Ave Ste 700
- Memphis, TN
- Zip : 38104-3641
- Fax : (901) 302-2003
- Phone : (901) 866-8003
Second Address
- Mariantonieta Tirado Gonzalez
- 930 Madison Ave Ste 890
- Memphis, TN
- Zip : 38103-3413
- Phone : (901) 866-8834
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207ND0900X | Dermatopathologist | 2019025553 | MO |
National Provider Identifier
| NPI | 1396025060 |
|---|---|
| Provider Name | Mariantonieta Tirado Gonzalez |
| First Address | Memphis, TN 38104-3641 |
| Second Address | Memphis, TN 38103-3413 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/08/2011 |
| Last Update Date | 08/05/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.