Lighthouse Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LIGHTHOUSE CHIROPRACTIC LLC

Practice address

145 Hilden Rd
Suite 123
Ponte Vedra, FL 32081-8401

Phone

(904) 395-5371

NPI assigned

Feb 28, 2017

Last updated

Jul 13, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mayredlis Cruz

Title

Owner/DC

Phone

(904) 342-8970

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mayredlis Cruz Martir, DC

  • Chiropractor
  • St Augustine, FL
  • NPI 1245779818
  Medicare reassignment

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1730629528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 HILDEN RD",
            "address_2": "SUITE 123",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320818401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 HILDEN RD",
            "address_2": "SUITE 123",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320818401",
            "telephone_number": "904-395-5371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "MAYREDLIS",
        "authorized_official_title_or_position": "OWNER/DC",
        "authorized_official_telephone_number": "904-342-8970"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lerian, LMHC
• Amy Leslie, OTR/L
• Mitchell Duane Levine, DPT, PT
• Benjamin Eli John Levy
• Alexandra Lewis, MS, RD, LD/N
• Alla Livshin, RD
• Robert J Lombardo
• Erika Nicolina Lorig-Wolf, D.O.
• Andrew Lourens, APRN
• Lovelace Family Dentistry, LLC (Lovelace Family Dentistry)

• Chiropractor in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.