Provider Demographics
NPI:1578660650
Name:GALVEZ, OSCAR G (MD)
Entity Type:Individual
Prefix:
First Name:OSCAR
Middle Name:G
Last Name:GALVEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3006 AVIATION AVENUE
Mailing Address - Street 2:SUITE #4A
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-3864
Mailing Address - Country:US
Mailing Address - Phone:305-854-1004
Mailing Address - Fax:305-854-1006
Practice Address - Street 1:3006 AVIATION AVENUE
Practice Address - Street 2:SUITE #4A
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-3864
Practice Address - Country:US
Practice Address - Phone:305-854-1004
Practice Address - Fax:305-854-1006
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME28972207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D58634Medicare UPIN
FL79069Medicare ID - Type Unspecified