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CAREVIDA INC.
NPI 1902400542
Nutritionist in San Juan, PR

Active since November 24, 2020
452 AVE HOSTOS, SAN JUAN, PR 00918(787) 710-7109 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carevida Inc. NPPES

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

CAREVIDA INC. (NPI 1902400542) is a healthcare organization registered as a nutritionist in San Juan, Puerto Rico and active in the NPI registry since November 2020. The organization lists Michelle Carrillo Russe, Nutritionist, as its authorized official.

NPPES Registry Identity

NPI1902400542
Entity TypeOrganization
Primary Taxonomy133N00000X
Legal Business NameCAREVIDA INC.
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
Organization SubpartNo
Authorized OfficialMichelle Carrillo RusseNutritionist · (787) 710-7109
Enumeration DateNovember 24, 2020
NPPES CertifiedSeptember 30, 2020
✔ NPI 1902400542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNutritionistDietary & Nutritional Service Providers
Taxonomy Code133N00000X
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.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carevida Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Carevida Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Michelle Carrillo Russe
Registered Dietitian or Nutrition Professional
NPI 1811432453
452 AVE HOSTOS
San Juan, PR 00918
(787) 710-7109
✔ Accepts Medicare

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 Carevida Inc.'s NPI number?

The NPI number for Carevida Inc. is 1902400542. It was assigned to this organization in the NPPES registry on November 24, 2020.

Where is Carevida Inc. located?

Carevida Inc. is located at 452 Ave Hostos, San Juan, PR 00918. The listed phone number is (787) 710-7109.

What is Carevida Inc.'s specialty?

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

Is Carevida Inc. enrolled in Medicare?

Yes. Carevida Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Carevida Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Carevida Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Carevida Inc. was last updated on November 24, 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.