Provider Demographics
NPI:1023385507
Name:COLON-CORTES, YANERYS M (MD)
Entity Type:Individual
Prefix:DR
First Name:YANERYS
Middle Name:M
Last Name:COLON-CORTES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:YANERYS
Other - Middle Name:M
Other - Last Name:COLON-CORTES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:455 PINELLAS ST #400
Mailing Address - Street 2:DR. GARCIA-MORELL
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2 TAMPA GENERAL CIR # 5TH
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-3603
Practice Address - Country:US
Practice Address - Phone:813-974-2201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-28
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2024-00702080P0214X
FLME1340162080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL96OZLOtherBLUE CROSS BLUE SHIELD
FL022906100Medicaid