Alma Cruz Santana, MD
Dermatology · Carolina, PRNPI 1447364716
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (50.1%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. AbbVie accounts for 61.0% of it on its own, with 17 other manufacturers making up the rest. Reporting peaked in 2019 at $23,928 and has fallen 89.6% since, to $2,483 in 2025. Among dermatology clinicians in PR with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 287 payments — averaging $257.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$45K
- Novartis$10K
- Eli Lilly$9K
- Johnson & Johnson$3K
- E.r. Squibb & Sons, L.L.C.$2K
- UCB, Inc.$2K
- plus $3K from 12 others
Across 416 payments — averaging $6300.78 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.
- Eli Lilly Export S.A. Puerto Rico Branch$1.3M
- AbbVie$1.1M
- E.r. Squibb & Sons, L.L.C.$139K
- Novartis$95K
- Eli Lilly$16K
- UCB SA$8K
What the payments were for
- Consulting fees$37,04550%
- Speaking & faculty fees$24,75033%
- Travel & lodging$3,4855%
- Food & beverage$8,31211%
- Education$3660%
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 |
|---|---|---|
| AbbVie(2 entities) | 90 | $45,103 |
| Novartis | 56 | $9,906 |
| Eli Lilly | 36 | $9,045 |
| Johnson & Johnson(2 entities) | 18 | $3,295 |
| E.r. Squibb & Sons, L.L.C. | 16 | $2,195 |
| UCB, Inc. | 8 | $1,507 |
| UCB GmbH | 9 | $1,131 |
| Eli Lilly Export S.A. Puerto Rico Branch | 12 | $350 |
| Sanofi | 10 | $345 |
| PBG Puerto Rico LLC | 13 | $278 |
| Organon | 8 | $147 |
| Lilly USA, LLC | 2 | $142 |
| Amgen | 3 | $127 |
| Janssen Scientific Affairs, LLC | 1 | $125 |
| Sun Pharmaceutical Industries Inc. | 1 | $119 |
| Pfizer | 2 | $104 |
| Pfizer Pharmaceuticals LLC | 1 | $20 |
| Galderma Laboratories, L.p. | 1 | $20 |
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
$73,958 in reported general payments places this provider in the 95th percentile of 108 dermatology providers in Puerto Rico.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Humira(Cf) PenAdalimumab | 93 | $1,141,933 |
| Taltz AutoinjectorIxekizumab | 39 | $268,048 |
| Skyrizi PenRisankizumab-Rzaa | 11 | $267,302 |
| Cosentyx Unoready PenSecukinumab | 19 | $208,225 |
| RemicadeInfliximab | 12 | $137,336 |
| RinvoqUpadacitinib | 13 | $96,433 |
| Humira(Cf)Adalimumab | 13 | $88,138 |
| Betamethasone Diprop AugmentedBetamethasone/Propylene Glyc | 100 | $6,991 |
| Ketoconazole | 184 | $4,052 |
| Betamethasone Dipropionate | 78 | $3,884 |
| Halobetasol Propionate | 60 | $3,778 |
| Fluorouracil | 37 | $3,229 |
| MupirocinMupirocin Calcium | 19 | $2,565 |
| Clobetasol Propionate | 40 | $2,377 |
| Triamcinolone Acetonide | 181 | $2,105 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| AbbVieRinvoq, Humira(Cf) | $45,103 | $184,57226 claims |
| Johnson & JohnsonRemicade | $3,295 | $137,33612 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 95th percentile of 108 dermatology providers in Puerto Rico.
Other dermatology in Carolina
- Rocio CardonaCarolina$7K
- Aida Quintero NoriegaCarolina$2K
- Jose Gonzalez ChavezSan Juan$248K
- Rafael Martin GarciaSan Juan$199K
- Noelani Gonzalez-OrtizSan Juan$154K
- Eneida de la TorreBayamon$39K
- Samuel SanchezCaguas$25K
- Elena Montalvan MiroSan Juan$20K
- Luis Ortiz EspinosaBayamon$18K
- Hiram RuizArecibo$17K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.