Provider Demographics
NPI:1144475419
Name:ALAAN, KRISTINA CORTES (MD)
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:CORTES
Last Name:ALAAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 198441
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-8441
Mailing Address - Country:US
Mailing Address - Phone:813-745-7365
Mailing Address - Fax:813-449-8618
Practice Address - Street 1:12902 USF MAGNOLIA DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-9416
Practice Address - Country:US
Practice Address - Phone:813-745-3121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-30
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME169399207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME169399Medicaid
VA1144475419OtherUSA MANAGED CARE
VA1144475419OtherAETNA
VA1144475419OtherCOVENTRY NETWORK
FLME169399Medicaid
VA1144475419OtherVIRGINIA PREMIER HEALTH PLAN
VA1144475419OtherMULTIPLAN
VA1144475419OtherCIGNA
VA1144475419OtherCORVEL
VA1144475419OtherOPTIMA HEALTH
VA1144475419OtherMULTIPLAN
VA1144475419OtherUNITED HEALTHCARE
VA1144475419OtherUSA MANAGED CARE
VA1144475419OtherAETNA
VA1144475419OtherVIRGINIA PREMIER HEALTH PLAN