Active NPI
Concordia Radiology LLC
- Diagnostic Radiology Physician
- Ponce, PR
National Provider Identifier
1629994850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- CONCORDIA RADIOLOGY LLC
- Practice address
- 8159 Calle Concordia
Ponce, PR 00717-1551 - Phone
- (787) 842-2313
- NPI assigned
- Jun 24, 2026
- Last updated
- Jun 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gory Ballester Ortiz, MD
- Title
- President
- Phone
- (787) 925-9255
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary |
Addresses
Primary practice location
8159 Calle Concordia
Ponce, PR 00717-1551
Mailing address
PO Box 364426
San Juan, PR 00936-4426
Phone (787) 925-9255
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Vascular & Interventional Radiology Physician
- Luquillo, PR
- NPI 1023492568
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782259200000",
"number": "1629994850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 364426",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009364426",
"telephone_number": "787-925-9255",
"fax_number": "787-842-2313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8159 CALLE CONCORDIA",
"city": "PONCE",
"state": "PR",
"postal_code": "007171551",
"telephone_number": "787-842-2313"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONCORDIA RADIOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-24",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A",
"authorized_official_last_name": "BALLESTER ORTIZ",
"authorized_official_first_name": "GORY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-925-9255",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.