| Organization Name: | VICTOR TIRADO MD LLC |
| NPI Number: | 1063644391 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VICTOR TIRADO-MONTANEZ (OWNER) |
| Mailing Address: | 929 Silas Deane Hwy 2nd Floor West Wethersfield |
| State: | CT US |
| Postal Code: | 061094220 |
| Phone Number: | 8603724731 |
| Fax Number: | 8603724730 |
| NPI Enumeration Date: | 08/20/2009 |
| NPI Last Update Date: | 07/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |