Couto Plastic Surgery
Under our open methodology this clinic scores 79.7/100 on structural verification: physician certification, licences, facility and legal-entity traceability, identifier disclosure and advertising honesty.
Rank #4 of 15 ranked clinics · last checked 19 September 2026
- Specialist-led
Summary
Two-physician plastic-surgery practice in the Santurce area of San Juan, adjoining Condado. Both physicians named with role and specialist certification matched in the ABMS board register; the English and Spanish fronts publish the same names and menu.
Google Maps listing (reference, not scored)
What the clinic's public Google Maps listing showed when we read it: the rating other people gave, the number of their reviews and the hours the clinic itself publishes there. This block is a reference only — it does not enter the score, the rank, the ceilings or the holds, and we have not checked it beyond matching the listing to this record.
| Google rating | 4.9 out of 5 · reviews: 390 |
|---|---|
| Opening hours as published on the listing |
|
| Open the listing on Google Maps | Google Maps |
Source: Google Maps, read 4 October 2026. The listing was matched to this record by the clinic's website address, the clinic's phone number.
Axis by axis
rubric value 1–5 · ? could not verify (no points, not a negative finding) · — not applicable: this country has no register of that class · OFF official register · SEC secondary source
| Axis | Finding (rubric anchor) | Value | Source class | Weight | Checked |
|---|---|---|---|---|---|
| M1 | Specialist certification of the responsible physician Found, status current; the registered specialty matches what this physician advertises. ABMS Certification Matters: both physicians currently certified by the American Board of Plastic Surgery, specialty Plastic Surgery. [abms-profile-rafael] [abms-profile-javier] |
OFF | 26 | 2026-09-02 | |
| M2 | Identifiability of the responsible physician Physician(s) named with role and tied to this address. |
SEC | 16 | 2026-09-02 | |
| M3 | Basic medical licence Could not verify — this register is closed to machine queries in this country, so the axis is left out of the coverage calculation for every clinic on this site. Not a negative finding. Reason: Register closed to machine queries. Last attempt: none_found, 18 September 2026 — Re-probed 2026-09-18 (loop pass 1): orcps.salud.pr.gov, the API host orcpsws.salud.pr.gov and the mirror orcps.salud.gov.pr all still fail to complete a TCP handshake from this egress (curl exit 28 / HTTP 000, confirmed again via a live Chrome session for the sibling facility_registry host); salud.pr.gov is likewise unreachable. A register that answers is not closed — this one still does not. Secondary routes checked and excluded: pr.pcshq.com Juntas Examinadoras 'ESPECIALISTAS EN BELLEZA' board licenses non-physician aesthetic staff only, never doctors; NPPES NPI Registry gives a self-reported licence NUMBER at enumeration only, never a status check; no Puerto Rico medical or dermatology society publishes a licence lookup. none_found. |
? | ? | 8 | 2026-09-19 |
| M4 | Facility registration Could not verify — no points, counts against coverage, not a negative finding. Reason: Queried, no match. Last attempt: facility_registry, 19 September 2026 — No row carries the practice name, the physician surname or the street address. The file lists Medicare-certified facilities only; an office-based practice outside it is not a finding. SARAFS (the Puerto Rico facility licence) timed out from both egresses again on 2026-09-19. |
? | ? | 10 | 2026-09-19 |
| M5 | Legal-entity traceability Could not verify — no points, counts against coverage, not a negative finding. Reason: Queried, no match. Last attempt: legal_entity, 18 September 2026 — "COUTO PLASTIC": 0 results. "COUTO": 3 unrelated results (LOPEZ COUTO E HIJO INC., a dissolved accounting firm, a law office) — none is a medical practice or matches either physician. "RAFAEL COUTO": 0 results. No legal entity found for either Dr. Rafael A. Couto or Dr. Javier A. Couto or the practice name. |
? | ? | 8 | 2026-09-19 |
| M6 | Self-disclosure of identifiers No identifiers at all. Site states “certificado por la junta” (board-certified) without naming an issuer or a licence number on the pages checked. [site-es] |
SEC | 10 | 2026-09-02 | |
| M7 | Advertising honesty No pattern from the lexicon found. Re-scanned English home page 2026-09-18 (broad lexicon): no guarantee or unmatched-superlative pattern found in the clinic’s own text. [site-en] |
SEC | 12 | 2026-09-18 | |
| M8 | Cross-locale consistency All load-bearing fields agree. Mechanical comparison of 3 language fronts (es, en, x-english) on 2026-09-18: every matched physician name, phone number and published number appears on every front. [fronts] |
SEC | 5 | 2026-09-18 | |
| M9 | Patient documents None. No consent, risk, aftercare, revision-policy or complaint content found on the pages checked. [site-es] |
SEC | 5 | 2026-09-02 |
Score ceilings
No ceiling applies. We never apply one on 'not found' alone.
Holds
No hold on this profile.
Inclusion policy
Four mechanical conditions. The first three decide whether a clinic is listed at all; the fourth decides whether it can be scored.
| Identifiable: live public surface + working in-country contact | verified yes [site-es] |
|---|---|
| Provides the service itself (not an aggregator, booking site or tour packager) | verified yes [site-es] |
| In scope: the intervention is performed by a physician | verified yes [site-es] |
| Names a responsible physician | verified yes [site-es] |
Who is responsible
Named physicians and the legal entity, as published and as matched in the registers. A missing number is a statement about disclosure, not about licensing.
| Physician | Role | Register ID |
|---|---|---|
| Dr. Rafael A. Couto [site-es] [abms-profile-rafael] | Plastic and reconstructive surgeon | not published |
| Dr. Javier A. Couto [site-es] [abms-profile-javier] [nppes] | Plastic and reconstructive surgeon | 22134 |
Legal entity: could not verify
Scope and procedure segments
Clinic focus: specialist (no focus adjustment) [site-es]
What we could not verify
- M3 · Basic medical licence — Register closed to machine queries
- M4 · Facility registration — Queried, no match
- M5 · Legal-entity traceability — Queried, no match
These cells score nothing and are not negative findings. A cell on a register that is closed to machine queries is left out of the coverage calculation; the others count against it. Each one names why it is empty; an attempt that did not complete is re-run in the next collection pass. If you can point to a public source, send it.
Contact details
| Website | https://coutoplasticsurgery.com/ |
|---|---|
| Phone | +1 787-422-0004 |
| Address | 373 Calle San Jorge, Suite 200, San Juan, PR 00912 |
| City | San Juan |
For identification only; details change — verify with the clinic directly.
Sources
| ID | Source | Class | What it supports | Accessed |
|---|---|---|---|---|
| site-es | https://coutoplasticsurgery.com/ | clinic's own site | physicians, address, phone, menu | 2 September 2026 |
| site-en | https://coutoplasticsurgery.com/en/home/ | clinic's own site | English-front physicians, menu, safety/outcome quote | 2 September 2026 |
| abms-profile-rafael | https://www.certificationmatters.org/practitioner/?crtmat_pid=11928… | official register | GET certificationmatters.org/find-my-doctor/?dsearch=1&lname=Couto&fname=Rafael&state=PR then practitioner profile | 2 September 2026 |
| abms-profile-javier | https://www.certificationmatters.org/practitioner/?crtmat_pid=14203… | official register | GET certificationmatters.org/find-my-doctor/?dsearch=1&lname=Couto&fname=Javier&state=PR then practitioner profile | 2 September 2026 |
| nppes | https://npiregistry.cms.hhs.gov/api/?version=2.1&last_name=Couto&st… | secondary | NPPES NPI registry: Javier Couto, PR licence 22134 self-reported (secondary, not licence verification) | 2 September 2026 |
| leie | https://oig.hhs.gov/exclusions/downloadables/UPDATED.csv | official register | OIG LEIE bulk CSV filtered STATE=PR, LASTNAME contains COUTO: no matching active exclusion | 2 September 2026 |
| fronts | https://coutoplasticsurgery.com/ | clinic's own site | language fronts compared mechanically for M8 — es: https://coutoplasticsurgery.com/ | en: https://coutoplasticsurgery.com/en/home/ | x-english: https://coutoplasticsurgery.com/en/home/ | 18 September 2026 |
Change history
| Date | Change |
|---|---|
| 19 September 2026 | axes.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 2026 | axes.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 2026 | axes.M5: null → null (Departamento de Estado RCP re-searched under three name variants (loop pass 1): no match — reclassified retry -> not_found.) |
| 18 September 2026 | axes.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.) |
| 2 September 2026 | axes.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 2026 | Initial collection. |
Correction or right of reply
Corrections are applied with a source link and logged publicly. A clinic statement without a source is published next to the data; the score does not change.