Daphne Martinez-Cruz
Student in an Organized Health Care Education/Training Program in Chicago, IL. Individual provider (NPI-1).
Details
- NPI
- 1891544516
- Entity type
- Individual (NPI-1)
- Name
- Daphne Martinez-Cruz
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 15, 2024
- Certification date
- Dec 23, 2025
- Last updated
- Dec 23, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 363A00000X | Physician Assistant | PA66797 | CA |
Practice location
PA Program, 240 E Huron St Ste 1-200Chicago, IL 60611-2909
Phone 312-503-1851
Mailing address
PA Program, 240 E Huron St.Ste 1-200
Chicago, IL 60611-2909
Phone 312-503-1851
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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