Organization
SIMAGING DIAGNOSTIC & INTERVENTIONS-SIMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORY BALLESTER MD (PRESIDENT)
(787) 925-9255
Entity
Organization
Contact information
Practice address
PONCE DE LEON AVENUE, STOP 37 AND 1/2, HATO REY, PR 00919
(787) 925-9255
Mailing address
PO BOX 364426, SAN JUAN, PR 00936-4426
(787) 925-9255
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
06/07/2022
Last updated
06/10/2022
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