Provider Demographics
NPI:1063402477
Name:DEVIA, ALVARO H (MD)
Entity type:Individual
Prefix:
First Name:ALVARO
Middle Name:H
Last Name:DEVIA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6554 S MCCARRAN BLVD
Mailing Address - Street 2:#B
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-6112
Mailing Address - Country:US
Mailing Address - Phone:775-324-0288
Mailing Address - Fax:775-323-5504
Practice Address - Street 1:6554 S MCCARRAN BLVD
Practice Address - Street 2:#B
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-6112
Practice Address - Country:US
Practice Address - Phone:775-324-0288
Practice Address - Fax:775-323-5504
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV8635208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
G74736Medicare UPIN
NVV31163Medicare ID - Type Unspecified
NV2016366Medicare ID - Type Unspecified