DR. LUIS OMAR VALDIVIESO JR. PHARM.D.
NPI 1881762300
Pharmacist - Nutrition Support in San Antonio, TX

Q: What is Luis Valdivieso's NPI number?

The NPI number for Luis Valdivieso is 1881762300. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Q: What is Luis Valdivieso's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Nutrition Support, with taxonomy code 1835N1003X.

Q: When was this NPI record last updated?

The NPPES record for Luis Valdivieso was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 01, 2006

2100 BERQGUIRE RD STE NO. 1, SAN ANTONIO, TX 78236(210) 292-2453 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Luis Omar Valdivieso Jr. Pharm.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LUIS OMAR VALDIVIESO JR. PHARM.D. (NPI 1881762300) is an individual nutrition support provider in San Antonio, Texas, licensed in Texas (42791) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1881762300

Entity TypeIndividualMale

Primary Taxonomy1835N1003X

Provider Legal NameDR. LUIS OMAR VALDIVIESO JR.Credential: PHARM.D.

Location Address2100 BERQGUIRE RD STE NO. 1San Antonio, TX 78236

Mailing Address13116 Mystic SaddleHelotes, TX 78023-3985

Phone(210) 292-2453

Sole ProprietorNo

Enumeration DateDecember 1, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1881762300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Nutrition SupportPharmacy Service Providers

Taxonomy Code1835N1003X

License✔ Licensed in TX · 42791

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.

2100 BERQGUIRE RD STE NO. 1, San Antonio, TX 78236

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luis Valdivieso's NPI number?

The NPI number for Luis Valdivieso is 1881762300. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Luis Valdivieso located?

Luis Valdivieso practices at 2100 Berqguire Rd Ste No. 1, San Antonio, TX 78236. The listed phone number is (210) 292-2453.

What is Luis Valdivieso's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Nutrition Support, with taxonomy code 1835N1003X.

When was this NPI record last updated?

The NPPES record for Luis Valdivieso was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.