Provider Demographics
NPI:1689647364
Name:ARRIA-DEVOE, GERARD M (MD)
Entity Type:Individual
Prefix:DR
First Name:GERARD
Middle Name:M
Last Name:ARRIA-DEVOE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:GERARDO
Other - Middle Name:
Other - Last Name:ARRIA DEVOE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2461 NE 201ST ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1837
Mailing Address - Country:US
Mailing Address - Phone:305-935-3729
Mailing Address - Fax:305-931-3729
Practice Address - Street 1:2461 NE 201ST ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33180-1837
Practice Address - Country:US
Practice Address - Phone:305-931-3729
Practice Address - Fax:305-931-3729
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-11
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME23324207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL268157900Medicaid
FL81542YMedicare ID - Type Unspecified
FL81542ZMedicare ID - Type Unspecified
FL268157900Medicaid