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MICHELLE CARRILLO
NPI 1811432453
Nutritionist in San Juan, PR

Active since January 05, 2017Accepts Medicare Assignment
452 AVE HOSTOS, SAN JUAN, PR 00918(787) 710-7109 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 1, 2020, Jan 5, 2017 (2 updates tracked since 2017).

About Michelle Carrillo NPPES

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

MICHELLE CARRILLO (NPI 1811432453) is an individual nutritionist in San Juan, Puerto Rico, licensed in Puerto Rico (2014) and active in the NPI registry since January 2017. She maintains a secondary practice location in Trujillo Alto and is a graduate of Other (2016).

NPPES Registry Identity

NPI1811432453
Entity TypeIndividualFemale
Primary Taxonomy133N00000X
Provider Legal NameMICHELLE CARRILLO
Location Address452 AVE HOSTOSSan Juan, PR 00918-3062
Mailing AddressCalle San Jose, Apt 806 Fontainebleu VillageGuaynabo, PR 00969 · (787) 510-9452
Phone(787) 710-7109
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 5, 2017
Last NPPES UpdateOctober 1, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2020
✔ NPI 1811432453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNutritionistDietary & Nutritional Service Providers
Taxonomy Code133N00000X
License✔ Licensed in PR · 2014
Definition
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.

Secondary Practice Location 1

Location 1Ra6 Via Del Rio, Rio Cristal Urb. EncantadaTrujillo Alto, PR 00976-6021 · Phone (787) 510-9452

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle Carrillo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759817596
PECOS Enrollment IDI20241204000888

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAMARIES CANDELARIOSOTO DMD
Dentist (Endodontics)
452 AVE HOSTOS
SAN JUAN, PR 00918
San Juan Municipio (787) 274-8837
DESIREE RAMIREZ COLON RD, LND
Dietitian, Registered
452 AVE HOSTOS
SAN JUAN, PR 00918
San Juan Municipio (787) 587-1810
DR. JUAN JIMENEZ MD
Internal Medicine (Pulmonary Disease)
452 AVE HOSTOS, URB EL VEDADO
SAN JUAN, PR 00918
San Juan Municipio (787) 753-7980
CAREVIDA INC.
Nutritionist
452 AVE HOSTOS
SAN JUAN, PR 00918
San Juan Municipio (787) 710-7109
BAM PUERTO RICO
Clinic/Center (Corporate Health)
452 AVE HOSTOS
SAN JUAN, PR 00918
San Juan Municipio (787) 410-9201

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 Michelle Carrillo's NPI number?

The NPI number for Michelle Carrillo is 1811432453. It was assigned to this individual provider in the NPPES registry on January 5, 2017.

Where is Michelle Carrillo located?

Michelle Carrillo practices at 452 Ave Hostos, San Juan, PR 00918. The listed phone number is (787) 710-7109.

What is Michelle Carrillo's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

Is Michelle Carrillo enrolled in Medicare?

Yes. Michelle Carrillo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michelle Carrillo was last updated on October 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.