Individual provider Active NPI

Alexander Lastra Cabeza, MD

  • Pediatrics Physician
  • Cape Coral, FL
National Provider Identifier
1295221943
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME147340 Issued in FL
Practice address
414 Cape Coral Pkwy E Ste 103
Cape Coral, FL 33904-8522
Phone
(239) 343-9888
Fax
(239) 468-7937
NPI assigned
Jul 5, 2018
Last updated
Oct 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME147340 FL Primary

Addresses

Primary practice location

414 Cape Coral Pkwy E Ste 103
Cape Coral, FL 33904-8522

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-9888

Other practice location 1

650 Del Prado Blvd S Ste 107
Cape Coral, FL 33990-5629
Phone (239) 343-9888

Other practice location 2

19701 S Tamiami Trl
Fort Myers, FL 33908-4818
Phone (239) 314-1660

Other practice location 3

11100 Summer Ridge Lane
Fort Myers, FL 33908
Phone (239) 344-2307

Other identifiers 1

IdentifierTypeStateIssuer
110519200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210504001115 FL Practitioner - Pediatric Medicine 1658780671 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME147340FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Memorial Health System CurrentSince Nov 1, 2024 Accepting new patients
Lee Health System Inc CurrentSince Nov 1, 2024 Accepting new patients
Lee Health System Inc Pediatrics CurrentSince Nov 1, 2024 Accepting new patients
Lee Memorial Health System Pediatrics CurrentSince Nov 1, 2024 Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

414 Cape Coral Pkwy E
Ste 103
Cape Coral, FL 33904

650 Del Prado Blvd S
Ste 107
Cape Coral, FL 33990

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

9800 S Healthpark Dr
Ste 110
Fort Myers, FL 33908
Phone (239) 344-2307

9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344

930 S Main St
Labelle, FL 33935
Phone (239) 343-3831

930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520

Interoperability endpoints

  • Direct secure messaging: alastracabeza269281@direct.leememorial.org
  • Direct secure messaging: sjcalastra@yourcarecommunity.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1295221943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-343-9888",
            "fax_number": "239-468-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 CAPE CORAL PKWY E STE 103",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339048522",
            "telephone_number": "239-343-9888",
            "fax_number": "239-468-7937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Del Prado Blvd S Ste 107",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339905629",
            "country_code": "US",
            "telephone_number": "239-343-9888",
            "fax_number": "239-343-4265",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19701 S Tamiami Trl",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339084818",
            "country_code": "US",
            "telephone_number": "239-314-1660",
            "fax_number": "239-425-6404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11100 Summer Ridge Lane",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "33908",
            "country_code": "US",
            "telephone_number": "239-344-2307",
            "fax_number": "239-267-6219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASTRA CABEZA",
        "first_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-05",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME147340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110519200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.