Individual
JONATHAN MIRELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSOT
Contact information
Practice address
508 W GRIFFIN PKWY STE A, MISSION, TX 78572-2224
(956) 583-1527
Mailing address
418 CHEROKEE LN, ALAMO, TX 78516-6875
(956) 599-2647
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
122724
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649919622
—
TX
Enumeration date
05/31/2022
Last updated
02/05/2026
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