Individual
GORY BALLESTER ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
COND. JARDINES METROPOLITANOS, TOWER I APT. 12E, SAN JUAN, PR 00927-4539
(787) 630-4735
Mailing address
COND. JARDINES METROPOLITANOS, TOWER I APT. 12E, SAN JUAN, PR 00927-4539
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
18504
PR
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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