Provider Demographics
NPI:1205968872
Name:PLAGATA, MILAGROS GATMAYTAN (RDLD)
Entity type:Individual
Prefix:MRS
First Name:MILAGROS
Middle Name:GATMAYTAN
Last Name:PLAGATA
Suffix:
Gender:F
Credentials:RDLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14480 CAVES RD
Mailing Address - Street 2:
Mailing Address - City:NOVELTY
Mailing Address - State:OH
Mailing Address - Zip Code:44072-9505
Mailing Address - Country:US
Mailing Address - Phone:440-338-1523
Mailing Address - Fax:440-338-1523
Practice Address - Street 1:14480 CAVES RD
Practice Address - Street 2:
Practice Address - City:NOVELTY
Practice Address - State:OH
Practice Address - Zip Code:44072-9505
Practice Address - Country:US
Practice Address - Phone:440-338-1523
Practice Address - Fax:440-338-1523
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2159LD133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered