Healthcare Provider Details

I. General information

NPI: 1962259812
Provider Name (Legal Business Name): PIMA HEART PHYSICIANS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2024
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15920 S RANCHO SAHUARITA BLVD STE 120
SAHUARITA AZ
85629-8013
US

IV. Provider business mailing address

2404 E RIVER RD STE 100
TUCSON AZ
85718-6521
US

V. Phone/Fax

Practice location:
  • Phone: 520-838-3540
  • Fax: 520-325-3526
Mailing address:
  • Phone: 520-838-3540
  • Fax: 520-325-3526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC3500X
TaxonomyCardiac Rehabilitation Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: LINDA ANDREWS
Title or Position: REGIONAL PRESIDENT
Credential:
Phone: 520-838-2440