Provider Demographics
NPI:1801517370
Name:CARRARO, ROBERTA R INFANTE VIEIRA (APRN)
Entity type:Individual
Prefix:MRS
First Name:ROBERTA
Middle Name:R INFANTE VIEIRA
Last Name:CARRARO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6955 NW 25TH WAY
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-3536
Mailing Address - Country:US
Mailing Address - Phone:786-202-4378
Mailing Address - Fax:
Practice Address - Street 1:5295 TOWN CENTER RD STE 101
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-1080
Practice Address - Country:US
Practice Address - Phone:561-306-6415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-05
Last Update Date:2022-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11021283363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily