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Individual

LUIS X. VELEZ-COLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3851 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4501
(210) 916-3647
Mailing address
200 GOLDEN VIS, CIBOLO, TX 78108-3641
(787) 596-6751

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101249343
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101249343
VIRGINIA MEDICAL LICENSE
VA
Enumeration date
06/23/2009
Last updated
05/05/2018
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