# CLINICA GERIATRIA Y ORTOPEDIA DEL OESTE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386228286
- **Authorized official:** EDWIN L PORTALATIN MD (PRESIDENT/CEO)
- **Authorized official phone:** (787) 710-5835

## Contact information

- **Practice address:** CARR \#2 BO KM 119.2 BO CAIMITAL ALTO, AGUADILLA, PR 00603
- **Practice address phone:** (787) 710-5835
- **Mailing address:** PO BOX 4808, AGUADILLA, PR 00605-4808
- **Mailing address phone:** (787) 710-5835

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 207XP3100X | Pediatric Orthopaedic Surgery Physician | — | NULL | — |
| 207XP3100X | Pediatric Orthopaedic Surgery Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/07/2021
- **Last updated:** 05/31/2024