Mayredlis Cruz Martir, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH12101 Issued in FL

Practice address

148 Split Oak Rd
St Augustine, FL 32092-5444

Phone

(254) 220-1078

NPI assigned

Feb 15, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Lighthouse Chiropractic LLC

  • Chiropractor
  • Ponte Vedra, FL
  • NPI 1730629528
  Medicare reassignment

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1245779818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 HILDEN RD",
            "address_2": "STE 123",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320818401",
            "telephone_number": "254-220-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 SPLIT OAK RD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320925444",
            "telephone_number": "254-220-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ MARTIR",
        "first_name": "MAYREDLIS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamala K Crist, LMT
• Stephanie Ann Crites, ARNP,BC
• Samantha Lee Croft
• Lauren Duffey Crow, M.D.
• Crutchfield DPT, LLC
• Elisa Cruz Vegerano, M.D.
• Ioan Corneliu Cucoranu, M.D.
• Joshua Matthew Cuddy
• Cassey Marie Cuevas, PMHNP-BC
• Zehra Cumber, DO

• Chiropractor in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.