Dorian Noguera, MD
General Practice · Guaynabo, PRNPI 1649383449
Payments from drug & device makers
Across 86 payments — averaging $33.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$1K
- Biocryst US Sales Co., LLC$766
- Teva Pharmaceuticals USA, Inc.$295
- PBG Puerto Rico LLC$155
- Merck$148
- Mylan Specialty L.p.$105
- plus $266 from 9 others
What the payments were for
- Food & beverage$2,88299%
- Education$151%
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 |
|---|---|---|
| AstraZeneca | 26 | $1,161 |
| Biocryst US Sales Co., LLC | 23 | $766 |
| Teva Pharmaceuticals USA, Inc. | 8 | $295 |
| PBG Puerto Rico LLC | 9 | $155 |
| Merck | 4 | $148 |
| Mylan Specialty L.p. | 1 | $105 |
| Boehringer Ingelheim | 3 | $62 |
| Pfizer Pharmaceuticals LLC | 3 | $40 |
| Johnson & Johnson | 2 | $39 |
| Viiv Healthcare Company | 1 | $25 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $25 |
| Sanofi-aventis U.S. LLC | 1 | $23 |
| Genentech USA, Inc. | 1 | $20 |
| Eli Lilly Export S.A. Puerto Rico Branch | 1 | $19 |
| Mylan LLC | 2 | $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.
How this compares
$2,897 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 |
|---|---|---|
| JanuviaSitagliptin Phosphate | 24 | $21,693 |
| FarxigaDapagliflozin Propanediol | 18 | $20,632 |
| JardianceEmpagliflozin | 14 | $19,327 |
| SynthroidLevothyroxine Sodium | 146 | $17,750 |
| EliquisApixaban | 11 | $14,824 |
| Trijardy XrEmpaglifloz/Linaglip/Metformin | 15 | $13,661 |
| JanumetSitagliptin Phos/Metformin Hcl | 15 | $10,307 |
| Fluticasone Propionate | 358 | $5,962 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 13 | $4,047 |
| Losartan Potassium | 188 | $2,555 |
| Prednisolone | 84 | $2,255 |
| Fenofibric AcidFenofibric Acid (Choline) | 21 | $2,157 |
| Prednisolone Sodium Phosphate | 76 | $1,905 |
| Atorvastatin Calcium | 152 | $1,884 |
| Irbesartan | 42 | $1,595 |
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, Trijardy Xr | $62 | $32,98829 claims |
| MerckJanuvia, Janumet | $148 | $31,99939 claims |
| AstraZenecaFarxiga | $1,161 | $20,63218 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 Guaynabo
- Maribel AcevedoGuaynabo$142K
- Kenel Fernandez MedinaGuaynabo$20K
- Gregorio Cortes-MaisonetSan Juan$12.8M
- Barbara Orozco PerezCanovanas$5.1M
- Jesus Rodriguez RodriguezPonce$4.9M
- Luis PaganDorado$3.3M
- Cindy MartinezHormigueros$3.2M
- Gustavo AlbizuMorovis$3.1M
- Elham GhorbaniDorado$1.2M
- Victor MorenoMaunabo$903K
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.