Alvaro Ramos-Rodriguez, MD
Dermatopathology · Mayaguez, PRNPI 1346603776
Payments from drug & device makers
Across 142 payments — averaging $31.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$2K
- Johnson & Johnson$953
- Sanofi$574
- Genentech USA, Inc.$325
- PBG Puerto Rico LLC$239
- Eli Lilly Export S.A. Puerto Rico Branch$231
- plus $527 from 9 others
What the payments were for
- Food & beverage$4,04190%
- Education$44510%
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 |
|---|---|---|
| AbbVie | 48 | $1,637 |
| Johnson & Johnson(2 entities) | 27 | $953 |
| Sanofi | 21 | $574 |
| Genentech USA, Inc. | 6 | $325 |
| PBG Puerto Rico LLC | 12 | $239 |
| Eli Lilly Export S.A. Puerto Rico Branch | 13 | $231 |
| Lilly USA, LLC | 1 | $120 |
| Sun Pharmaceutical Industries Inc. | 2 | $119 |
| Sanofi-aventis U.S. LLC | 2 | $92 |
| E.r. Squibb & Sons, L.L.C. | 5 | $91 |
| Revance Therapeutics, Inc. | 1 | $29 |
| Kyowa Kirin, Inc. | 1 | $28 |
| Astellas Pharma US Inc | 1 | $17 |
| Amgen | 1 | $16 |
| Pfizer | 1 | $15 |
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
Too few dermatopathology providers in Puerto Ricoto place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Clobetasol Propionate | 509 | $31,316 |
| Ketoconazole | 1,321 | $27,819 |
| Desonide | 435 | $10,919 |
| Metronidazole | 144 | $7,430 |
| Mometasone Furoate | 293 | $6,971 |
| Triamcinolone Acetonide | 387 | $6,971 |
| Betamethasone Valerate | 182 | $5,927 |
| Tacrolimus | 44 | $4,153 |
| Fluorouracil | 50 | $3,695 |
| Betamethasone Dipropionate | 102 | $2,960 |
| Calcipotriene | 13 | $1,875 |
| Clindamycin Phosphate | 37 | $1,368 |
| Permethrin | 25 | $1,203 |
| Ciclopirox | 35 | $1,037 |
| Fluocinolone Acetonide | 12 | $828 |
Paid to pharmacies, not to this prescriber.
Other dermatopathology in Mayaguez
- Marta Torres-QuinonesSan Juan$980K
- Tania Gonzalez SantiagoCaguas$488K
- Nestor Sanchez ColonAibonito$25K
- Julio Sanchez PontSan Juan$3K
- Carlos Sarriera-LazaroSan Juan$1K
- Jorge Sanchez ColonSan Juan$125
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.