Healthcare Provider Details

I. General information

NPI: 1053089714
Provider Name (Legal Business Name): ALEXUS D. VEGA-ECHEVARRIA M.S. WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2021
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 E ROLLINS ST STE 10100
ORLANDO FL
32804-5573
US

IV. Provider business mailing address

265 E ROLLINS ST STE 10100
ORLANDO FL
32804-5573
US

V. Phone/Fax

Practice location:
  • Phone: 689-500-4016
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number104454191
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: