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Export Provider Record NPI 1174511844
Jose Gustavo WiscovitchD.M.D., M.S
Active
NPI Number1174511844
NPI TypeNPI-1 Individual
SpecialtyDentist, Endodontics
Provider Details
NPI1174511844
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2005-10-07
Last Updated2013-06-04
Mailing AddressP.o. Box 8053 Marina Station
Mayaquez, PR 00681
United States
Phone: (787) 891-9155 | Fax: (787) 882-8050
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Primary Practice AddressAve. Pedro Albizu Campos # 2022
Aguadilla, PR 00603
United States
Phone: (787) 891-9155 | Fax: (787) 882-8050
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes1223E0200X – Dentist, EndodonticsPR1385
No1223P0106X – Dentist, Oral and Maxillofacial PathologyPR1385
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About NPI 1174511844

Jose Gustavo Wiscovitch D.M.D., M.S is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1174511844. The primary specialty listed is Dentist, Endodontics. The provider is located in Aguadilla, PR. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-10-07. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1174511844?

NPI 1174511844 belongs to Jose Gustavo Wiscovitch D.M.D., M.S, a Dentist, Endodontics in Aguadilla, PR. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1174511844 active?

The current status of NPI 1174511844 in the NPPES registry is Active. The record was last updated on 2013-06-04.

What specialty is NPI 1174511844?

NPI 1174511844 is classified under the taxonomy Dentist, Endodontics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1174511844?

You can verify NPI 1174511844 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1174511844?

The primary practice address on file for NPI 1174511844 is Ave. Pedro Albizu Campos # 2022, Aguadilla, PR 00603. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1174511844 issued?

NPI 1174511844 was first issued (enumerated) on 2005-10-07. The NPPES record was last updated on 2013-06-04.

Practice Location Map

Jose Gustavo Wiscovitch is located at Ave. Pedro Albizu Campos # 2022, Aguadilla, PR. Use the map below to find directions or verify the practice location.

📍 Ave. Pedro Albizu Campos # 2022, Aguadilla, PR 00603  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Jose Gustavo Wiscovitch. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1174511844. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Dentist, Endodontics1385PR
Dentist, Oral and Maxillofacial Pathology1385PR
Data Verified from CMS NPPES Last synced: 2026-07-09 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162