OMAR CANDELARIO VALDIVIESO (NPI# 1174143317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174143317 |
| Entity Type | Individual |
| Full Name | OMAR CANDELARIO VALDIVIESO |
| Credential | LND |
| Practice Address |
Urb. Guayama Valley Street 15 H-11 Guayama PR 00785 |
| Mailing Address |
Po Box 3325 Guayama PR 00785-3325 |
| Practice Telephone | 7872041036 |
| Mailing Telephone | 7872041036 |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-04-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
2060 | PR | Dietary & Nutritional Service Providers |
| Street Address |
URB. GUAYAMA VALLEY STREET 15 H-11 |
| City | GUAYAMA |
| State | PR |
| Zip Code | 00785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001285 | Giancarlo Colon Rosa | Student in an Organized Health Care Education/Training Program | Urb San Martin D2-a, Guayama, PR 00785 | 2020-04-06 |
| 1942771381 | Andres Joffre Fraticelli Sr. | Social Worker | Urb. Villa Rosa I Calle 6 A17, Guayama, PR 00785 | 2018-12-11 |
| 1962993782 | Gabriel Omar Covas | General Practice | Calle 4 C-7, Urb. Rexmanor, Guayama, PR 00785 | 2018-05-29 |
| 1700303526 | Phm Multidisiciplinary Clinic, LLC | Prevention Professional | Calle Palmer Esq Vicente Pales, Guayama, PR 00785 | 2017-08-23 |
| 1821510413 | Centro De Terapia Ocupacional Pediatrica Del Sureste LLC | Occupational Therapist | Ave Los Veteranos Calle 3, Guayama Medical Center, Guayama, PR 00785 | 2017-07-14 |
| 1922534742 | Jst Medical LLC | Registered Nurse | 1 Calle Palmer, Esquina Vicente Pales, Guayama, PR 00785 | 2017-05-11 |
| 1033659529 | Corp Fondo Del Seguro Del Estado | Clinic/Center | Carr 3 Km 0 Desvio Sur, Ave Pedro Albizu Campos, Guayama, PR 00785 | 2017-03-02 |
| 1881136000 | Mq Medical Plaza, Inc. | Clinic/Center | 1 Calle 1 350, Urbanizacion Villa Rosa, Guayama, PR 00785 | 2016-11-07 |
| 1427420090 | Brenda Liz Martinez | Nutritionist | Carr 3 Km 151.2, Bo. Coqui, Salinas, PR 00785 | 2015-10-22 |
| 1467854877 | Southeastern Healthcare Holdings LLC | Specialist | 1 Palmer Street Esq Vicente Pales, Bo Pueblo, Guayama, PR 00785 | 2014-09-17 |
| Find all providers in zip 00785 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326655887 | Maria M Cancel | Nutritionist | Urb. Las Quintas 196 Gran Bretana, San German, PR 00683-3517 | 2020-09-29 |
| 1710596820 | Sara Viel Torres | Nutritionist | Avenida Ponce De Leon 715, Nutrition Department, San Juan, PR 00919 | 2020-07-24 |
| 1679190417 | Luz Aidyl Marie Perez Rodriguez | Nutritionist | 60 Calle Bolivia, San Juan, PR 00917-2120 | 2020-06-27 |
| 1518584572 | Yarimar Torres Tavarez | Nutritionist | Urb. Toa Alta Heights, C19 P1, Toa Alta, PR 00953-4242 | 2020-06-25 |
| 1427675487 | Cindy M Perez | Nutritionist | Urb Francisco Oller Calle 6 Z3, Bayamon, PR 00956-0095 | 2020-06-25 |
| 1265063572 | Emilisse Francheska Ramos | Nutritionist | Urb. Los Dominicos, Calle San Agustin B43, Bayamon, PR 00957 | 2020-01-27 |
| 1952953671 | Ismari Delgado | Nutritionist | B11 Calle Jacaboa, Urb River Valley Park, Canovanas, PR 00729 | 2019-07-12 |
| 1699246868 | Elsie M Ramos Roman | Nutritionist | 400 Ave F D Roosevelt Suite 206, Clinica Las Americas, San Juan, PR 00918 | 2018-12-16 |
| 1922585157 | Loriann Davila-santiago | Nutritionist | 46 Calle Morse Esq Valentina, Arroyo, PR 00714-0450 | 2018-07-20 |
| 1376020610 | William Miguel Vega-sepulveda Sr. | Nutritionist | Barriada Roosevelt, 172 Calle San Isidro, Fajardo, PR 00738 | 2018-07-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.