MR. VIDAL TREVINO MIRELES JR.


Address: 6638 Dancing Ct, San Antonio, TX 78244-1708
Phone: 2108520002

MR. VIDAL TREVINO MIRELES JR. (NPI# 1427401090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427401090
Entity Type Individual
Full Name MR. VIDAL TREVINO MIRELES JR.
Credential RDN
Practice Address 6638 Dancing Ct
San Antonio
TX 78244-1708
Practice Telephone 2108520002
Mailing Telephone 2108520002
Enumeration Date 2016-07-19
Last Update Date 2016-07-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 86046619 TX Dietary & Nutritional Service Providers

Office Location

Street Address 6638 DANCING CT
City SAN ANTONIO
State TX
Zip Code 78244-1708

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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

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1063025278 Catherine Rose Valadez Dietitian, Registered 15838 Spyglass Trl, San Antonio, TX 78247-5673 2020-08-27
1083226195 Brooke Ashlyn Respondek Dietitian, Registered 2035 Oakland Bnd, San Antonio, TX 78258-7254 2020-08-19
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Competitor

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City SAN ANTONIO
Zip Code 78244

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Dataset Information

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.

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