Healthcare Provider Details

I. General information

NPI: 1083997043
Provider Name (Legal Business Name): COMPREHENSIVE PRIMARY CARE SPECIALISTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2011
Last Update Date: 09/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9151 ESTATE THOMAS FOOTHILLS PROFESSIONAL BLDG. STE#103
ST THOMAS VI
00802-2617
US

IV. Provider business mailing address

9151 ESTATE THOMAS FOOTHILLS PROFESSIONAL BLDG. STE#103
ST THOMAS VI
00802-2617
US

V. Phone/Fax

Practice location:
  • Phone: 340-776-0365
  • Fax: 340-776-0369
Mailing address:
  • Phone: 340-776-0365
  • Fax: 340-776-0369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LUIS ORLANDO AMARO
Title or Position: OWNER
Credential: M.D.
Phone: 340-776-0365