Provider Demographics
NPI:1194696120
Name:DEVERA, MARIA GABRIELA (MA, PHLEBOTOMIST)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:GABRIELA
Last Name:DEVERA
Suffix:
Gender:F
Credentials:MA, PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7809 NW 104TH AVE APT 21
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-4448
Mailing Address - Country:US
Mailing Address - Phone:786-812-5132
Mailing Address - Fax:
Practice Address - Street 1:7809 NW 104TH AVE APT 21
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-4448
Practice Address - Country:US
Practice Address - Phone:786-812-5132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL26157390246Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Q00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Pathology