Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Manuel Enrique Portalatin, DO

Individual provider Surgery Physician · NPI 1710392246

Manuel Enrique Portalatin, DO practises 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.

See every abbreviation used in this directory →

Practice location Address checks out

2 Dudley St # OP1
Providence, RI 02905-3236
Phone: (401) 444-5471
Fax: (401) 444-4557
Show map & directions

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 number1710392246
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 23, 2014
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Procedures

From CMS Care Compare, which counts the procedures a clinician billed to Original Medicare and Medicare Advantage over a recent 12-month period. CMS reports a fixed list of common procedures, so this is not everything the clinician does. Counts of 10 or fewer are given as a range, because CMS withholds small numbers.

Colonoscopy 1–10 times

The percentile compares how often this clinician performed the procedure with other clinicians who performed it, as CMS calculates it. It measures volume, not outcomes or skill.

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients174
Services billed 792 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $857 11 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Lifespan Physician Group Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1125 clinicians in the practice; 12 are shown here.

Other providers in Providence