Healthcare Provider Details

I. General information

NPI: 1851740211
Provider Name (Legal Business Name): ANDREA GALAVIZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2016
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 S J STOCK RD
TUCSON AZ
85746-7012
US

IV. Provider business mailing address

7900 S J STOCK RD
TUCSON AZ
85746-7012
US

V. Phone/Fax

Practice location:
  • Phone: 520-547-8140
  • Fax: 520-496-3669
Mailing address:
  • Phone: 520-547-8140
  • Fax: 520-496-3669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberR75738
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: