RxDoctor Payments Data

Emanuel Iglesias Torres

Internal Medicine · Coto Laurel, PRNPI 1114215597

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 99.8% of the total across 217 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 16 manufacturers reported payments, led by AstraZeneca at 43.8% of the total. Among internal medicine clinicians in PR with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$5,160in general payments, 2019–2025

Across 217 payments — averaging $23.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$2K
  • PBG Puerto Rico LLC$480
  • Johnson & Johnson$428
  • E.r. Squibb & Sons, L.L.C.$407
  • Boehringer Ingelheim$376
  • Dexcom, Inc.$194
  • plus $1K from 10 others

What the payments were for

  • Food & beverage$5,147100%
  • Education$120%

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

19
20
21
22
23
24
25

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.

CompanyPaymentsTotal
AstraZeneca99$2,261
PBG Puerto Rico LLC24$480
Johnson & Johnson14$428
E.r. Squibb & Sons, L.L.C.12$407
Boehringer Ingelheim18$376
Dexcom, Inc.4$194
Merck14$175
Bayer Puerto Rico Inc.7$173
AbbVie(2 entities)4$163
GSK6$113
ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)2$106
Novo Nordisk4$81
Sanofi-aventis U.S. LLC4$68
Medtronic1$61
Bayer2$52
Eli Lilly Export S.A. Puerto Rico Branch2$23

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

$5,160 in reported general payments places this provider in the 90th percentile of 1,043 internal medicine providers in Puerto Rico.

See all internal medicine providers in Puerto Rico

Most prescribed under Part D

DrugClaimsCost to plans & patients
FarxigaDapagliflozin Propanediol121$86,996
Janumet XrSitagliptin Phos/Metformin Hcl80$66,717
XareltoRivaroxaban71$58,914
TradjentaLinagliptin64$49,685
SynthroidLevothyroxine Sodium546$46,031
EliquisApixaban46$35,628
Xigduo XrDapaglifloz Propaned/Metformin42$33,375
BrilintaTicagrelor50$27,214
Trelegy ElliptaFluticasone/Umeclidin/Vilanter38$25,292
MounjaroTirzepatide24$25,071
JardianceEmpagliflozin31$24,041
JanuviaSitagliptin Phosphate27$23,487
Trijardy XrEmpaglifloz/Linaglip/Metformin27$20,966
JentaduetoLinagliptin/Metformin Hcl18$19,978
Breo ElliptaFluticasone/Vilanterol48$19,813

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.

CompanyPaid to this providerPart D cost of their drugs
Boehringer IngelheimTradjenta, Jardiance, Trijardy Xr, Jentadueto, Synjardy Xr$376$162,596210 claims
AstraZenecaFarxiga, Brilinta, Symbicort$2,261$120,742196 claims
MerckJanumet Xr, Januvia$175$90,204107 claims
Johnson & JohnsonXarelto$428$58,91471 claims
AbbVieSynthroid$163$46,031546 claims
GSKTrelegy Ellipta, Breo Ellipta$113$45,10586 claims
Sanofi-aventis U.S. LLCLantus$68$10,373107 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 90th percentile of 1,043 internal medicine providers in Puerto Rico.

Other internal medicine in Coto Laurel

See the full list for Puerto Rico

Where these figures come from

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