Active NPI
Awilda Portalatin
- Physical Therapy Assistant
- Hatillo, PR
National Provider Identifier
1639961139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1171
- Practice address
- HC 7 Box 33897
Hatillo, PR 00659-9402 - Phone
- (787) 365-8305
- NPI assigned
- May 20, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1171 | PR | Primary |
Addresses
Primary practice location
HC 7 Box 33897
Hatillo, PR 00659-9402
Mailing address
HC 7 Box 33897
Hatillo, PR 00659-9402
Phone (787) 365-8305
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1171 | PR | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1639961139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 7 BOX 33897",
"city": "HATILLO",
"state": "PR",
"postal_code": "006599402",
"telephone_number": "787-365-8305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HC 7 BOX 33897",
"city": "HATILLO",
"state": "PR",
"postal_code": "006599402",
"telephone_number": "787-365-8305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTALATIN",
"first_name": "AWILDA",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-05-20",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PR",
"license": "1171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hatillo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.