Has Alexander Fret Cruz received payments from drug or device companies?

Yes. Drug and device makers reported $3,731 in general payments to Alexander Fret Cruz across 61 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Alexander Fret Cruz did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Alexander Fret Cruz come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Alexander Fret Cruz

Internal Medicine · Ponce, PRNPI 1457994683

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 100.0% of the total across 61 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 24 manufacturers, the largest accounting for just 18.3% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,707, 2.8 times the $614 reported in 2023. Among internal medicine clinicians in PR with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$3,731in general payments, 2019–2025

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 90th percentile of 1,043 internal medicine providers in Puerto Rico.

See all internal medicine providers in Puerto Rico →

Other internal medicine in Ponce

See the full list for Puerto Rico →

Where these figures come from

Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
Identity: NPPES NPI Registry, July 2026.

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