Organization Active NPI

Maralana CSP

  • Specialist
  • Ponce, PR
National Provider Identifier
1497150320
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
9858 Issued in PR
Legal business name
MARALANA CSP
Practice address
Coliseo Shopping
2525 Ave Eduardo Ruberte Suite 101
Ponce, PR 00728-2813
Phone
(787) 259-5990
Fax
(787) 973-5991
NPI assigned
Nov 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Armando Wiscovitch, MD
Title
Doctor
Phone
(787) 259-5990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 9858 PR Primary

Addresses

Primary practice location

Coliseo Shopping
2525 Ave Eduardo Ruberte Suite 101
Ponce, PR 00728-2813

Mailing address

PO Box 7122
Ponce, PR 00732-7122
Phone (787) 259-5990

Other identifiers 17

IdentifierTypeStateIssuer
0400850OtherPRHUMANA INSURANCE
582987239OtherCOCHAMPUS VA
582987239OtherPRMAPFRE MEDICARE
3158OtherPRIMC
582987239OtherPRMEDICAL CARD SYSTEM
582987239OtherPRHUMANA GOLD PLUS
PE3364OtherPRPALIC
000041OtherPRAMERICAN HEALTH MEDICARE
200194OtherPRMEDICARE Y MUCHO MAS
41675OtherPRPROSSAM
582987239OtherPRMAPFRE INSURANCE
1942OtherPRPREFERRED MEDICAL CHOICE
582987239OtherPRMCS CLASSICARE
82569OtherPRTRIPLE S
582987239OtherWITRICARE
582987239OtherGAUNITED HEALTHCARE
582987239OtherPRFIRST PLUS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190130002381 PR Part B Supplier - Clinic/Group Practice 9830436708 Receives reassigned benefits from 1 practitioner
Practice locations: Ponce, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1497150320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7122",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327122",
            "telephone_number": "787-259-5990",
            "fax_number": "787-259-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COLISEO SHOPPING",
            "address_2": "2525 AVE EDUARDO RUBERTE SUITE 101",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007282813",
            "telephone_number": "787-259-5990",
            "fax_number": "787-973-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARALANA CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "WISCOVITCH",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "787-259-5990",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "9858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INSURANCE",
            "identifier": "0400850",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS VA",
            "identifier": "582987239",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAPFRE MEDICARE",
            "identifier": "582987239",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMC",
            "identifier": "3158",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL CARD SYSTEM",
            "identifier": "582987239",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA GOLD PLUS",
            "identifier": "582987239",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALIC",
            "identifier": "PE3364",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH MEDICARE",
            "identifier": "000041",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Y MUCHO MAS",
            "identifier": "200194",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROSSAM",
            "identifier": "41675",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAPFRE INSURANCE",
            "identifier": "582987239",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICAL CHOICE",
            "identifier": "1942",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS CLASSICARE",
            "identifier": "582987239",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "82569",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "582987239",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "582987239",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PLUS",
            "identifier": "582987239",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.