Organization
MARALANA CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARMANDO WISCOVITCH MD (DOCTOR)
(787) 259-5990
Entity
Organization
Contact information
Practice address
COLISEO SHOPPING, 2525 AVE EDUARDO RUBERTE SUITE 101, PONCE, PR 00728-2813
(787) 259-5990
(787) 973-5991
Mailing address
PO BOX 7122, PONCE, PR 00732-7122
(787) 259-5990
(787) 259-5990
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9858
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000041
AMERICAN HEALTH MEDICARE
PR
01
—
0400850
HUMANA INSURANCE
PR
01
—
1942
PREFERRED MEDICAL CHOICE
PR
01
—
200194
MEDICARE Y MUCHO MAS
PR
01
—
3158
IMC
PR
01
—
41675
PROSSAM
PR
01
—
582987239
CHAMPUS VA
CO
01
—
582987239
UNITED HEALTHCARE
GA
01
—
582987239
MAPFRE MEDICARE
PR
01
—
582987239
TRICARE
WI
01
—
82569
TRIPLE S
PR
01
—
PE3364
PALIC
PR
Enumeration date
11/04/2014
Last updated
05/04/2026
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