Healthcare Provider Details

I. General information

NPI: 1699584771
Provider Name (Legal Business Name): ALEXA JAUREGUI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2025
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1138 COUNTRY CLUB BLVD
CAPE CORAL FL
33990-3027
US

IV. Provider business mailing address

1138 COUNTRY CLUB BLVD
CAPE CORAL FL
33990-3027
US

V. Phone/Fax

Practice location:
  • Phone: 239-468-8103
  • Fax:
Mailing address:
  • Phone: 239-468-8103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberTRN46457
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: