Individual
MICHELLE CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
452 AVE HOSTOS, SAN JUAN, PR 00918-3062
(787) 710-7109
Mailing address
CALLE SAN JOSE, APT 806 FONTAINEBLEU VILLAGE, GUAYNABO, PR 00969
(787) 510-9452
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
2014
PR
Other
Enumeration date
01/05/2017
Last updated
10/01/2020
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