MRS. BERNADETTE MONTES-CARRILLO MD-GENERAL PRACTICE
NPI 1124203955
General Practice in San Juan, PR

Active since December 28, 2007PECOS Enrolled
30 AVE TERESA JORNET SUITE 114, GALERIA PACIFICO, SAN JUAN, PR 00926(787) 665-0450 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Bernadette Montes-carrillo Md-general Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. BERNADETTE MONTES-CARRILLO MD-GENERAL PRACTICE (NPI 1124203955) is an individual general practice provider in San Juan, Puerto Rico, licensed in Puerto Rico (16976) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124203955
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameMRS. BERNADETTE MONTES-CARRILLOCredential: MD-GENERAL PRACTICE
Location Address30 AVE TERESA JORNET SUITE 114, GALERIA PACIFICOSan Juan, PR 00926
Mailing Address224 Calle Tropical, Urb. MontehiedraSan Juan, PR 00926 · (787) 312-5554
Sole ProprietorYes
Enumeration DateDecember 28, 2007
Last NPPES UpdateAugust 26, 2024
✔ NPI 1124203955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 16976
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Bernadette Montes-carrillo Md-general Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Bernadette Montes-carrillo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
CAYEY SHOPPING CENTER LOCAL 7 Y 8
Cayey, PR 00736
  • Reassigned Medicare billing, Puerto Rico enrollment
  • Medicare enrollment name: Healthcare Ambulatory Services Inc
  • 30 clinicians in this Medicare group
Internal Medicine
4 CALLE GARCIA, URB SANTA CRUZ
Bayamon, PR 00956
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 52 clinicians in this Medicare group
Multi-Specialty
CARR 129, ZONA INDUSTRIAL VICTOR ROJAS II
Arecibo, PR 00612
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 50 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bernadette Montes-carrillo's NPI number?

The NPI number for Bernadette Montes-carrillo is 1124203955. It was assigned to this individual provider in the NPPES registry on December 28, 2007.

Where is Bernadette Montes-carrillo located?

Bernadette Montes-carrillo practices at 30 Ave Teresa Jornet Suite 114 Galeria Pacifico, San Juan, PR 00926. The listed phone number is (787) 665-0450.

What is Bernadette Montes-carrillo's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Bernadette Montes-carrillo enrolled in Medicare?

Yes. Bernadette Montes-carrillo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Bernadette Montes-carrillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bernadette Montes-carrillo reassigns Medicare benefits to 3 organizations: Healthcare Ambulatory Services Inc-Cayey (Cayey, PR), Integrate Community Health System (Bayamon, PR) and Metro Pavia Healthcare Centers Inc (Arecibo, PR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bernadette Montes-carrillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bernadette Montes-carrillo was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.