Provider Demographics
NPI:1659303527
Name:TIRADO-GOMEZ, MARIBEL (MD)
Entity Type:Individual
Prefix:
First Name:MARIBEL
Middle Name:
Last Name:TIRADO-GOMEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:HEMATOLOGIA Y ONCOLOGIA RCM
Mailing Address - Street 2:PO BOX 29134
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00929-0134
Mailing Address - Country:US
Mailing Address - Phone:787-772-8300
Mailing Address - Fax:787-522-3282
Practice Address - Street 1:HEMATOLOGIA Y ONCOLOGIA - HOSPITAL UNIVERSITARIO ADULTO
Practice Address - Street 2:SOTANO - CENTRO MEDICO DE PR, BO. MONACILLOS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00935
Practice Address - Country:US
Practice Address - Phone:787-754-0101
Practice Address - Fax:787-756-5866
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2012-06-15
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Provider Licenses
StateLicense IDTaxonomies
PR13876207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology