Provider Demographics
NPI:1942061676
Name:CARRERAS, CARLINA MICHELLE
Entity Type:Individual
Prefix:MRS
First Name:CARLINA
Middle Name:MICHELLE
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 1:3517 MILLRACE CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-1816
Mailing Address - Country:US
Mailing Address - Phone:689-226-1998
Mailing Address - Fax:
Practice Address - Street 1:3517 MILLRACE CT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-1816
Practice Address - Country:US
Practice Address - Phone:689-226-1998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-19
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist