Christian Castillo Latorre, MD
Critical Care Medicine · San Juan, PRNPI 1235686601
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $27,900 of the $34,664 with a category attached, or 80.5%. Lilly USA, LLC accounts for 84.3% of it on its own, with 20 other manufacturers making up the rest. 2025 is the largest year on record at $29,869, more than ten times the $815 reported in 2019. Among critical care medicine 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 106 payments — averaging $327.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$29K
- Merck$1K
- Inspire Medical Systems, Inc.$963
- Jazz Pharmaceuticals Inc.$785
- Genentech USA, Inc.$400
- Boehringer Ingelheim$373
- plus $2K from 15 others
What the payments were for
- Speaking & faculty fees$27,90080%
- Travel & lodging$2,7138%
- Food & beverage$3,85911%
- Education$1921%
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 |
|---|---|---|
| Lilly USA, LLC | 31 | $29,210 |
| Merck | 4 | $1,218 |
| Inspire Medical Systems, Inc. | 7 | $963 |
| Jazz Pharmaceuticals Inc. | 15 | $785 |
| Genentech USA, Inc. | 3 | $400 |
| Boehringer Ingelheim | 15 | $373 |
| Bayer | 3 | $354 |
| Harmony Biosciences LLC | 5 | $292 |
| Sanofi | 5 | $194 |
| Medtronic | 1 | $161 |
| United Therapeutics Corporation | 1 | $125 |
| E.r. Squibb & Sons, L.L.C. | 1 | $119 |
| Shire North American Group Inc | 1 | $98 |
| Abiomed | 1 | $88 |
| GSK | 3 | $75 |
| Mylan Specialty L.p. | 3 | $65 |
| Mylan LLC | 2 | $36 |
| Johnson & Johnson | 2 | $35 |
| PBG Puerto Rico LLC | 1 | $29 |
| Eli Lilly Export S.A. Puerto Rico Branch | 1 | $27 |
| Pfizer Pharmaceuticals LLC | 1 | $17 |
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
$34,664 in reported general payments places this provider in the 95th percentile of 21 critical care medicine 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 |
|---|---|---|
| OfevNintedanib Esylate | 16 | $209,622 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 71 | $47,202 |
| Fluticasone Propionate HfaFluticasone Propionate | 74 | $24,041 |
| Spiriva RespimatTiotropium Bromide | 36 | $19,898 |
| Wixela InhubFluticasone Propion/Salmeterol | 97 | $15,277 |
| Arnuity ElliptaFluticasone Furoate | 46 | $10,611 |
| Breo ElliptaFluticasone/Vilanterol | 22 | $9,104 |
| SymbicortBudesonide/Formoterol Fumarate | 37 | $8,449 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 33 | $7,749 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 171 | $7,195 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 12 | $5,916 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 12 | $5,726 |
| Fluticasone Propionate | 164 | $3,114 |
| Azelastine-FluticasoneAzelastine/Fluticasone | 17 | $1,606 |
| Doxepin Hcl | 41 | $1,351 |
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 IngelheimOfev, Spiriva Respimat, Stiolto Respimat | $373 | $235,43664 claims |
| GSKTrelegy Ellipta, Arnuity Ellipta, Breo Ellipta, Anoro Ellipta | $75 | $72,644151 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 21 critical care medicine providers in Puerto Rico.
Other critical care medicine in San Juan
- Carlos Garcia RodriguezSan Juan$10K
- Daniel Font RiveraSan Juan$7K
- Jaime Aponte RodriguezSan Juan$2K
- Yomayra Otero-DominguezSan Juan$2K
- Alma OrtizSan Juan$571
- Angel Galera SantiagoSan Juan$394
- Stephanie Rivera-RiveraSan Juan$273
- Gloria Rodriguez VegaBayamon$10K
- Axia Dones RodriguezCaguas$2K
- Adriana ArcilaManati$2K
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.