Individual
DRISDE ISABEL CRUZ-MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15235 N DYSART RD, EL MIRAGE, AZ 85335-7800
(602) 569-3999
Mailing address
1533 E WILLETTA ST, PHOENIX, AZ 85006-2935
(602) 569-3999
(478) 448-4586
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
65178
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149564
—
AZ
Enumeration date
06/13/2006
Last updated
12/05/2023
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