Active NPI
Andres Gustavo Wiscovitch Turney, DMD, MSD
- Oral and Maxillofacial Surgery (Dentist)
- Aibonito, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 3389
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wisco Oral Surgery LLC | Oral and Maxillofacial Surgery | Current | 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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Aibonito, PR
- NPI 1407535214
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.