 He pitched two complete games for Myrtle Beach during 2006, but an elbow injury suffered in early August ended his season.Atilano was recalled from Triple-A Syracuse, by the Nationals, to replace injured Jason Marquis on April 22, 2010.He allowed one run on five hits in a 5–1 Nationals victory against the Los Angeles Dodgers on April 23, 2010, his first major league start and first major league win.