Andres Perez Roman, MD
Urology · San Juan, PRNPI 1326497272
Payments from drug & device makers
What this record shows
This record is dominated by grants: $50,000 of the $57,811 with a category attached, or 86.5%. Boston Scientific accounts for 94.6% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2022 at $53,116 and has fallen 99.5% since, to $272 in 2025. Among urology 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 98 payments — averaging $589.91 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$55K
- Coloplast$1K
- Teleflex LLC$1K
- Procept Biorobotics Corporation$234
- Seagen Inc.$85
- Tolmar, Inc.$68
- plus $165 from 6 others
What the payments were for
- Grants$50,00086%
- Travel & lodging$2,9385%
- Food & beverage$4,7888%
- Education$850%
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 |
|---|---|---|
| Boston Scientific | 57 | $54,673 |
| Coloplast | 12 | $1,350 |
| Teleflex LLC | 13 | $1,236 |
| Procept Biorobotics Corporation | 3 | $234 |
| Seagen Inc. | 1 | $85 |
| Tolmar, Inc. | 3 | $68 |
| Urovant Sciences Inc | 4 | $61 |
| AbbVie | 1 | $25 |
| Endo Pharmaceuticals Inc. | 1 | $21 |
| Tolmar Pharmaceuticals, Inc. | 1 | $20 |
| Merck | 1 | $20 |
| Pfizer | 1 | $18 |
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.
- GENERAL ERECTILE DYSFUNCTION$50,239
- GENERAL - THERAPIES$1,820
- TITAN$985
- UroLift$859
- AMS 700 CXR RTE KIT$130
- AMS 800 Artificial Urinary Sphincter$125
- AMS AMBICOR$121
- AQUABEAM SYSTEM$118
How this compares
$57,811 in reported general payments places this provider in the 95th percentile of 122 urology 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 |
|---|---|---|
| CefuroximeCefuroxime Axetil | 59 | $1,610 |
| Tamsulosin Hcl | 136 | $1,524 |
| Ciprofloxacin Hcl | 139 | $863 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 55 | $787 |
| Finasteride | 38 | $669 |
| Sildenafil Citrate | 20 | $625 |
| Etodolac | 41 | $419 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 12 | $313 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 56 | $244 |
| Levofloxacin | 19 | $135 |
| Cephalexin | 19 | $102 |
| Meloxicam | 23 | $68 |
Paid to pharmacies, not to this prescriber.
Other urology in San Juan
- Rafael Bouet BlasiniSan Juan$55K
- Jose Saavedra-BelaundeSan Juan$45K
- Francisco CapoSan Juan$38K
- Gil NievesSan Juan$30K
- Francois Soto PalouSan Juan$26K
- Pablo Ortiz CerezoSan Juan$20K
- Jorge Rivera HerreraSan Juan$19K
- Eduardo CantoSan Juan$17K
- Hector Cardona DobleSan Juan$13K
- Antonio Puras BaezSan Juan$9K
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.