Alexander Fret Cruz
Internal Medicine · Ponce, PRNPI 1457994683
Payments from drug & device makers
Across 61 payments — averaging $61.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Bayer$684
- Boehringer Ingelheim$420
- Madrigal Pharmaceuticals$416
- Medtronic$251
- Boston Scientific$216
- AbbVie$176
- plus $2K from 18 others
What the payments were for
- Food & beverage$3,731100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Bayer | 6 | $684 |
| Boehringer Ingelheim | 6 | $420 |
| Madrigal Pharmaceuticals | 3 | $416 |
| Medtronic | 5 | $251 |
| Boston Scientific | 5 | $216 |
| AbbVie | 4 | $176 |
| Sanofi | 2 | $148 |
| Johnson & Johnson | 7 | $141 |
| Jazz Pharmaceuticals Inc. | 1 | $133 |
| EMD Serono, Inc. | 1 | $125 |
| Scpharmaceuticals Inc. | 1 | $125 |
| Gilead | 1 | $125 |
| Corcept Therapeutics | 1 | $120 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $94 |
| Dexcom, Inc. | 1 | $92 |
| Mylan Specialty L.p. | 1 | $92 |
| Sanofi-aventis U.S. LLC | 1 | $91 |
| PBG Puerto Rico LLC | 3 | $59 |
| Bayer Puerto Rico Inc. | 4 | $57 |
| Edwards Lifesciences | 1 | $50 |
| Incyte Corporation | 2 | $45 |
| Genentech USA, Inc. | 2 | $37 |
| Sobi, Inc | 1 | $21 |
| Eli Lilly Export S.A. Puerto Rico Branch | 1 | $13 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$3,731 in reported general payments places this provider in the 85th percentile of 1,043 internal medicine providers in Puerto Rico.
Other internal medicine in Ponce
- Elizabeth BarrancoPonce$8M
- Hector Martinez FornaPonce$19K
- Enrique Rodriguez-PazPonce$14K
- Carlos RiveraPonce$12K
- Darcy Diago BlancoPonce$10K
- Rafael Espinet PerezPonce$7K
- Brian Torres MercadoPonce$6K
- Raul Cota LeyPonce$6K
- Humberto SimonettiPonce$6K
- Stephen Bury FiolPonce$5K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.