Vidal Trevino Mireles Jr., RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86046619 Issued in TX

Practice address

6638 Dancing CT
San Antonio, TX 78244-1708

Phone

(210) 852-0002

NPI assigned

Jul 19, 2016

Last updated

Jul 19, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1427401090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6638 DANCING CT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782441708",
            "telephone_number": "210-852-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6638 DANCING CT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782441708",
            "telephone_number": "210-852-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRELES",
        "first_name": "VIDAL",
        "middle_name": "TREVINO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "86046619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makayla Loren Mireles, SLP
• Michael Mireles Jr.
• Ruben Zepeda Mireles, RN,CCP
• Sandra Mireles, LPC, MS
• Veronica Mireles
• John Mirelez
• Monica Marie Mirelez
• Mirhassan Farivar, MD, PA
• Miriam J. Friedman, M.D., P.a.
• Anna Katherine Mirk, M.D.

• Registered Dietitian in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.