Alfred Alvarez
Pediatrics · Palm Harbor, FLNPI 1205923703
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 72 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 20 manufacturers, the largest accounting for just 15.9% — the pattern of someone who eats at a lot of different presentations.
Across 72 payments — averaging $18.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merck$215
- Corium, LLC$156
- Cranial Technologies, Inc$125
- Pfizer$119
- Sanofi Pasteur Inc.$107
- Ironshore Pharmaceuticals Inc.$96
- plus $530 from 14 others
What the payments were for
- Food & beverage$1,348100%
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 |
|---|---|---|
| Merck | 13 | $215 |
| Corium, LLC | 7 | $156 |
| Cranial Technologies, Inc | 7 | $125 |
| Pfizer | 7 | $119 |
| Sanofi Pasteur Inc. | 6 | $107 |
| Ironshore Pharmaceuticals Inc. | 5 | $96 |
| Sobi, Inc | 4 | $82 |
| Shire North American Group Inc | 3 | $64 |
| Cipher Pharmaceuticals US LLC | 1 | $53 |
| Collegium Pharmaceutical, Inc. | 3 | $50 |
| GSK | 3 | $50 |
| Ultragenyx Pharmaceutical Inc. | 2 | $49 |
| Neos Therapeutics, LP | 3 | $44 |
| Kaleo, Inc. | 2 | $28 |
| Alk-abello, Inc | 1 | $25 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $21 |
| Vertical Pharmaceuticals, LLC | 1 | $20 |
| Biomarin Pharmaceutical Inc. | 1 | $16 |
| Novartis | 1 | $16 |
| Tris Pharma Inc | 1 | $13 |
How this compares
$1,348 in reported general payments places this provider in the 85th percentile of 3,964 pediatrics providers in Florida.
Other pediatrics in Palm Harbor
- Gary GoldsteinPalm Harbor$16K
- Jorge Lujan-ZilbermanTampa$378K
- Bonnie SmeryageHollywood$153K
- Patricia DeanMiami$92K
- Ryan CantvilleJacksonville$87K
- Christina CanodyTampa$87K
- Sofia MirandaMiami$67K
- Jose HerreraMiami$61K
- Joanna DavisMiami$59K
- Anastasia Albanese-O'neillGainesville$42K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.