Provider Demographics
NPI:1437748118
Name:CARRERAS, LISBELL
Entity Type:Individual
Prefix:
First Name:LISBELL
Middle Name:
Last Name:CARRERAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 102ND ST APT 2
Mailing Address - Street 2:
Mailing Address - City:BAY HARBOR ISLANDS
Mailing Address - State:FL
Mailing Address - Zip Code:33154-1245
Mailing Address - Country:US
Mailing Address - Phone:786-402-2491
Mailing Address - Fax:
Practice Address - Street 1:18500 COLLINS AVE
Practice Address - Street 2:
Practice Address - City:SUNNY ISLES BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-2427
Practice Address - Country:US
Practice Address - Phone:305-792-4099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-15
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician