Wisco Oral Surgery LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

WISCO ORAL SURGERY LLC

Practice address

Edificio Guayacan 202 Calle Cintron Suite 221
Aibonito, PR 00705

Phone

(787) 520-7148

NPI assigned

Jul 18, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Andres Gustavo Wiscovitch Turney, DMD,MSDNPI 1487189171

Title

President

Phone

(727) 235-3912

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 3

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

• Andres Gustavo Wiscovitch Turney, DMD, MSD

  • Oral and Maxillofacial Surgery (Dentist)
  • Aibonito, PR
  • NPI 1487189171
  Medicare reassignment NPD Authorized official
• Rafael A. Gavilanes - Mendez, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • San Antonio, PR
  • NPI 1154726131
  NPD (past)
• Ariel O Otero-Rodriguez, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Kearny, NJ
  • NPI 1922364439
  NPD (past)

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1407535214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13004",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009083004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO GUAYACAN 202 CALLE CINTRON SUITE 221",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "00705",
            "telephone_number": "787-520-7148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Humacao Medical Plaza",
            "address_2": "53 Font Martelo Suite 103",
            "address_purpose": "LOCATION",
            "city": "Humacao",
            "state": "PR",
            "postal_code": "00791",
            "country_code": "US",
            "telephone_number": "787-285-4324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Cirugia Ambulatoria Hima San Pablo",
            "address_2": "Suite 302",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "00726",
            "country_code": "US",
            "telephone_number": "787-744-3087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WISCO ORAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "WISCOVITCH TURNEY",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_middle_name": "GUSTAVO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-235-3912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD,MSD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vital-Care Medical Center L.L.C.
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• Rolando Walker
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• Andres Gustavo Wiscovitch Turney, DMD, MSD
• WRR Therapy and Forensic Services
• Yariel Ambulance Inc.
• Yarimar Vargas
• Alanis Dinet Zayas

• Oral and Maxillofacial Surgery (Dentist) in Aibonito, PR
• Providers in Aibonito, PR by specialty
• Oral and Maxillofacial Surgery (Dentist) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.