| Universal Medical Alliance Inc. | |
|
6268 Spring Mountain Rd Ste 115b Las Vegas NV 89146-8873 | |
| (725) 204-1017 | |
| (725) 205-0115 |
| Full Name | Universal Medical Alliance Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 6268 Spring Mountain Rd Ste 115b, Las Vegas, Nevada |
| Authorized Official Name and Position | Rex Robledo (PRESIDENT) |
| Authorized Official Contact | 7028830850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Universal Medical Alliance Inc. 6268 Spring Mountain Rd Ste 115b Las Vegas NV 89146-8873 Ph: () - | Universal Medical Alliance Inc. 6268 Spring Mountain Rd Ste 115b Las Vegas NV 89146-8873 Ph: (725) 204-1017 |
| NPI Number | 1659995090 |
|---|---|
| Provider Enumeration Date | 06/02/2020 |
| Last Update Date | 06/28/2020 |
| Medicare PECOS PAC ID | 6608291828 |
|---|---|
| Medicare Enrollment ID | O20200805002206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659995090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rosemary A Nowins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831239524 PECOS PAC ID: 8628237542 Enrollment ID: I20120313000833 |
| Provider Name | Anthony R Denina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427551936 PECOS PAC ID: 5698017556 Enrollment ID: I20190425002219 |
| Provider Name | Marian Christmas Bonus Dela Paz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053974832 PECOS PAC ID: 4880937622 Enrollment ID: I20190520001597 |
| Provider Name | Lisa M Gorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619536844 PECOS PAC ID: 7214261973 Enrollment ID: I20190628002678 |
| Provider Name | Ifeanyi C Madu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295295038 PECOS PAC ID: 2860729647 Enrollment ID: I20190816001757 |
| Provider Name | Nemia V Chiang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851872055 PECOS PAC ID: 6002248481 Enrollment ID: I20191125000680 |
| Provider Name | Jonard Y Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164905121 PECOS PAC ID: 0547696296 Enrollment ID: I20200129000535 |
| Provider Name | Marylou V Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548800360 PECOS PAC ID: 9032545181 Enrollment ID: I20200207001978 |
| Provider Name | Nenita T Roxas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396367900 PECOS PAC ID: 7416374772 Enrollment ID: I20201223001807 |
| Provider Name | Amor Antonio M Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013539170 PECOS PAC ID: 6800209172 Enrollment ID: I20210105001434 |
| Provider Name | Ma Celestina L Aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013596220 PECOS PAC ID: 3870998610 Enrollment ID: I20210817003924 |
| Provider Name | Charisse Lachica Kokseng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255908695 PECOS PAC ID: 9739570623 Enrollment ID: I20220104001261 |
| Provider Name | Joanna Sordan Dela Pena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619625225 PECOS PAC ID: 0547648289 Enrollment ID: I20220608000947 |
| Provider Name | Celestina Zenaida L Aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952033235 PECOS PAC ID: 5991171068 Enrollment ID: I20221013002586 |
| Provider Name | Charina Tan Dy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124730858 PECOS PAC ID: 8921473539 Enrollment ID: I20230413001313 |
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