Is it hard to find English speaking pain management doctors? i am totally disabled and am on several pain medications. I have heard the pharmacies will not fill a narcotic medication prescribed in the US. If I want to stay in PR more than a month I would have to get a doctor in PR. Do you have to get referred to a pain management specialist by a primary care dr like you do in the US? Is there a primary doctor or pain Mgmt specialist on the West side of PR that you would recommend?