Drisde Isabel Cruz-Martinez, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

65178 Issued in AZ

Practice address

15235 N Dysart Rd
El Mirage, AZ 85335-7800

Phone

(602) 569-3999

NPI assigned

Jun 13, 2006

Last updated

Dec 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clinica la Familia, PC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1780668921
  NPD
• Desert Kidney Associates PLC

  • Nephrology Physician
  • Mesa, AZ
  • NPI 1144372905
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1710920426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 E WILLETTA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062935",
            "telephone_number": "602-569-3999",
            "fax_number": "478-448-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15235 N DYSART RD",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853357800",
            "telephone_number": "602-569-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ-MARTINEZ",
        "first_name": "DRISDE",
        "middle_name": "ISABEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "65178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149564",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zandrel Lynn Churchwell
• Cory Michael Clark
• Tiffany Lynn Cohee
• Claudia Cohoon, DNP
• Comfort Drive LLC
• Jessica Cuevas, APRN
• Marilyn Daugherty, SLP
• Jamaal Wayne Dean Jr.
• Desert Lakes Counseling LLC
• Desmale Social Services

• Pediatrics Physician in El Mirage, AZ
• Providers in El Mirage, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.