MEDICARE: UNIVERSAL MEDICAL ALLIANCE INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1659995090
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL MEDICAL ALLIANCE INC.

Provider Business Mailing Address
First Line	:	6268 SPRING MOUNTAIN RD STE 115B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-8873
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6268 SPRING MOUNTAIN RD STE 115B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-8873
Country	:	US
Telephone Number	:	725-204-1017
Fax Number	:	725-205-0115

Authorized Official
Title or Position	:	PRESIDENT
Name	:	REX ROBLEDO
Credential	:
Telephone Number	:	702-883-0850

Provider Enumeration Date	:	06/02/2020
Last Update Date	:	07/07/2025

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