Ortiz Flores, Edgardo Rafael

Ortiz Flores, Edgardo Rafael is an sole proprietor health care provider with primary practice located at 329 Maine St # E101 , Brunswick ME 04011-3310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Ortiz Flores, Edgardo Rafael can be contacted via phone (207) 373-2266.

Contact Information

Primary practice address
329 Maine St # E101 Brunswick ME 04011-3310
Phone: (207) 373-2266
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X A144166 California
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 22956 Puerto Rico
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 28108 Maine

Profile Details

NPI number 1184933996
LBN Legal business name Ortiz Flores, Edgardo Rafael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2010
Last updated Apr 11th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1184933996 NPPES
Puerto Rico Other 4554906 STATE DRIVER'S LICENSE
Puerto Rico Other 12779-I STATE DRIVER'S LICENSE

Popular Providers