Provider Demographics
NPI:1083997043
Name:COMPREHENSIVE PRIMARY CARE SPECIALISTS LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE PRIMARY CARE SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:ORLANDO
Authorized Official - Last Name:AMARO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:340-776-0365
Mailing Address - Street 1:9151 ESTATE THOMAS
Mailing Address - Street 2:FOOTHILLS PROFESSIONAL BLDG. STE#103
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802-2617
Mailing Address - Country:US
Mailing Address - Phone:340-776-0365
Mailing Address - Fax:340-776-0369
Practice Address - Street 1:9151 ESTATE THOMAS
Practice Address - Street 2:FOOTHILLS PROFESSIONAL BLDG. STE#103
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-2617
Practice Address - Country:US
Practice Address - Phone:340-776-0365
Practice Address - Fax:340-776-0369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-26
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty