Carevida Inc.
NPI 1902400542ActiveOrganization· Nutritionist· San Juan, PR
Nutritionist in San Juan, Puerto Rico, registered in NPPES in November 2020. The authorized official on file is Michelle Carrillo Russe, Nutritionist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1902400542 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 24, 2020 |
| Last updated in NPPES | Nov 24, 2020 |
| Certified by provider | Sep 30, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nutritionist Primary | 133N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PR) |
|---|
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