Individual provider Active NPI

Rafael A Couto Cuervo, MD

  • Plastic and Reconstructive Surgery Physician
  • San Juan, PR
National Provider Identifier
1255774725
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
21271 Issued in PR
Practice address
373 Calle San Jorge Ste 200
San Juan, PR 00912-3312
Phone
(787) 671-0416
NPI assigned
Apr 15, 2013
Last updated
May 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 35.131784 OH
Plastic and Reconstructive Surgery Physician 2086S0122X R9739 TX
Plastic and Reconstructive Surgery Physician 2086S0122X 21271 PR Primary

Addresses

Primary practice location

373 Calle San Jorge Ste 200
San Juan, PR 00912-3312

Mailing address

373 Calle San Jorge Ste 200
San Juan, PR 00912-3312
Phone (787) 422-0004

Other identifiers 1

IdentifierTypeStateIssuer
0232410MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL coutoplasticsurgery@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, PR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190604000693 TX Practitioner - Plastic and Reconstructive Surgery 7911278825 Reassigns benefits to 1 organization
I20210729003406 PR Practitioner - Plastic and Reconstructive Surgery 7911278825 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R9739TXMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ssj300 LLC Current Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 1, 2019 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Plastic Surgery CurrentSince Jul 1, 2019 Accepting new patients
Racc LLC Single Specialty CurrentSince Apr 19, 2021 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Single Specialty Current Accepting new patients

Locations

373 Calle San Jorge
Ste 200
San Juan, PR 00912
Phone (787) 422-0004

1801 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2035

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1255774725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 CALLE SAN JORGE STE 200",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123312",
            "telephone_number": "787-422-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 CALLE SAN JORGE STE 200",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123312",
            "telephone_number": "787-671-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUTO CUERVO",
        "first_name": "RAFAEL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-15",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "35.131784",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "R9739",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "PR",
            "license": "21271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0232410",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "coutoplasticsurgery@gmail.com",
            "affiliation": "N",
            "address_1": "373 Calle San Jorge Ste 200",
            "city": "San Juan",
            "state": "PR",
            "country_code": "US",
            "postal_code": "009123312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.