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Organization

WAVE SPORTS CHIROPRACTIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAVIER E CORNIER BLANCO DC (AUTHORIZED OFFICIAL / OWNER)
(470) 899-9800
Entity
Organization

Contact information

Practice address
G3 CALLE ONEILL STE 3, SAN JUAN, PR 00918-2361
(787) 909-9600
Mailing address
1509 AVE PONCE DE LEON APT 1181, SAN JUAN, PR 00909-1797
(470) 899-9800

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
04/07/2025
Last updated
04/07/2025
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