Active NPIIndividual providerSole proprietor

Omar Candelario Valdivieso, LND

Nutritionist, Nutrition, Education in Guayama, Puerto Rico

NPI Number1174143317
Practice location
Urb. Guayama Valley Street 15 H-11, Guayama, PR 00785
Fax
—
Last updated
April 17, 2020

Omar Candelario Valdivieso is a Nutritionist, Nutrition, Education based in Guayama, PR. Omar Candelario Valdivieso practices in Guayama, PR and has the professional credentials of LND. The NPI Number for Omar Candelario Valdivieso is 1174143317 and holds a License No. 2060 (PR). The current practice location address for Omar Candelario Valdivieso is Urb. Guayama Valley Street 15 H-11, Guayama, PR 00785 and can be reached out via phone at 787-204-1036.

Provider Profile Details

NPI Number
1174143317
Provider Name
Omar Candelario Valdivieso
Credential
LND
Provider Entity Type
Individual
Gender
Male
Address
Urb. Guayama Valley Street 15 H-11, Guayama, PR 00785
Phone Number
787-204-1036
Primary Taxonomy
Nutritionist, Nutrition, Education · 133NN1002X
Sole Proprietor
Yes
Provider Enumeration Date
April 17, 2020
Last Update Date
April 17, 2020
Certification Date
April 17, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
Urb. Guayama Valley Street 15 H-11
Guayama, PR 00785
Zip
00785
Phone Number
787-204-1036
Guayama, PR 00785Get directions →

Provider Business Mailing Address Details

Address
Po Box 3325
Guayama, PR 00785-3325
City
Guayama
State
PR
Zip
00785-3325
Phone Number
787-204-1036

License Information

License Number
2060
License State
PR
Taxonomy
Nutritionist, Nutrition, Education · 133NN1002X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Omar Candelario Valdivieso, LND?

The NPI number of Omar Candelario Valdivieso, LND is 1174143317. It was assigned on April 17, 2020 and is currently active in the NPPES registry.

What is the specialty of Omar Candelario Valdivieso, LND?

Omar Candelario Valdivieso, LND is registered under the primary taxonomy Nutritionist, Nutrition, Education (code 133NN1002X), licensed in PR under license number 2060.

Where does Omar Candelario Valdivieso, LND practice?

The practice location is Urb. Guayama Valley Street 15 H-11, Guayama, PR 00785. The office can be reached at 787-204-1036 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174143317 directly on the NPPES registry website.

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