Racc LLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

RACC LLC

Practice address

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

Phone

(787) 422-0004

Fax

(787) 418-3106

NPI assigned

Apr 8, 2020

Organization subpart

No

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

Authorized official

Name

Rafael A Couto Cuervo, MDNPI 1255774725

Title

Owner

Phone

(787) 422-0004

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rafael A Couto Cuervo, MD

  • Plastic and Reconstructive Surgery Physician
  • San Juan, PR
  • NPI 1255774725

  Single Specialty

  Medicare reassignment NPD Authorized official
• Javier A Couto, MD

  • Plastic and Reconstructive Surgery Physician
  • San Juan, PR
  • NPI 1457886533

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1801415047",
    "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": "787-422-0004",
            "fax_number": "787-418-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "COUTO CUERVO",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-422-0004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nikita L Rabelo-Pagan, M.D.
• Rad One, PSC
• Rada Urological Consulting PSC
• Beatriz E Rada, N.D
• Ivonne M Radinson
• Radiologia San Jorge

• Plastic and Reconstructive Surgery Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Plastic and Reconstructive Surgery Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.