Provider Demographics
NPI:1588489488
Name:PLATA, LUIS FRANCISCO
Entity type:Individual
Prefix:
First Name:LUIS
Middle Name:FRANCISCO
Last Name:PLATA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 CHATHAM AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113-3938
Mailing Address - Country:US
Mailing Address - Phone:216-534-8480
Mailing Address - Fax:
Practice Address - Street 1:3700 CHATHAM AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113-3938
Practice Address - Country:US
Practice Address - Phone:216-534-8480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide