Javier E. Cornier Blanco, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1043 Issued in PR

Practice address

G3 Calle Oneill
San Juan, PR 00918-2360

Phone

(787) 909-9600

NPI assigned

Aug 23, 2024

Last updated

Apr 6, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wave Sports Chiropractic LLC

  • Chiropractor
  • San Juan, PR
  • NPI 1336933399
  NPD Authorized official

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743897600000",
    "number": "1215760202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 AVE PONCE DE LEON APT 1181",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091797",
            "telephone_number": "470-899-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3 CALLE ONEILL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182360",
            "telephone_number": "787-909-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNIER BLANCO",
        "first_name": "JAVIER",
        "middle_name": "E.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-23",
        "last_updated": "2025-04-06",
        "certification_date": "2025-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR011226",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "1043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gladys Jeannette Cordova, MD
• Maria L Cordova
• Emely Coriano Ortiz
• Sherly Coriano
• Corlink Corporation
• Anaida Coronado, DMD
• Coronary & Peripheral Interventional Center, P.S.C
• Corporacion Centro Cardiovascular de Puerto Rico Y del Caribe
• Corporacion Espanola de Servicios Clinicos
• Corporacion Fondo Seguro del Estado

• Chiropractor in San Juan, PR
• Providers in San Juan, PR by specialty
• Chiropractor in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2025; 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.