Healthcare Provider Details

I. General information

NPI: 1205860806
Provider Name (Legal Business Name): LUIS ORLANDO AMARO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 09/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

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

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberVI1322
License Number StateVI
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME94422
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberVI1322
License Number StateVI
# 4
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME94422
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: