Organization
CONCORDIA RADIOLOGY LLC
Active
Organization
CONCORDIA RADIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORY BALLESTER ORTIZ MD (PRESIDENT)
(787) 925-9255
Entity
Organization
Contact information
Practice address
8159 CALLE CONCORDIA, PONCE, PR 00717-1551
(787) 842-2313
Mailing address
PO BOX 364426, SAN JUAN, PR 00936-4426
(787) 925-9255
(787) 842-2313
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
06/24/2026
Last updated
06/24/2026
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