Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mariantonieta Tirado Gonzalez, MD

Individual provider Dermatopathology Physician · NPI 1396025060

Mariantonieta Tirado Gonzalez, MD is a Pathology in Albuquerque, New Mexico. Qualified in 2000, 26 years ago. Practices with Presbyterian Healthcare Services, a 1,375-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Missouri, New Mexico and Tennessee.

Years since qualifying
26
Licensed in
MO, NM, TN
In the registry since
2011
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1100 Central Ave SE
Albuquerque, NM 87106-4930
Phone: (505) 938-8100
Fax: (505) 938-8868
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2326 Millpark Dr, Maryland Heights, MO 63043-3530 — (314) 991-4313
  • 930 Madison Ave Ste 890, Memphis, TN 38103-3413 — (901) 866-8834

Specialties & licences

Dermatopathology (Pathology) Physician (primary) Taxonomy 207ZD0900X · Licence MD2025-0726 (NM)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 2019025553 (MO)
Dermatopathology (Pathology) Physician Taxonomy 207ZD0900X · Licence 2019025553 (MO)
Dermatopathology (Pathology) Physician Taxonomy 207ZD0900X · Licence 60822 (TN)

Record details

NPI number1396025060
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 25, 2011
Last updated in NPPESAugust 28, 2025
Certification dateAugust 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Presbyterian Healthcare Services — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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