Puerto Rico Beauty Clinic Rating Structural Verification Index — aesthetic medicine & plastic surgery
By procedure: Rhinoplasty Breast surgery Liposuction & body contouring Hair transplant Injectables Medical weight loss

Changelog

Every data change, correction and methodology version is logged here and in each record's own history.

DateSubjectChange
16 October 2026Methodology v1.7.0Owner ruling: the publication threshold of a site is four scored clinics; ten remains the target of the collection gate and fifteen the roster target. A site with four to nine scored clinics is published open to search — ordinary home page, full sitemap — and stays in the re-collection loop until it reaches ten; the holding page with noindex and an empty sitemap is shown only below four. A clinic without a published score is still shown nowhere. Weights, rubrics, the 75% coverage threshold, ceilings and holds are unchanged.
25 September 2026Methodology v1.4.0Owner ruling: the 14-day reply window before publication is removed. A negative finding — one official register record about this unit or this person, from the register that governs the claim, with a status in force — is published as soon as it is assembled, with the register's line verbatim, the link and the date of reading; a negative finding is published exactly as fast as a positive one. The same day the register sends the clinic a letter from this site's corrections address; the clinic's reply, when it comes, is shown next to the fact, and the score moves only on a source. An unsent letter never holds or removes a finding. One official record per finding, the governing register, status in force only, the name-match rule and 'an absence is never published' are unchanged; so are the weights, the 75% coverage threshold, ceilings, holds and the ten-clinic floor.
25 September 2026Methodology v1.5.0Owner ruling: the register never writes to a clinic on its own initiative — no letters about findings and no letters asking for missing data. Right of reply is passive, as in v1.0: a finding is on the profile in the register's own words, with the link and the date it was read; a clinic that disagrees uses this site's corrections form or corrections address; its reply is shown next to the fact, and the score moves only on a source. Everything else in v1.4 is unchanged.
22 September 2026Argüello Plastic Surgeryaxes.M5: 5 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the number is not printed on the clinic pages (audit not_published); the clinic names the entity at https://www.arguelloplasticsurgery.com/ — matched by name)
22 September 2026Aviles Plastic Surgery, PSCaxes.M5: 5 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the number is not printed on the clinic pages (audit not_published); the clinic names the entity at https://avilesplasticsurgery.com/ — matched by name)
22 September 2026Busquets Plastic Surgery & Dermatologyaxes.M5: 5 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the number is not printed on the clinic pages (audit not_published); the clinic names the entity at https://www.doctorbusquets.com/ — matched by name)
22 September 2026Cañizares Plastic Surgeryaxes.M5: 5 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the number is not printed on the clinic pages (audit not_published); the clinic names the entity at https://drcanizares.com/ — matched by name)
22 September 2026Eden Esthetics — Dr. Claudio Corral, MDaxes.M5: 5 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the number is not printed on the clinic pages (audit not_published); the clinic names the entity at https://edenesthetics.com/ — matched by name)
22 September 2026Enrique Gorbea, MD — Facial Plastic Surgeryaxes.M5: 5 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the number is not printed on the clinic pages (audit not_published); the clinic names the entity at https://gorbeamd.com/appointments%2Fcontact-info — matched by name)
22 September 2026Esthetical Surgery Centeraxes.M7: 2 → 3 (Methodology v1.3 (owner rulings 2026-09-22) — § B closed lexicon — satisfaction: M7-D)
22 September 2026Gustavo Colberg, MDaxes.M5: 5 → 2 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the clinic publishes neither the number nor the legal entity (audit no_number_on_record, entity name not found on the clinic pages; the entity was found by us — shown as a fact))
22 September 2026Higuera Plastic Surgery & Wellness Spaaxes.M5: 5 → 2 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the clinic publishes neither the number nor the legal entity (audit not_published, entity name not found on the clinic pages; the entity was found by us — shown as a fact))
22 September 2026Latoni Plastic Surgery and Dermatologyaxes.M5: 5 → 2 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the clinic publishes neither the number nor the legal entity (audit not_published, entity name not found on the clinic pages; the entity was found by us — shown as a fact))
22 September 2026Methodology v1.3.0Two new reasons for an empty cell: 'register does not cover this class of facility or this territory' (proved by a quote of the register's own statement of coverage; leaves the coverage denominator like a closed register) and 'nothing to query' (the clinic publishes no surname or no legal entity; stays in the denominator). Registers are read per jurisdiction — province, Land, emirate or region — where that is what licenses; openness, closedness and coverage are properties of the register class in that jurisdiction, and a closed jurisdiction never closes the whole country. The country map names sources, access and jurisdictions only; it never changes an anchor. The anchors of M1, M3, M4 and M5 are restated: 5 on M3 and M5 requires the number the clinic itself publishes; a found record whose specialty the register does not confirm is 3, not 1, unless the clinic claims a protected title the register does not show; adjacency is a closed list; a practice registered under its host facility scores 4 on M4. The advertising lexicon (M7) is closed: 2 needs an unconditional absolute about the patient's future safety or the treatment outcome, rendered in the clinic's own voice; purpose clauses, revision programmes, manufacturer warranties and equipment statements are not patterns; absolutes about the past and satisfaction figures are 3. M9 counts a document class only when it is reachable from a stable address and named by a heading or a labelled control. A record is published only if at least one register axis holds a value. Every cell records how it was read (script, second egress, browser) and is re-verified in the same mode; a page that fails to load never degrades a cell. A negative finding needs one official register record about this unit or this person, from the register that governs the claim, with a status in force; the clinic receives a letter and a 14-day reply window before the finding is published; an absence (“no sanctions”, “not found”) is never rendered. Personal identifiers are never stored. Weights, the 75% coverage threshold, ceilings, holds and the ten-clinic floor are unchanged.
22 September 2026RoMi Dermatologyaxes.M5: 5 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the number is not printed on the clinic pages (audit not_published); the clinic names the entity at https://www.romidermatology.com/ — matched by name)
19 September 2026Argüello Plastic Surgeryaxes.M4: null → null (Re-run against the CMS Provider of Services file from the second egress (v1.2 pass 1 retry): queried, no match.)
19 September 2026Aviles Plastic Surgery, PSCaxes.M4: null → null (Re-run against the CMS Provider of Services file from the second egress (v1.2 pass 1 retry): queried, no match.)
19 September 2026Busquets Plastic Surgery & Dermatologyaxes.M4: null → null (Re-run against the CMS Provider of Services file from the second egress (v1.2 pass 1 retry): queried, no match.)
19 September 2026Couto Plastic Surgeryaxes.M4: null → null (Re-run against the CMS Provider of Services file from the second egress (v1.2 pass 1 retry): queried, no match.)
19 September 2026Dr. Ian Marrero, MD — Hand & Plastic Surgeryaxes.M4: null → null (Re-run against the CMS Provider of Services file from the second egress (v1.2 pass 1 retry): queried, no match.)
19 September 2026Eden Esthetics — Dr. Claudio Corral, MDaxes.M4: null → null (Re-run against the CMS Provider of Services file from the second egress (v1.2 pass 1 retry): queried, no match.)
19 September 2026Enrique Gorbea, MD — Facial Plastic Surgeryaxes.M4: null → null (Re-run against the CMS Provider of Services file from the second egress (v1.2 pass 1 retry): queried, no match.)
19 September 2026Esthetical Surgery Centeraxes.M4: null → null (Re-run against the CMS Provider of Services file from the second egress (v1.2 pass 1 retry): queried, no match.)
19 September 2026Higuera Plastic Surgery & Wellness Spaaxes.M4: null → null (Re-run against the CMS Provider of Services file from the second egress (v1.2 pass 1 retry): queried, no match.)
19 September 2026Javier González, MD — Facial Plastic Surgeryaxes.M4: null → null (Re-run against the CMS Provider of Services file from the second egress (v1.2 pass 1 retry): queried, no match.)
19 September 2026Latoni Plastic Surgery and Dermatologyaxes.M4: null → null (Re-run against the CMS Provider of Services file from the second egress (v1.2 pass 1 retry): queried, no match.)
19 September 2026RoMi Dermatologyaxes.M4: null → null (Re-run against the CMS Provider of Services file from the second egress (v1.2 pass 1 retry): queried, no match.)
19 September 2026State of the Art Plastic Surgery — Dr. Karim Benítez-Marchand, MDaxes.M4: null → null (Re-run against the CMS Provider of Services file from the second egress (v1.2 pass 1 retry): queried, no match.)
18 September 2026Argüello Plastic Surgeryaxes.M3: null → null (Register re-probed (loop pass 1, v1.2): medical_licence host confirmed still unreachable from this egress; secondary routes searched and exhausted (none_found) — reclassified retry -> registry_closed, leaves the coverage denominator per v1.2.)
18 September 2026Aviles Plastic Surgery, PSCaxes.M3: null → null (Register re-probed (loop pass 1, v1.2): medical_licence host confirmed still unreachable from this egress; secondary routes searched and exhausted (none_found) — reclassified retry -> registry_closed, leaves the coverage denominator per v1.2.)
18 September 2026Busquets Plastic Surgery & Dermatologyaxes.M3: null → null (Register re-probed (loop pass 1, v1.2): medical_licence host confirmed still unreachable from this egress; secondary routes searched and exhausted (none_found) — reclassified retry -> registry_closed, leaves the coverage denominator per v1.2.)
18 September 2026Cañizares Plastic Surgeryaxes.M3: null → null (Register re-probed (loop pass 1, v1.2): medical_licence host confirmed still unreachable from this egress; secondary routes searched and exhausted (none_found) — reclassified retry -> registry_closed, leaves the coverage denominator per v1.2.)
18 September 2026Cañizares Plastic Surgeryaxes.M7: null → 2 (Clinic-site rescan (loop pass 1): the previously-withdrawn quote is gone, but a new outcome-guarantee statement ("garantiza resultados precisos y naturales") was found in the clinic’s own text — bright-line M7=2.)
18 September 2026Couto Plastic Surgeryaxes.M3: null → null (Register re-probed (loop pass 1, v1.2): medical_licence host confirmed still unreachable from this egress; secondary routes searched and exhausted (none_found) — reclassified retry -> registry_closed, leaves the coverage denominator per v1.2.)
18 September 2026Couto Plastic Surgeryaxes.M5: null → null (Departamento de Estado RCP re-searched under three name variants (loop pass 1): no match — reclassified retry -> not_found.)
18 September 2026Couto Plastic Surgeryaxes.M7: null → 5 (Clinic-site rescan (loop pass 1): quote from the withdrawn cell no longer present; no lexicon pattern found on the page checked.)
18 September 2026Dr. Ian Marrero, MD — Hand & Plastic Surgeryaxes.M3: null → null (Register re-probed (loop pass 1, v1.2): medical_licence host confirmed still unreachable from this egress; secondary routes searched and exhausted (none_found) — reclassified retry -> registry_closed, leaves the coverage denominator per v1.2.)
18 September 2026Dr. Ian Marrero, MD — Hand & Plastic Surgeryaxes.M5: null → null (Departamento de Estado RCP re-searched (loop pass 1): no active match under the physician’s name or a plausible practice name — reclassified retry -> not_found.)
18 September 2026Eden Esthetics — Dr. Claudio Corral, MDInitial collection (loop pass 1, roster source a: Sociedad de Cirugía Plástica de Puerto Rico member directory).
18 September 2026Enrique Gorbea, MD — Facial Plastic Surgeryaxes.M3: null → null (Register re-probed (loop pass 1, v1.2): medical_licence host confirmed still unreachable from this egress; secondary routes searched and exhausted (none_found) — reclassified retry -> registry_closed, leaves the coverage denominator per v1.2.)
18 September 2026Esthetical Surgery Centeraxes.M3: null → null (Register re-probed (loop pass 1, v1.2): medical_licence host confirmed still unreachable from this egress; secondary routes searched and exhausted (none_found) — reclassified retry -> registry_closed, leaves the coverage denominator per v1.2.)
18 September 2026Esthetical Surgery Centeraxes.M5: null → null (Departamento de Estado RCP re-searched (loop pass 1): only a different-first-name non-profit exists under this surname — confirmed not a match, reclassified retry -> not_found.)
18 September 2026Gustavo Colberg, MDaxes.M3: null → null (Register re-probed (loop pass 1, v1.2): medical_licence host confirmed still unreachable from this egress; secondary routes searched and exhausted (none_found) — reclassified retry -> registry_closed, leaves the coverage denominator per v1.2.)
18 September 2026Gustavo Colberg, MDaxes.M5: null → 5 (Departamento de Estado RCP re-searched by surname (Starting-With match) and matched by officer + address (loop pass 1).)
18 September 2026Gustavo Colberg, MDaxes.M7: null → 5 (Clinic-site rescan (loop pass 1): quote from the withdrawn cell no longer present; no lexicon pattern found on the pages checked.)
18 September 2026Higuera Plastic Surgery & Wellness Spaaxes.M3: null → null (Register re-probed (loop pass 1, v1.2): medical_licence host confirmed still unreachable from this egress; secondary routes searched and exhausted (none_found) — reclassified retry -> registry_closed, leaves the coverage denominator per v1.2.)
18 September 2026Higuera Plastic Surgery & Wellness Spaaxes.M1: null → 3 (No ABMS Certification Matters record found (re-searched); NPPES cross-check lists a matching Plastic Surgery taxonomy and PR licence number (m1Rule tier 3, loop pass 1).)
18 September 2026Higuera Plastic Surgery & Wellness Spaaxes.M7: null → 5 (Clinic-site rescan (loop pass 1): quote from the withdrawn cell no longer present; no lexicon pattern found in the clinic’s own text.)
18 September 2026Javier González, MD — Facial Plastic Surgeryaxes.M3: null → null (Register re-probed (loop pass 1, v1.2): medical_licence host confirmed still unreachable from this egress; secondary routes searched and exhausted (none_found) — reclassified retry -> registry_closed, leaves the coverage denominator per v1.2.)
18 September 2026Javier González, MD — Facial Plastic Surgeryaxes.M5: null → null (Departamento de Estado RCP re-searched under five name variants (loop pass 1): no match — reclassified retry -> not_found (a completed open-register query, not a value).)
18 September 2026Latoni Plastic Surgery and Dermatologyaxes.M3: null → null (Register re-probed (loop pass 1, v1.2): medical_licence host confirmed still unreachable from this egress; secondary routes searched and exhausted (none_found) — reclassified retry -> registry_closed, leaves the coverage denominator per v1.2.)
18 September 2026Latoni Plastic Surgery and Dermatologyaxes.M7: null → 5 (Clinic-site rescan (loop pass 1): quote from the withdrawn cell no longer present; no lexicon pattern found on the page checked.)
18 September 2026Methodology v1.2.0Coverage is measured against what the country lets us check: a register class that does not exist here or is closed to machine queries (with the refusal on record) leaves the coverage denominator; a completed query with no match, an attempt that did not complete and a single language front stay in it. A register miss is never a value: the three anchors that used to encode a miss (M1 = 1, M4 = 3, M5 = 1) now mean a found record that contradicts the claim, or, for M4 = 3, a register that is not machine-accessible while the clinic publishes its facility number. Where the specialist register is closed, M1 is not scored on that site at all; what a society, ISAPS or a hospital page says is shown on the profile as a secondary fact outside the score. Commercial mirrors of an official register can support M3–M5 up to 4 with secondary provenance. M8 may be empty only for a single language front or while the clinic site fails to load. The citation verifier applies exactly three normalisations (HTML entities, Unicode NFC, whitespace). Weights, rubrics otherwise, the 75% coverage threshold, ceilings, holds and the ten-clinic floor are unchanged.
18 September 2026RoMi Dermatologyaxes.M3: null → null (Register re-probed (loop pass 1, v1.2): medical_licence host confirmed still unreachable from this egress; secondary routes searched and exhausted (none_found) — reclassified retry -> registry_closed, leaves the coverage denominator per v1.2.)
18 September 2026State of the Art Plastic Surgery — Dr. Karim Benítez-Marchand, MDaxes.M3: null → 3 (Clinic’s own About page publishes the PR Medical License number while the register itself remains unreachable (v1.2 anchor M3=3, loop pass 1).)
17 September 2026Gustavo Colberg, MDaxes.M8: null → 5 (Mechanical cross-locale comparison (methodology v1.1, item 9).)
17 September 2026Methodology v1.1.0Completeness of collection became a build gate. Every cell we could not verify now carries a typed reason (register absent in this country, register not machine-accessible, queried and not found, attempt not completed, single language front) and, where a query was run, the attempt log; a closed register is tried through secondary routes before a cell is left empty; cross-locale consistency (M8) is computed mechanically. Only clinics with a published score are shown; a site publishes only with at least ten scored clinics (target fifteen) and otherwise shows a holding page while collection continues. Home title, heading and description name the country and are built from the site’s own data. Weights, rubrics, the coverage threshold, ceilings and holds are unchanged.
2 September 2026Argüello Plastic SurgeryInitial collection.
2 September 2026Argüello Plastic Surgeryaxes.M5: null → 5 (Departamento de Estado RCP match (follow-up pass))
2 September 2026Aviles Plastic Surgery, PSCInitial collection.
2 September 2026Busquets Plastic Surgery & DermatologyInitial collection.
2 September 2026Busquets Plastic Surgery & Dermatologyaxes.M5: null → 5 (Departamento de Estado RCP match (follow-up pass))
2 September 2026Cañizares Plastic SurgeryInitial collection.
2 September 2026Cañizares Plastic Surgeryaxes.M7: 3 → null (Citation re-check: quote not found at https://drcanizares.com/ (quote not found); cell degraded to could-not-verify.)
2 September 2026Cañizares Plastic Surgeryaxes.M5: null → 5 (Departamento de Estado RCP match (follow-up pass))
2 September 2026Couto Plastic SurgeryInitial collection.
2 September 2026Couto Plastic Surgeryaxes.M7: 4 → null (Citation re-check: quote not found at https://coutoplasticsurgery.com/en/home/ (quote not found); cell degraded to could-not-verify.)
2 September 2026Dr. Ian Marrero, MD — Hand & Plastic SurgeryInitial collection.
2 September 2026Enrique Gorbea, MD — Facial Plastic SurgeryInitial collection.
2 September 2026Enrique Gorbea, MD — Facial Plastic Surgeryaxes.M5: null → 5 (Departamento de Estado RCP match (follow-up pass))
2 September 2026Esthetical Surgery CenterInitial collection.
2 September 2026Gustavo Colberg, MDInitial collection.
2 September 2026Gustavo Colberg, MDaxes.M7: 4 → null (Citation re-check: quote not found at https://www.gustavocolbergmd.com/ (quote not found); cell degraded to could-not-verify.)
2 September 2026Higuera Plastic Surgery & Wellness SpaInitial collection.
2 September 2026Higuera Plastic Surgery & Wellness Spaaxes.M7: 4 → null (Citation re-check: quote not found at https://www.drhiguera.com/ (quote not found); cell degraded to could-not-verify.)
2 September 2026Higuera Plastic Surgery & Wellness Spaaxes.M5: null → 5 (Departamento de Estado RCP match (follow-up pass))
2 September 2026Javier González, MD — Facial Plastic SurgeryInitial collection.
2 September 2026Latoni Plastic Surgery and DermatologyInitial collection.
2 September 2026Latoni Plastic Surgery and Dermatologyaxes.M7: 4 → null (Citation re-check: quote not found at https://www.drlatoni.com/ (quote not found); cell degraded to could-not-verify.)
2 September 2026Latoni Plastic Surgery and Dermatologyaxes.M5: null → 5 (Departamento de Estado RCP match (follow-up pass))
2 September 2026RoMi DermatologyInitial collection.
2 September 2026RoMi Dermatologyaxes.M5: null → 5 (Departamento de Estado RCP match (follow-up pass))
2 September 2026State of the Art Plastic Surgery — Dr. Karim Benítez-Marchand, MDInitial collection.
2 September 2026State of the Art Plastic Surgery — Dr. Karim Benítez-Marchand, MDaxes.M5: null → 5 (Departamento de Estado RCP match (follow-up pass))
29 August 2026Methodology v1.0.0Initial public methodology: nine mechanical axes (M1–M9, weights summing to 100), 1–5 rubric per axis, weighted composite normalised over axes that hold a value, 75% coverage threshold, hold ladder H1–H3, score caps only from verified-false findings, focus penalty, registry-gated crowns.