Carevida Inc.

Primary specialty

NutritionistTaxonomy code 133N00000X

Legal business name

CAREVIDA INC.

Practice address

452 Ave Hostos
San Juan, PR 00918-3062

Phone

(787) 710-7109

NPI assigned

Nov 24, 2020

Last updated

Nov 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Carrillo Russe

Title

Nutritionist

Phone

(787) 710-7109

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Carrillo

  • Nutritionist
  • San Juan, PR
  • NPI 1811432453
  Medicare reassignment NPD
• Marla Samarie Delgado Adorno, RDN, LND

  • Registered Dietitian
  • Bayamon, PR
  • NPI 1669974648

  Nutritionist

  NPD (past)

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1902400542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE SAN JOSE APT 806",
            "address_2": "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": [],
    "basic": {
        "organization_name": "CAREVIDA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "CARRILLO RUSSE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "NUTRITIONIST",
        "authorized_official_telephone_number": "787-710-7109"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Caribbean Allcare Services Ms, Inc
• Caribbean Allcare Services, Inc
• Caribbean Center for Innovative Psychiatric LLC
• Caribbean Dental Clinic
• Caribbean Endocrinology Care

• 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 Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.