Daphne Martinez-cruz, is a
Student In An Organized Health Care Education/training Program based in Chicago, Illinois. Daphne Martinez-cruz is licensed to practice in * (Not Available) (license number ) and her current practice location is
Pa Program, 240 E Huron St Ste 1-200, Chicago, Illinois. She can be reached at her office (for appointments etc.) via phone at
(312) 503-1851.
NPI number for Daphne Martinez-cruz is 1891544516 and her current mailing address is Pa Program, 240 E Huron St., Ste 1-200, Chicago, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891544516.
Provider's Profile
| Full Name | Daphne Martinez-cruz |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | Pa Program, 240 E Huron St Ste 1-200, Chicago, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891544516
- Provider Enumeration Date: 05/15/2024
- Last Update Date: 12/23/2025
Medical Identifiers
Medical identifiers for Daphne Martinez-cruz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1891544516 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | PA66797 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Daphne Martinez-cruz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Daphne Martinez-cruz, Pa Program, 240 E Huron St., Ste 1-200, Chicago, IL 60611-2909 Ph: (312) 503-1851 | Daphne Martinez-cruz, Pa Program, 240 E Huron St Ste 1-200, Chicago, IL 60611-2909 Ph: (312) 503-1851 |
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