Individual
EDGARDO RAFAEL ORTIZ FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
329 MAINE ST # E101, BRUNSWICK, ME 04011-3310
(207) 373-2266
Mailing address
329 MAINE ST # E101, BRUNSWICK, ME 04011-3310
(207) 373-2266
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
22956
PR
207RH0003X
Hematology & Oncology Physician
Primary
28108
ME
207RH0003X
Hematology & Oncology Physician
A144166
CA
207RH0003X
Hematology & Oncology Physician
MD-24293
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12779-I
STATE MEDICAL LICENSE
PR
01
—
4554906
STATE DRIVER'S LICENSE
PR
Enumeration date
09/28/2010
Last updated
05/29/2025
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