Provider Demographics
NPI:1225006448
Name:WISCOVITCH VELEZ, ARMANDO ANTONIO (MD)
Entity type:Individual
Prefix:DR
First Name:ARMANDO
Middle Name:ANTONIO
Last Name:WISCOVITCH VELEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 7122
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732-7122
Mailing Address - Country:US
Mailing Address - Phone:787-259-5990
Mailing Address - Fax:787-259-5990
Practice Address - Street 1:2525 AVE EDUARDO RUBERTE
Practice Address - Street 2:STE 101
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00728-1739
Practice Address - Country:US
Practice Address - Phone:787-259-5990
Practice Address - Fax:787-259-5990
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9858207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
41675OtherASOCIACION DE MAESTROS
61101OtherHUMANA GOLD CHOICE
069951OtherCRUZ AZUL
8213OtherFEDERACION DE MAESTROS
PE3364OtherPAN AMERICAN LIFE
0118672OtherACAA
03545OtherAMERICAN HEALTH PLAN
0400850OtherHUMAN GOLD PLUS
0400850OtherHUMANA INSURANCE
4397101OtherCIGNA HEALTH CARE
3158OtherINTL MEDICAL CARD
583987239OtherMEDICAL CARD SYSTEM
82569OtherTRIPLE S
F18939Medicare UPIN
8213OtherFEDERACION DE MAESTROS