Organization Active NPI

Concordia Radiology LLC

  • Diagnostic Radiology Physician
  • Ponce, PR
National Provider Identifier
1629994850
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.