Couto Plastic Surgery
Verification pending: less of the axis weight is sourced than the threshold requires, so no score is published yet.
Status: verification pending · last checked 2 September 2026
No crown: crowns require register-verified gates, never a clinic's own claim.
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.
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 by name or number; specialty matches what is advertised; status current. 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 — no points, counts against coverage, not a negative finding. |
? | ? | 8 | 2026-09-02 |
| M4 | Facility registration Could not verify — no points, counts against coverage, not a negative finding. |
? | ? | 10 | 2026-09-02 |
| M5 | Legal-entity traceability Could not verify — no points, counts against coverage, not a negative finding. no matching entity for COUTO PLASTIC SURGERY / COUTO PSC/CSP/LLC in the Departamento de Estado register. |
? | ? | 8 | 2026-09-02 |
| 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 Could not verify — no points, counts against coverage, not a negative finding. Quote not re-verified on 2026-09-02; previous value 4 withdrawn. |
? | ? | 12 | 2026-09-02 |
| M8 | Cross-locale consistency All load-bearing fields agree. |
SEC | 5 | 2026-09-02 | |
| 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]
- Rhinoplasty: verified no
- Breast surgery: verified yes →
- Liposuction & body contouring: verified yes →
- Hair transplant: verified no
- Injectables: verified yes →
- Medical weight loss: verified no
- Sanctions / discipline register (OIG LEIE — HHS Office of Inspector General List of Excluded Individuals/Entities (federal healthcare exclusions, filterable to Puerto Rico)): no entry found [leie]
What we could not verify
- M3 · Basic medical licence
- M4 · Facility registration
- M5 · Legal-entity traceability
- M7 · Advertising honesty
These cells score nothing and count against coverage, but they are not negative findings. 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 |
Change history
| Date | Change |
|---|---|
| 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.