Clinica Geriatria Y Ortopedia del Oeste LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CLINICA GERIATRIA Y ORTOPEDIA DEL OESTE LLC

Practice address

Carr #2 Bo KM 119.2 Bo Caimital Alto
Aguadilla, PR 00603

Phone

(787) 710-5835

NPI assigned

May 7, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Edwin L Portalatin, MDNPI 1144617986

Title

President/Ceo

Phone

(787) 710-5835

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edwin Portalatin, MD

  • Orthopaedic Surgery Physician
  • Aguadilla, PR
  • NPI 1144617986
  Medicare reassignment NPD Authorized official
• Yaritza Santiago Vazquez, MD

  • Internal Medicine Physician
  • Aguadilla, PR
  • NPI 1336597913

  Geriatric Medicine

  Medicare reassignment NPD
• Yanice Aime Roman

  • Psychologist
  • Aguadilla, PR
  • NPI 1679333496
  NPD (past)
• Jose Rafael Jimenez-Garcia, MD

  • General Practice Physician
  • Orlando, FL
  • NPI 1811908502
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1386228286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4808",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006054808",
            "telephone_number": "787-710-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 BO KM 119.2 BO CAIMITAL ALTO",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-710-5835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Ave. Severiano Cuevas #47",
            "address_2": "Edificio Hernandez Rivera",
            "address_purpose": "LOCATION",
            "city": "Aguadilla",
            "state": "PR",
            "postal_code": "00603",
            "country_code": "US",
            "telephone_number": "787-882-3682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLINICA GERIATRIA Y ORTOPEDIA DEL OESTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "PORTALATIN",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "787-710-5835",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinica Estabilizadora de Salud Mental de Aguadilla Inc
• Clinica Gratitud LLC
• Clinica Psicologica Dr Hector J Martinez Capella, LLC
• Clinica Todo Salud - Aibonito, LLC
• Clinica Visual del Oeste,CSP
• CM Family Medicine & Wellness Clinic LLC

• Multi-Specialty Clinic/Center in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Multi-Specialty Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.