DR. MARIA M. WISCOVITCH (NPI# 1316023294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316023294 |
| Entity Type | Individual |
| Full Name | DR. MARIA M. WISCOVITCH |
| Credential | M.D. |
| Practice Address |
Carretera 194 Cc21 Fajardo Gardens Fajardo PR 00738 |
| Mailing Address |
Po Box 362363 San Juan PR 00936-2363 |
| Practice Telephone | 7876557002 |
| Practice Fax Number | 7876557004 |
| Mailing Telephone | (787) 655-0505 |
| Mailing Fax Number | 7876555059 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
16301 | PR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | GLOBAL HEALTH PLAN | 123-16301 | 01 |
| PR | HUMANA | 7380103 | 01 |
| PR | TRIPLE-S | 23851 WI | 01 |
| PR | MMM | 826134 | 01 |
| PR | IMC | A771 | 01 |
| PR | CRUZ AZUL | 101145 | 01 |
| PR | PREFERRED HEALTH | 217109 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Torre Plaza Las Americas, Suite 603, San Juan, PR 00918 | 7877541199 | 7877584729 |
| Street Address |
CARRETERA 194 CC21 FAJARDO GARDENS |
| City | FAJARDO |
| State | PR |
| Zip Code | 00738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457979015 | Angerosa Tu Salud Inc | Registered Nurse | 1-101 Paseo Esmeralda Fajardo Calle 21, 1-101 Paseo Esmeralda Calle 21, Fajardo, PR 00738 | 2020-07-10 |
| 1235756339 | Integrate Community Health System | Clinic/Center | Carr # 3, Km 43.8, Bo. Quebrada Fajardo, Fajardo, PR 00738 | 2020-07-06 |
| 1942826110 | Nancy Queren Velazquez I | Registered Nurse | 1-101 Paseo Esmeralda Calle 21, Fajardo, PR 00738 | 2020-06-23 |
| 1518580943 | My Optical Factory LLC | Optometrist | #61 Calle Garrido Morales W, Fajardo, PR 00738 | 2020-05-20 |
| 1992335830 | Jm Albulance | Ambulance | 157 Calle Celis Aguilera, Fajardo, PR 00738 | 2020-01-20 |
| 1376180885 | Wilma Enid Figueroa | Social Worker | Calle F # 86, Monte Mar, Fajardo, PR 00738 | 2019-12-03 |
| 1144879768 | Danny Josue Mendez Gomez | Chiropractor | Centro Quiropractico De Puerto Rico, Fajardo Market Square, Carr 3 Km 45.4, Fajardo, PR 00738 | 2019-09-06 |
| 1316595804 | Ceiba Medical Services Inc | Family Medicine | 195 Ave Lauro Inero, Ceiba, PR 00738 | 2019-08-28 |
| 1841847142 | Ecb Humacao LLC | Optometrist | Centro Comercial Plaza Fajardo Local 125 Carr 3 Km 43.3, Barrio Quebrada Abajo, Fajardo, PR 00738 | 2019-08-21 |
| 1134785017 | Genesis Medical Supply and Medical Equipment | Durable Medical Equipment & Medical Supplies | G10 Avenida Principal Suite 2, Urb Baralt, Fajardo, PR 00738 | 2019-05-15 |
| Find all providers in zip 00738 | ||||
| Taxonomy Code | 2084P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Pain Medicine |
| A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology. A subspecialty certificate was approved by ABMS in 1998. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482789 | Clinica De Servicios Integrados Respira | Psychiatry & Neurology | 20 Ave Luis Munoz Marin, Caguas, PR 00725-1956 | 2020-03-18 |
| 1326263807 | Robert A Stolberg | Psychiatry & Neurology | Tetuan 200, San Juan, PR 00901 | 2007-04-17 |
| 1861594988 | Miguel A Gonzalez-manrique | Psychiatry & Neurology | Univ of Puerto Rico Medical Science Campus, Dept of Psychiatry, San Juan, PR 00926 | 2006-09-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.