Michelle Carrillo

Primary specialty

NutritionistTaxonomy code 133N00000X

License

2014 Issued in PR

Practice address

452 Ave Hostos
San Juan, PR 00918-3062

Phone

(787) 710-7109

NPI assigned

Jan 5, 2017

Last updated

Oct 1, 2020By the provider in NPPES

Sex

Female

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

Enrolled in PR

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carevida Inc.

  • Nutritionist
  • San Juan, PR
  • NPI 1902400542
  Medicare reassignment NPD
• Bam Puerto Rico

  • Corporate Health Clinic/Center
  • San Juan, PR
  • NPI 1962364919
  NPD

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1811432453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE SAN JOSE",
            "address_2": "APT 806 FONTAINEBLEU VILLAGE",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-510-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 AVE HOSTOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183062",
            "telephone_number": "787-710-7109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Ra6 Via Del Rio",
            "address_2": "Rio Cristal Urb. Encantada",
            "address_purpose": "LOCATION",
            "city": "Trujillo Alto",
            "state": "PR",
            "postal_code": "009766021",
            "country_code": "US",
            "telephone_number": "787-510-9452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-05",
        "last_updated": "2020-10-01",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "2014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Carrillo-Colon, MD
• Francisco Javier Carrillo-Perez, PH.D
• Eliel O Carrillo
• Harry A Carrillo, MED
• Maria Carrillo
• Rafael Orlando Carrillo Sr., MD
• Talysha Carrio Diaz
• Roseline Carrion Figueroa
• Alejandro Israel Carrion Garriga
• Melanie Carrion Laureano

• Nutritionist in San Juan, PR
• Providers in San Juan, PR by specialty
• Nutritionist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.