Active NPI
Michelle Carlo, MD
- Pediatric Critical Care Medicine Physician
- Bayamon, PR
National Provider Identifier
1760574131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 15118
- Practice address
- 1 Ave Casa Linda Ste 101
Entrada American Military Academy
Bayamon, PR 00959-8998 - Phone
- (787) 789-1919
- Fax
- (787) 789-1921
- NPI assigned
- Sep 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | 15118 | PR | Primary |
Addresses
Primary practice location
1 Ave Casa Linda Ste 101
Entrada American Military Academy
Bayamon, PR 00959-8998
Mailing address
PMB 509
P.O.Box 7891
Guaynabo, PR 00970-7891
Phone (787) 789-1919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15118 | PR | MD | Pediatric Critical Care Medicine Physician |
Interoperability endpoints
- michelle.carlonewman@4048.securemail.prognocis.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760574131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PMB 509",
"address_2": "P.O.BOX 7891",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009707891",
"telephone_number": "787-789-1919",
"fax_number": "787-789-1921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 AVE CASA LINDA STE 101",
"address_2": "ENTRADA AMERICAN MILITARY ACADEMY",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009598998",
"telephone_number": "787-789-1919",
"fax_number": "787-789-1921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLO",
"first_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "PR",
"license": "15118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
- Caribe Pharmacy Management LLC (Farmacia Caridad #33)
- Caribe Pharmacy Management LLC (Farmacia Caridad #32)
- Caribe Pharmacy Management LLC (Farmacia Caridad #35)
- Caribe Pharmacy Management LLC (Farmacia Caridad #34)
- Esther N. Carlo
- Carlos a Leyva Jordan LLC
- Juan L Carlos Benjamin, DNP, APRN, FNP-C
- Ashley Nicole Carmona Fonseca, MS SLP
- Carmona OB-GYN Group
- Nestor Andres Carmona Vargas, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.