MEDICARE: DR. ARMANDO ANTONIO WISCOVITCH VELEZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	9858	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	41675	OTHER	ASOCIACION DE MAESTROS
2	61101	OTHER	HUMANA GOLD CHOICE
3	069951	OTHER	CRUZ AZUL
4	8213	OTHER	FEDERACION DE MAESTROS
5	PE3364	OTHER	PAN AMERICAN LIFE
6	0118672	OTHER	ACAA
7	03545	OTHER	AMERICAN HEALTH PLAN
8	0400850	OTHER	HUMAN GOLD PLUS
9	0400850	OTHER	HUMANA INSURANCE
10	4397101	OTHER	CIGNA HEALTH CARE
11	3158	OTHER	INTL MEDICAL CARD
12	583987239	OTHER	MEDICAL CARD SYSTEM
13	82569	OTHER	TRIPLE S

General Provider Information

NPI Number	:	1225006448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARMANDO ANTONIO WISCOVITCH VELEZ MD

Provider Business Mailing Address
First Line	:	PO BOX 7122
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00732-7122
Country	:	US
Telephone Number	:	787-259-5990
Fax Number	:	787-259-5990

Provider Business Practice Location Address
First Line	:	2525 AVE EDUARDO RUBERTE
Second Line	:	STE 101
City	:	PONCE
State	:	PR
Zip	:	00728-1739
Country	:	US
Telephone Number	:	787-259-5990
Fax Number	:	787-259-5990

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	11/24/2020

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Directions to “ DR. ARMANDO ANTONIO WISCOVITCH VELEZ MD” Practice Location

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