Fernando Joglar-Irizarry
Vascular Surgery · San Juan, PRNPI 1992761803
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (53.4%), food and beverage and consulting fees — rather than concentrated in one kind of arrangement. 23 manufacturers reported payments, led by E.r. Squibb & Sons, L.L.C. at 59.4% of the total. Reporting peaked in 2019 at $18,251 and has fallen 91.7% since, to $1,517 in 2025. Among vascular surgery 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 190 payments — averaging $254.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- E.r. Squibb & Sons, L.L.C.$29K
- Bolton Medical Inc$5K
- Terumo Medical Corporation$5K
- Silk Road Medical, Inc.$3K
- Medtronic$3K
- W. L. Gore & Associates, Inc.$1K
- plus $3K from 17 others
What the payments were for
- Consulting fees$6,30013%
- Speaking & faculty fees$25,79153%
- Travel & lodging$1,9544%
- Food & beverage$14,23929%
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 |
|---|---|---|
| E.r. Squibb & Sons, L.L.C. | 32 | $28,679 |
| Bolton Medical Inc | 37 | $4,930 |
| Terumo Medical Corporation | 4 | $4,921 |
| Silk Road Medical, Inc. | 27 | $2,834 |
| Medtronic(2 entities) | 57 | $2,818 |
| W. L. Gore & Associates, Inc. | 7 | $1,373 |
| Inari Medical, Inc. | 6 | $711 |
| Amgen | 2 | $244 |
| Bard Peripheral Vascular, Inc. | 2 | $208 |
| Penumbra, Inc. | 1 | $189 |
| Abbott | 1 | $154 |
| Philips North America LLC | 1 | $137 |
| Merck | 2 | $129 |
| Olympus Latin America, Inc. | 1 | $121 |
| Lemaitre Vascular, Inc. | 1 | $118 |
| Boston Scientific | 2 | $111 |
| Johnson & Johnson | 1 | $101 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $98 |
| Avantec Vascular Corporation | 1 | $96 |
| Angiodynamics, Inc. | 1 | $95 |
| AbbVie | 1 | $94 |
| Stryker | 1 | $78 |
| Shape Memory Medical Inc. | 1 | $46 |
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.
- ELIQUIS$26,372
- Relay Plus$2,787
- ENROUTE Transcarotid Neuroprotection System$2,126
- ENROUTE Transcarotid Stent$2,126
- Conformable TAG Thoracic Endoprosthesis$882
- Endurant$838
- FLOWTRIEVER CATHETER, S$605
- CT THROMBECTOMY SYSTEM KIT$605
- TREO ABDOMINAL STENT-GRAFT SYSTEM$604
- ENDURANT IIS$393
- Relay Grafts$297
- Grafts$296
- Repatha$244
- GORE TAG Conformable Thoracic Endoprosthesis$199
- Indigo$189
- RELAY THORACIC STENT-GRAFT WITH PLUS DELIVERY SYSTEM$161
- ESPRIT$154
- Heli-FX EndoAnchor System$146
- Ellipsys$144
- Stellarex Long$137
How this compares
$48,284 in reported general payments places this provider in the 95th percentile of 20 vascular surgery providers in Puerto Rico.
Other vascular surgery in San Juan
- Ivan DominguezSan Juan$37K
- Cesar Castillo AliceaSan Juan$10K
- Francisco Aponte RiveraSan Juan$742
- Agustin Rodriguez GonzalezSan Juan$709
- Carlos Calimano GuardiolaSan Juan$526
- Leonardo ValentinManati$12K
- Gabriel Pereira TorrellasPonce$9K
- Jorge Martinez TrabalPonce$8K
- Rafael Santini DominguezPonce$8K
- Angel Menendez-AponteBayamon$7K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.