Organization
1G MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN G VELAZQUEZ STUART MD (PRESIDENT)
(787) 972-4183
Entity
Organization
Contact information
Practice address
355 CALLE FONT MARTELO, HUMACAO, PR 00791-3249
(787) 972-4183
Mailing address
G21 CAMINO DE LIRIOS, BAYAMON, PR 00961-3965
(787) 972-4183
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
04/15/2025
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