Healthcare Provider Details

I. General information

NPI: 1093630188
Provider Name (Legal Business Name): THE TUCSON RETINA INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5101 N ORACLE RD STE 131
TUCSON AZ
85704-3713
US

IV. Provider business mailing address

5101 N ORACLE RD STE 131
TUCSON AZ
85704-3713
US

V. Phone/Fax

Practice location:
  • Phone: 207-440-8581
  • Fax:
Mailing address:
  • Phone: 520-222-7086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PEDRO F MONSALVE DIAZ
Title or Position: PHYSICIAN
Credential: MD
Phone: 520-222-7086