Active NPI
Maralana CSP
- Specialist
- Ponce, PR
National Provider Identifier
1497150320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 9858
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0400850 | Other | PR | HUMANA INSURANCE |
| 582987239 | Other | CO | CHAMPUS VA |
| 582987239 | Other | PR | MAPFRE MEDICARE |
| 3158 | Other | PR | IMC |
| 582987239 | Other | PR | MEDICAL CARD SYSTEM |
| 582987239 | Other | PR | HUMANA GOLD PLUS |
| PE3364 | Other | PR | PALIC |
| 000041 | Other | PR | AMERICAN HEALTH MEDICARE |
| 200194 | Other | PR | MEDICARE Y MUCHO MAS |
| 41675 | Other | PR | PROSSAM |
| 582987239 | Other | PR | MAPFRE INSURANCE |
| 1942 | Other | PR | PREFERRED MEDICAL CHOICE |
| 582987239 | Other | PR | MCS CLASSICARE |
| 82569 | Other | PR | TRIPLE S |
| 582987239 | Other | WI | TRICARE |
| 582987239 | Other | GA | UNITED HEALTHCARE |
| 582987239 | Other | PR | FIRST PLUS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190130002381 | PR | Part B Supplier - Clinic/Group Practice | 9830436708 |
Receives reassigned benefits from 1 practitioner Practice locations: Ponce, PR |
National Provider Directory
National Provider DirectoryPractitioners & 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.