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NPI Code Detail

MEDICARE: MR. RAFAEL A COUTO CUERVO MD

MEDICARE:  MR. RAFAEL A COUTO CUERVO  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0122XPlastic and Reconstructive Surgery PhysicianR9739TX
22086S0122XPlastic and Reconstructive Surgery Physician21271PR
3208200000XPlastic Surgery Physician35.131784OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255774725
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RAFAEL A COUTO CUERVO MD
Provider Business Mailing Address
First Line : 373 CALLE SAN JORGE STE 200
Second Line :
City : SAN JUAN
State : PR
Zip : 00912-3312
Country : US
Telephone Number : 787-422-0004
Fax Number :
Provider Business Practice Location Address
First Line : 373 CALLE SAN JORGE STE 200
Second Line :
City : SAN JUAN
State : PR
Zip : 00912-3312
Country : US
Telephone Number : 787-671-0416
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2013
Last Update Date : 05/05/2026

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Directions to “ MR. RAFAEL A COUTO CUERVO MD” Practice Location

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