Luis Omar Valdivieso in San Antonio - Nutrition Support
Luis Omar Valdivieso - NPI 1881762300
Luis Omar Valdivieso is a Nutrition Support in San Antonio, Texas. Luis Omar Valdivieso practices all healthcare services and medical treatments related to Nutrition Support. The NPI Number for Luis Omar Valdivieso is 1881762300. The last update date is 2007-07-08.
Luis Omar Valdivieso's current location address is 2100 Berqguire Rd Ste No. 1, San Antonio, Texas. You can contact this provider via phone number 2102922453. The mailing address for Luis Omar Valdivieso is 2100 Berqguire Rd Ste No. 1, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Luis Omar Valdivieso |
|---|---|
| Address | 2100 Berqguire Rd Ste No. 1, San Antonio, Texas |
| Phone Number | 2102922453 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHARM.D. |
NPI Number Detail
| NPI Number | 1881762300 |
|---|---|
| Provider Enumeration Date | 2006-12-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2100 Berqguire Rd Ste No. 1 |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 78236 |
| Phone Number | 2102922453 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition Support |
|---|---|
| Taxonomy | 1835N1003X |
| Licence No | 42791 |
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Definition: A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. |
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What is the unique identifier code issued to Luis Omar Valdivieso by the Centers for Medicare & Medicaid Services (CMS)?
The Luis Omar Valdivieso has been assigned the NPI (National Provider Identifier) 1881762300. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Luis Omar Valdivieso located?
The Luis Omar Valdivieso is located at 2100 Berqguire Rd Ste No. 1, San Antonio, TX 78236.
What is Luis Omar Valdivieso's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Luis Omar Valdivieso is Nutrition Support, and the taxonomy code that categorizes this field of expertise is 1835N1003X.
On what date did Luis Omar Valdivieso receive its 1881762300 assignment from the Centers for Medicare & Medicaid Services?
The Luis Omar Valdivieso was assigned its 1881762300 on 2006-12-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Luis Omar Valdivieso's information last updated?
The Luis Omar Valdivieso's information was last updated on 2007-07-08.