| Wisco Oral Surgery Llc | |
|
Edificio Guayacan 202 Calle Cintron Suite 221 Aibonito PR 00705 | |
| (787) 520-7148 | |
| Not Available |
| Full Name | Wisco Oral Surgery Llc |
|---|---|
| Speciality | Dentist |
| Location | Edificio Guayacan 202 Calle Cintron Suite 221, Aibonito, Puerto Rico |
| Authorized Official Name and Position | Andres Gustavo Wiscovitch Turney (PRESIDENT) |
| Authorized Official Contact | 7272353912 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisco Oral Surgery Llc Po Box 13004 San Juan PR 00908-3004 Ph: () - | Wisco Oral Surgery Llc Edificio Guayacan 202 Calle Cintron Suite 221 Aibonito PR 00705 Ph: (787) 520-7148 |
| NPI Number | 1407535214 |
|---|---|
| Provider Enumeration Date | 07/18/2023 |
| Last Update Date | 07/18/2023 |
| Medicare PECOS PAC ID | 1153775168 |
|---|---|
| Medicare Enrollment ID | O20230925003520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407535214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Andres Gustavo Wiscovitch Turney |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1487189171 PECOS PAC ID: 2062866072 Enrollment ID: I20230925003628 |
Centro Avanzado De Odontologia Estetica,csp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 Calle Baldorioty N, Aibonito, PR 00705 Phone: 787-735-1741 Fax: 787-735-1741 | |
Cr Diaz Bonilla Dentista Pediatrica Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 51 Ave San Jose, Suite 203, Aibonito, PR 00705 Phone: 787-735-0575 Fax: 787-735-2390 | |
Clinica Dental Rafael J.gomez Matta Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 57 Calle Degetau N, Aibonito, PR 00705 Phone: 787-735-3500 |