Angel Gelpi Guzman, MD
Obstetrics & Gynecology · Manati, PRNPI 1578609939
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $2,775 of the $4,088 with a category attached, or 67.9%. 12 manufacturers reported payments, led by Merck at 44.5% of the total. Reporting peaked in 2019 at $3,085 and has fallen 98.3% since, to $53 in 2025. Among obstetrics & gynecology 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 30 payments — averaging $136.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merck$2K
- AbbVie$1K
- Hologic Sales And Service, LLC$268
- Organon$125
- Amgen$118
- Gen-probe Sales & Service, Inc.$116
- plus $278 from 6 others
What the payments were for
- Consulting fees$2,77568%
- Food & beverage$1,31332%
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 | 6 | $1,821 |
| AbbVie | 5 | $1,362 |
| Hologic Sales And Service, LLC | 6 | $268 |
| Organon | 1 | $125 |
| Amgen | 5 | $118 |
| Gen-probe Sales & Service, Inc. | 1 | $116 |
| Ferring Pharmaceuticals Inc. | 1 | $100 |
| GE HealthCare | 1 | $75 |
| Gen-probe, Inc. | 1 | $55 |
| Johnson And Johnson International | 1 | $18 |
| PBG Puerto Rico LLC | 1 | $16 |
| Medtronic | 1 | $13 |
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.
- GARDASIL9$1,500
- Lupron Depot$1,275
- IMPLANON$125
- Aptima$116
- THINPREP 2000 PROCESSOR$101
How this compares
$4,088 in reported general payments places this provider in the 95th percentile of 333 obstetrics & gynecology 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 |
|---|---|---|
| Estradiol | 746 | $28,983 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 236 | $7,222 |
| Terconazole | 164 | $5,106 |
| ProgesteroneProgesterone, Micronized | 106 | $3,606 |
| Metronidazole | 82 | $1,606 |
| Medroxyprogesterone Acetate | 169 | $1,206 |
| Clobetasol Propionate | 72 | $1,125 |
| Fluconazole | 96 | $1,045 |
| Tolterodine Tartrate ErTolterodine Tartrate | 27 | $760 |
| Ibandronate Sodium | 32 | $719 |
| YuvafemEstradiol | 14 | $694 |
| ValacyclovirValacyclovir Hcl | 33 | $591 |
| Alendronate Sodium | 75 | $437 |
| Ciprofloxacin Hcl | 53 | $352 |
| CefuroximeCefuroxime Axetil | 20 | $291 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Manati
- Jose Ortiz ColonManati$6K
- Manuel Morales MaldonadoManati$2K
- Carmen ZorrillaRio Piedras$41K
- Yari Vale MorenoGuaynabo$25K
- Erika Benabe-GonzalezSan Juan$24K
- Francisco Quintana GonzalezCoto Laurel Pr$16K
- Alexandra OrtizPonce$15K
- Leonardo Molina MilletGuaynabo$13K
- Javier PerezDorado$10K
- Carlos FonsecaSan Juan$8K
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.