Wisco Russo LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WISCO RUSSO LLC

Practice address

Albizu Campos (Carr 107) #2022 KM 1.2 Bo Marbella
Aguadilla, PR 00603

Phone

(787) 643-5041

NPI assigned

Jul 24, 2026

Organization subpart

No

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

Authorized official

Name

Alejandro Wiscovitch Russo, DMD

Title

Owner and Chief Dentist

Phone

(787) 643-5041

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1784851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787443200000",
    "number": "1467373308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2894",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006812894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ALBIZU CAMPOS (CARR 107) #2022 KM 1.2 BO MARBELLA",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-643-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCO RUSSO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-24",
        "last_updated": "2026-08-23",
        "certification_date": "2026-08-23",
        "status": "A",
        "authorized_official_last_name": "WISCOVITCH RUSSO",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "OWNER AND CHIEF DENTIST",
        "authorized_official_telephone_number": "787-643-5041",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.