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
- Last updated
- May 4, 2026
- 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
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, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Ponce, PR
- NPI 1225006448
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": [],
"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.