San Blas is a fascinating place to visit and Dolphin Lodge is well situated. Close to the airport, across from the Kuna village and near to rivers and beaches. You don't need to take away the rustic (or the cockroaches) but small things like fresh towels, sweeping out the room, and much much better food would take this from an experience to memorable. The staff and the locals are all extremely friendly but be aware that English is extremely limited to non-existent so bone up on your Spanish. Two nights is enough.

I can't say enough about my stay here. It was exactly what I wanted. Beautiful surroundings, an attentive staff, quiet, and a bit of adventure.
This was my first time going off the beaten path. I normally vacation in major cities or all inclusive resorts, so this was a totally new experience,
I landed at the airport (actually a hut on what appeared to be a soccer field) and was greeted by the host/guide Nicky (who speaks, Kuna, Spanish, & English). Of we went in a little motorboat to the lodge, where a breakfast of eggs awaited. Then it was off to my perfectly quaint hut, to settle in and rest in my waterfront hammock. I went snorkeling for the first time and was amazed at the underwater beauty. I visited the Kuna Village, and went fishing too. The Kuna performed for us too. The meals were delicious and fresh, though, since you only get fed 3 times a day, you might want to bring some snacks (though, I was okay without them).
There were only 4 other guests on the first day of my visit, and 2 on the second. Everyone was given individual attention by the incredibly warm staff.

Bring bug spray.
The water pressure is TERRIBLE, but I felt clean after a shower. There is no hot water, but you don't need it. The water is safe to drink.
I definitely plan on going back.

As our travel agent described before our visit, "You go to Dolphin Lodge for the Kuna Yala culture, not for the beaches." Likewise, you make this trip not for a luxury destination resort, but to see a different culture, a society that is evolving despite attempts to retain the past. A thought-provoking experience.
Some notes:
1. The Dolphin Lodge people have read some of the criticisms in tripadvisor! The rules for when and how much to pay for picture-taking were described upon arrival. No payment required for scenery, including scenery with people in the background. $1 per shot of individuals, unless you buy a mola, in which case you get a photo with the person who sells the mola.
2. Flights in and out can be confusing. We arrived on Air Panama, landing at the Achutupo airstrip. We left on Aeroperlas, departing from the Mamitupo airstrip. Each airstrip is operated by a different community (Dolphin is associated with the Achutupo community), and it appears each has struck a deal with a different airline. If you look at Google maps, you will see the two airstrips almost side-by-side in apparent competition.
3. The Mamitupo airport is infested by biting gnats ("noseeums" as we call them in Canada). We were warned in advance and we certainly needed our repellent! The islands are generally bite-free, except on beaches where sand fleas will find you quickly.
4. The cabins are basic, but comfortable and clean. The shower worked. We had to ask for a second towel - maybe the two of us were expected to share one. Food was OK.
5. Friendly staff. No overt pressure to tip, but there was a tip box in the dining room with a message clearly stating that tipping is voluntary.
6. "Eco-lodge"? Clearly not sustainable without tourist dollar infusions. Water is reportedly piped from the mainland. The sewage? (Didn't have the nerve to ask, but the buried pipe leads into the sea.)
7. The islands are low-lying and even today the waves are lapping at the edge of some buildings. How long will they last with global warming? Maybe an incentive to visit soon.

This lodge, also called the Uaguinega Lodge was an ideal spot for truly getting away from civilization....no TV, no cars, no radio, and sun-heated warm water showers, The staff speak English, Spanish, and Kuna and are about as accomodating as possible. You can do as much or as little as you want. Visits to several Kuna villages were a delight, uncrowded, and definitely uncommercial. Snorkeling was right off the boat where ever the reef looked inviting. Meals were well prepared. It is expensive for such basic accomodations, but almost everything has to be flown in and then brought to the island by canoe (that includes guests, too!). It's well worth it!