Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 35.131784 | OH |
N | 208600000X | Surgeon | 35.131784 | OH |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 21271 | PR |
N | 2086S0122X | Plastic and Reconstructive Surgery | R9739 | TX |
NPI | 1255774725 |
---|---|
Provider Name | Mr. Rafael Alejandro Couto |
First Address | San Juan, PR 00911-1166 |
Second Address | San Juan, PR 00912-3312 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2013 |
Last Update Date | 01/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0232410 | (05) | OH |