Active NPI
Mairim G Wiscovich-Torres, MD
- Pediatrics Physician
- Cabo Rojo, PR
National Provider Identifier
1457635211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 20740
- Practice address
- Urb. San Miguel Calle 6 G-1
Cabo Rojo, PR 00623 - Phone
- (787) 366-5890
- NPI assigned
- Sep 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 20740 | PR | Primary |
Addresses
Primary practice location
Urb. San Miguel Calle 6 G-1
Cabo Rojo, PR 00623
Mailing address
400 Grand Blvd Los Prados Apt 14203
Caguas, PR 00727-3282
Phone (787) 366-5890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20740 | PR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1457635211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 GRAND BLVD LOS PRADOS APT 14203",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007273282",
"telephone_number": "787-366-5890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. SAN MIGUEL CALLE 6 G-1",
"city": "CABO ROJO",
"state": "PR",
"postal_code": "00623",
"telephone_number": "787-366-5890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISCOVICH-TORRES",
"first_name": "MAIRIM",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-28",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "20740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cabo Rojo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.