Alfredo Fernandez
Anesthesiology · Miami, FLNPI 1104801042
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 2 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. That places this record below the midpoint for anesthesiology clinicians in FL, where the typical reported total is $136.
Across 2 payments — averaging $21.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$24
- Merck$18
Across 19 payments — averaging $199,796 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Vertex$2.9M
- Mylan Pharmaceuticals Inc.$898K
What the payments were for
- Food & beverage$42100%
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.
How this compares
$42 in reported general payments places this provider in the 25th percentile of 2,767 anesthesiology providers in Florida.
Other anesthesiology in Miami
- Ralf GebhardMiami$166K
- Samantha NiekampMiami$82K
- Roman DudarykMiami$57K
- Keith CandiottiMiami$36K
- Michael VigodaMiami$25K
- Andres MissairMiami$13K
- Michael FabbroMiami$12K
- Dilip KamathMiami$10K
- Sean McIntyreMiami$9K
- Robert LondonOrlando$402K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.