Provider Demographics
NPI:1689838054
Name:UGARTE, MILUSKA IRELA
Entity Type:Individual
Prefix:MRS
First Name:MILUSKA
Middle Name:IRELA
Last Name:UGARTE
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 1:1720 STAR CT
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-1311
Mailing Address - Country:US
Mailing Address - Phone:757-471-6724
Mailing Address - Fax:757-471-6724
Practice Address - Street 1:1720 STAR CT
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-1311
Practice Address - Country:US
Practice Address - Phone:757-471-6724
Practice Address - Fax:757-471-6724
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-15
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other