Valdivieso, Luis Omar

Valdivieso, Luis Omar is an individual health care provider with primary practice located at 2100 Berqguire Rd Ste No. 1 , San Antonio TX 78236. He recently has only one registered license in Pharmacy Service Providers / Nutrition Support, which is considered as his primary health care specialty. Valdivieso, Luis Omar can be contacted via phone (210) 292-2453.

Contact Information

Primary practice address
2100 Berqguire Rd Ste No. 1 San Antonio TX 78236
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Nutrition Support 1835N1003X 42791 Texas

Profile Details

NPI number 1881762300
LBN Legal business name Valdivieso, Luis Omar
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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