Wave Sports Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WAVE SPORTS CHIROPRACTIC LLC

Practice address

G3 Calle Oneill Ste 3
San Juan, PR 00918-2361

Phone

(787) 909-9600

NPI assigned

Apr 7, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Javier E Cornier Blanco, DCNPI 1215760202

Title

Authorized Official / Owner

Phone

(470) 899-9800

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Javier E. Cornier Blanco, DC

  • Chiropractor
  • San Juan, PR
  • NPI 1215760202
  NPD Authorized official

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1336933399",
    "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 STE 3",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182361",
            "telephone_number": "787-909-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVE SPORTS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-06",
        "status": "A",
        "authorized_official_last_name": "CORNIER BLANCO",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL / OWNER",
        "authorized_official_telephone_number": "470-899-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 7, 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.