MICHELLE CARRILLO
NPI 1811432453
Nutritionist in San Juan, PR
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
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Michelle Carrillo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Juan, PR 00918
- Reassigned Medicare billing, Puerto Rico enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
SAN JUAN, PR 00918
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.
Which organization bills Medicare for Michelle Carrillo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Carrillo reassigns Medicare benefits to Carevida Inc. (San Juan, PR). The 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 Michelle 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 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 6 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.
# Michelle Carrillo · NPI 1811432453
Nutritionist provider in San Juan, Puerto Rico. Individual provider, active in the CMS NPPES registry since January 5, 2017.
## Identity
- **NPI:** 1811432453 (Entity type: Individual)
- **Enumerated:** January 5, 2017
- **Primary specialty:** Nutritionist · taxonomy 133N00000X
- **State license:** 2014 (Puerto Rico)
- **Sole proprietor:** No
## Practice location
- **Address:** 452 AVE HOSTOS, San Juan, PR 00918-3062
- **Phone:** (787) 710-7109
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Carevida Inc. (NPI 1902400542, San Juan, PR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** October 1, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1811432453) · Data from the CMS NPPES public registry.