LUIS O. VALDIVIESO, JR. PHARM.D. – NPI #1881762300
Pharmacist

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.

LUIS VALDIVIESO, JR. is a pharmacist located in SAN ANTONIO, TX. NPPES has assigned the NPI number 1881762300 to LUIS VALDIVIESO, JR. on December 01, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 1835N1003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist, specializing in Nutrition Support

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LUIS VALDIVIESO, JR. below.

NPI Profile for
LUIS O. VALDIVIESO, JR.

NPI Number
1881762300
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
LUIS O. VALDIVIESO, JR.
Credentials
PHARM.D.
Primary location
2100 BERQGUIRE RD STE NO. 1
SAN ANTONIO, TX 78236
Phone: (210) 292-2453 Fax:
Mailing address
13116 MYSTIC SADDLE
HELOTES, TX 78023-3985
Phone: Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
1835N1003X
- Pharmacist / Nutrition Support (Primary)
TX 42791

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.