Carmen Sanchez Lopez
General Practice · San Juan, PRNPI 1407826217
Payments from drug & device makers
Across 26 payments — averaging $105.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merck$2K
- AstraZeneca$687
- Genentech USA, Inc.$113
- Lilly USA, LLC$91
- Boehringer Ingelheim$64
- GSK$48
- plus $36 from 2 others
What the payments were for
- Consulting fees$1,50055%
- Food & beverage$1,23945%
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 | $1,701 |
| AstraZeneca | 11 | $687 |
| Genentech USA, Inc. | 1 | $113 |
| Lilly USA, LLC | 2 | $91 |
| Boehringer Ingelheim | 2 | $64 |
| GSK | 2 | $48 |
| Johnson & Johnson | 1 | $25 |
| Eli Lilly Export S.A. Puerto Rico Branch | 1 | $11 |
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
$2,739 in reported general payments places this provider in the 95th percentile of 3,586 general practice 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 |
|---|---|---|
| JardianceEmpagliflozin | 49 | $65,027 |
| FarxigaDapagliflozin Propanediol | 44 | $59,123 |
| GlyxambiEmpagliflozin/Linagliptin | 42 | $50,166 |
| Xigduo XrDapaglifloz Propaned/Metformin | 35 | $35,822 |
| MounjaroTirzepatide | 28 | $31,947 |
| Janumet XrSitagliptin Phos/Metformin Hcl | 23 | $28,072 |
| SynthroidLevothyroxine Sodium | 212 | $27,321 |
| EliquisApixaban | 21 | $23,115 |
| Soliqua 100-33Insulin Glargine/Lixisenatide | 24 | $21,048 |
| TrulicityDulaglutide | 19 | $18,697 |
| XareltoRivaroxaban | 16 | $18,160 |
| TradjentaLinagliptin | 11 | $17,169 |
| OzempicSemaglutide | 14 | $13,697 |
| Trijardy XrEmpaglifloz/Linaglip/Metformin | 13 | $12,724 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 16 | $10,020 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance, Glyxambi, Tradjenta, Trijardy Xr | $64 | $145,087115 claims |
| AstraZenecaFarxiga | $687 | $59,12344 claims |
| Lilly USA, LLCMounjaro, Trulicity | $91 | $50,64447 claims |
| MerckJanumet Xr | $1,701 | $28,07223 claims |
| Johnson & JohnsonXarelto | $25 | $18,16016 claims |
| GSKBreo Ellipta | $48 | $7,38516 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 3,586 general practice providers in Puerto Rico.
Other general practice in San Juan
- Gregorio Cortes-MaisonetSan Juan$12.8M
- Orvil MartinezSan Juan$211K
- Yudit Brito PequeroSan Juan$156K
- Miguel Sosa PadillaSan Juan$155K
- Vivian Tamayo AgraitSan Juan$96K
- William E TorresSan Juan$86K
- Roberto Unda GomezSan Juan$79K
- Eduardo Miralles AlonsoSan Juan$71K
- Victor PalmerSan Juan$21K
- Jose Davila SanchezSan Juan$16K
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.