Active NPI
Juan Gabriel Velazquez Stuart, MD
- General Practice Physician
- Humacao, PR
National Provider Identifier
1083295786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 24281
- Practice address
- 355 Ave Font Martelo
Humacao, PR 00791-3249 - Phone
- (787) 852-0768
- NPI assigned
- Apr 15, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 24281 | PR | Primary |
Addresses
Primary practice location
355 Ave Font Martelo
Humacao, PR 00791-3249
Mailing address
Urb. Enramada Camino de Lirios G21
Bayamon, PR 00961
Other practice location 1
Urb. Enramada Camino de Lirios G21
Bayamon, PR 00961
Phone (787) 972-4183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 1G Medical LLC | General Practice | Current | Accepting new patients |
Locations
355 Calle Font Martelo
Humacao, PR 00791
Phone (787) 587-4266
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Humacao, PR
- NPI 1396530630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744675200000",
"number": "1083295786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. ENRAMADA CAMINO DE LIRIOS G21",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 AVE FONT MARTELO",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007913249",
"telephone_number": "787-852-0768"
}
],
"practiceLocations": [
{
"address_1": "Urb. Enramada Camino de Lirios G21",
"address_purpose": "LOCATION",
"city": "Bayamon",
"state": "PR",
"postal_code": "00961",
"country_code": "US",
"telephone_number": "787-972-4183",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VELAZQUEZ STUART",
"first_name": "JUAN",
"middle_name": "GABRIEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-15",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "24281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Humacao, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.