Search › Rhode Island › 208600000X
Manuel Portalatin, D.O
NPI 1710392246 · on the registry since 2014 · sole proprietor
Practice
- Address
- 2 Dudley St # Op1
Providence, RI 02905 - Phone
- (401) 444-5471
- Fax
- (401) 444-4557
- Clinicians at this address
- 3
Additional practice sites
- 2 Dudley St Ste 470, Providence, RI
- 55 Fruit St, Boston, MA
- 593 Eddy St, Providence, RI
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Also registered as
- 2086S0102X
208600000X
2086S0102X
208600000X - Licence states on file
- RI, MA, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island