Individual provider Active NPI

Andres Gustavo Wiscovitch Turney, DMD, MSD

  • Oral and Maxillofacial Surgery (Dentist)
  • Aibonito, PR
National Provider Identifier
1487189171
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
3389 Issued in PR
Practice address
Edif Guayacan
202 Calle Julio Cintron Suite 221
Aibonito, PR 00705
Phone
(787) 520-7148
NPI assigned
May 1, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 3389 PR Primary

Addresses

Primary practice location

Edif Guayacan
202 Calle Julio Cintron Suite 221
Aibonito, PR 00705

Mailing address

PO Box 13004
San Juan, PR 00908-3004
Phone (727) 235-3912

Other practice location 1

Cirugia Ambulatoria HIMA San Pablo
Suite 302
Caguas, PR 00725
Phone (787) 744-3087

Other practice location 2

Humacao Medical Plaza
53 Font Martelo Suite 103
Humacao, PR 00791
Phone (787) 285-4324

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230925003628 PR Practitioner - Oral Surgery 2062866072 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wisco Oral Surgery LLC Oral and Maxillofacial Surgery CurrentSince Jul 27, 2023 Accepting new patients

Locations

202 Calle Julio Cintron
Ste 221
Aibonito, PR 00705
Phone (787) 520-7148

202 Calle Julio Cintron
Ste 201
Aibonito, PR 00705
Phone (787) 520-7148

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": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1487189171",
    "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",
            "telephone_number": "727-235-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF GUAYACAN",
            "address_2": "202 CALLE JULIO CINTRON SUITE 221",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "00705",
            "telephone_number": "787-520-7148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Cirugia Ambulatoria HIMA San Pablo",
            "address_2": "Suite 302",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "00725",
            "country_code": "US",
            "telephone_number": "787-744-3087",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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"
        }
    ],
    "basic": {
        "last_name": "WISCOVITCH TURNEY",
        "first_name": "ANDRES",
        "middle_name": "GUSTAVO",
        "name_prefix": "Dr.",
        "credential": "DMD, MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-01",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PR",
            "license": "3389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aibonito, PR

Sources for this page

Verify at the official NPI Registry.