Bam Puerto Rico

Primary specialty

Corporate Health Clinic/CenterTaxonomy code 261QC1800X

Legal business name

BAM PUERTO RICO

Practice address

452 Ave Hostos
San Juan, PR 00918-3062

Phone

(787) 410-9201

NPI assigned

Nov 28, 2025

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, LND

Title

Nutritionist

Phone

(787) 510-9452

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Carrillo

  • Nutritionist
  • San Juan, PR
  • NPI 1811432453
  NPD

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

{
    "created_epoch": "1764288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764288000000",
    "number": "1962364919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 AVE HOSTOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183062",
            "telephone_number": "787-410-9201"
        },
        {
            "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": "787-410-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAM PUERTO RICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-28",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A",
        "authorized_official_last_name": "CARRILLO RUSSE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "NUTRITIONIST",
        "authorized_official_telephone_number": "787-510-9452",
        "authorized_official_credential": "LND"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Antonio Ballester-Maldonado
• Vanessa Ileana Ballester, R.PH.
• Alexandra Marie Balsalobre Velez
• Maria de Los Angeles Balzac, M.D.
• Bam Medical Services Inc.
• Bamedical
• Banco de Ojos del Leonismo Puertorriqueno
• Banco de Ojos del Leonismo Puertorriqueno, Inc.
• Banco de Sangre Servicios Mutuos Inc
• Dweepkumar I Bangdiwala, M.D.

• Corporate Health Clinic/Center in San Juan, PR
• Providers in San Juan, PR by specialty
• Corporate Health Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.