Provider Demographics
NPI:1720548134
Name:COMPRES BRUGAL, LUIS ANDRES (MD)
Entity Type:Individual
Prefix:
First Name:LUIS
Middle Name:ANDRES
Last Name:COMPRES BRUGAL
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 1:12901 BRUCE B DOWNS BLVD # 55
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-4742
Mailing Address - Country:US
Mailing Address - Phone:813-974-3541
Mailing Address - Fax:813-905-9839
Practice Address - Street 1:12901 BRUCE B DOWNS BLVD # 55
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-4742
Practice Address - Country:US
Practice Address - Phone:813-974-3541
Practice Address - Fax:813-905-9839
Is Sole Proprietor?:No
Enumeration Date:2019-03-21
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program