Manuel Enrique Portalatin, DO
Manuel Enrique Portalatin, DO is a General Surgery in Providence, Rhode Island. Qualified in 2014, 12 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Illinois, Massachusetts and Rhode Island.
- Years since qualifying
- 12
- Licensed in
- IL, MA, RI
- In the registry since
- 2014
- Specialties on file
- 5
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
2 Dudley St # OP1Providence, RI 02905-3236
Phone: (401) 444-5471
Fax: (401) 444-4557
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (3)
- 55 Fruit St, Boston, MA 02114-2621 — (617) 726-7712
- 593 Eddy St, Providence, RI 02903-4923 — (401) 444-0326
- 2 Dudley St Ste 470, Providence, RI 02905-3248 — (401) 553-8355
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence DO01505 (RI) |
|---|---|
| Surgical Critical Care Physician | Taxonomy 2086S0102X · Licence DO01505 (RI) |
| Surgery Physician | Taxonomy 208600000X · Licence 282996 (MA) |
| Surgical Critical Care Physician | Taxonomy 2086S0102X · Licence 282996 (MA) |
| Surgery Physician | Taxonomy 208600000X · Licence 036156256 (IL) |
Record details
| NPI number | 1710392246 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | Yes |
| NPI enumerated | June 23, 2014 |
| Last updated in NPPES | July 31, 2026 |
| Certification date | July 31, 2026 |
Medicare enrollment
| Medicare specialty | GENERAL SURGERY |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | Lifespan Physician Group Inc — 1125 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Providence
-
Dipan Patel
2 Dudley St Ste 470, Providence, RI 02905-3236 · (401) 272-1800
-
Sarah Elizabeth Pesek, MD
101 Dudley St, Providence, RI 02905-2401 · (401) 274-1122
-
Dr. Thach Pham, MD
2 Dudley St Ste 470, Providence, RI 02905-3248 · (401) 553-8353
-
Dr. Katherine Pinkes, MD
101 Dudley St, Providence, RI 02905-2499 · (401) 453-7520
-
Randall Surgical Group, Inc
1 Randall Sq Ste 406, Providence, RI 02904-2709 · (401) 421-2928
-
Roger Williams Medical Center
825 Chalkstone Ave, Providence, RI 02908-4728 · (401) 456-2000
-
Roger Williams Medical Center
825 Chalkstone Ave, Providence, RI 02908-4728 · (401) 456-2000
-
Dr. Leslie Aileen Roth, MD
208 Collyer St Ste 302, Providence, RI 02904-1560 · (401) 553-8312