Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michelle Carrillo

Individual provider Nutritionist · NPI 1811432453

Michelle Carrillo is a Registered Dietitian OR Nutrition Professional in San Juan, Puerto Rico. Qualified in 2016, 10 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Puerto Rico.

Years since qualifying
10
Licensed in
PR
In the registry since
2017

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

452 Ave Hostos
San Juan, PR 00918-3062
Phone: (787) 710-7109

Additional practice locations (1)

  • Ra6 Via Del Rio, Trujillo Alto, PR 00976-6021 — (787) 510-9452

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X · Licence 2014 (PR)

Record details

NPI number1811432453
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 5, 2017
Last updated in NPPESOctober 1, 2020
Certification dateSeptember 30, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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