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:
Health care specialties
| Specialty | Code | License # | 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 2 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184933996 | NPPES |
| Puerto Rico | Other | 4554906 | STATE DRIVER'S LICENSE |
| Puerto Rico | Other | 12779-I | STATE DRIVER'S LICENSE |
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