Individual provider Active NPI

Armando Antonio Wiscovitch Velez, MD

  • Internal Medicine Physician
  • Ponce, PR
National Provider Identifier
1225006448
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9858 Issued in PR
Practice address
2525 Ave Eduardo Ruberte
Ste 101
Ponce, PR 00728-1739
Phone
(787) 259-5990
Fax
(787) 259-5990
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9858 PR Primary

Addresses

Primary practice location

2525 Ave Eduardo Ruberte
Ste 101
Ponce, PR 00728-1739

Mailing address

PO Box 7122
Ponce, PR 00732-7122
Phone (787) 259-5990

Other identifiers 13

IdentifierTypeStateIssuer
41675OtherASOCIACION DE MAESTROS
61101OtherHUMANA GOLD CHOICE
069951OtherCRUZ AZUL
8213OtherFEDERACION DE MAESTROS
PE3364OtherPAN AMERICAN LIFE
0118672OtherACAA
03545OtherAMERICAN HEALTH PLAN
0400850OtherHUMAN GOLD PLUS
0400850OtherHUMANA INSURANCE
4397101OtherCIGNA HEALTH CARE
3158OtherINTL MEDICAL CARD
583987239OtherMEDICAL CARD SYSTEM
82569OtherTRIPLE S

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120925000586 PR Practitioner - Internal Medicine 1557510179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2525 Ave Eduardo Ruberte Coliseo
Suite 101
Ponce, PR 00728-1813
Phone (787) 259-5990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9858PRMDAdult Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Maralana CSP CurrentSince Oct 3, 2018 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1225006448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7122",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327122",
            "telephone_number": "787-259-5990",
            "fax_number": "787-259-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 AVE EDUARDO RUBERTE",
            "address_2": "STE 101",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007281739",
            "telephone_number": "787-259-5990",
            "fax_number": "787-259-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISCOVITCH VELEZ",
        "first_name": "ARMANDO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "9858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASOCIACION DE MAESTROS",
            "identifier": "41675",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA GOLD CHOICE",
            "identifier": "61101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "069951",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERACION DE MAESTROS",
            "identifier": "8213",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAN AMERICAN LIFE",
            "identifier": "PE3364",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACAA",
            "identifier": "0118672",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH PLAN",
            "identifier": "03545",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMAN GOLD PLUS",
            "identifier": "0400850",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INSURANCE",
            "identifier": "0400850",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH CARE",
            "identifier": "4397101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTL MEDICAL CARD",
            "identifier": "3158",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL CARD SYSTEM",
            "identifier": "583987239",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "82569",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.