Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Divina Gracia Averilla, MD

Individual provider Family Medicine Physician · NPI 1467504175

Divina Gracia Averilla, MD is a Family Practice in Las Vegas, Nevada. Qualified in 1985, 41 years ago. Practices with Intermountain Medical Holdings Nevada Inc, a 308-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
41
Licensed in
NV
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8595 S Decatur Blvd Ste 108
Las Vegas, NV 89139-7006
Phone: (702) 948-1130
Fax: (702) 688-8861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3131 La Canada St Ste 200, Las Vegas, NV 89169-2579 — (702) 369-5582

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 7308 (NV)

Record details

NPI number1467504175
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 16, 2007
Last updated in NPPESOctober 14, 2022
Certification dateOctober 14, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Intermountain Medical Holdings Nevada Inc — 308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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