| Dr Edwin Portalatin, MD | |
| Carr #2 Km 119.2, Bo Caimital Alto, Aguadilla, PR 00603 | |
| (787) 710-5835 | |
| (787) 997-1616 | 
| Full Name | Dr Edwin Portalatin | 
|---|---|
| Gender | Male | 
| Speciality | Orthopaedic Surgery | 
| Location | Carr #2 Km 119.2, Aguadilla, Puerto Rico | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1144617986 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 21720 (Puerto Rico) | Primary | 
| Entity Name | Clinica Geriatria Y Ortopedia Del Oeste Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1386228286 PECOS PAC ID: 6709280035 Enrollment ID: O20210810000278 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Edwin Portalatin, MD Po Box 4808, Aguadilla, PR 00605-4808 Ph: (787) 245-3468 | Dr Edwin Portalatin, MD Carr #2 Km 119.2, Bo Caimital Alto, Aguadilla, PR 00603 Ph: (787) 710-5835 | 
| Dr. Luis G Acevedo Lazzarini, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: Hospital Buen Samaritano, Ave Kennedy #18 Km 1411, Aguadilla, PR 00605 Phone: 787-819-0800 | |
| Jorge Roman-deynes, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: Western Profesional Plaza Suite 321, Bo Caimital Bajo, Aguadilla, PR 00603 Phone: 787-997-1900 |