Hiram Malaret Gonzal, MD
Obstetrics · San Juan, PRNPI 1336222819
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $29,520 of the $37,336 with a category attached, or 79.1%. AbbVie accounts for 60.1% of it on its own, with 3 other manufacturers making up the rest. Reporting peaked in 2019 at $25,268 and has fallen 99.1% since, to $215 in 2025. Among obstetrics 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 87 payments — averaging $429.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$22K
- Merck$15K
- Hologic Sales And Service, LLC$99
- Roche Diagnostics Corporation$92
What the payments were for
- Consulting fees$3,65010%
- Speaking & faculty fees$29,52079%
- Travel & lodging$1,5384%
- Food & beverage$2,6277%
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 |
|---|---|---|
| AbbVie | 65 | $22,426 |
| Merck | 17 | $14,719 |
| Hologic Sales And Service, LLC | 4 | $99 |
| Roche Diagnostics Corporation | 1 | $92 |
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.
- Orilissa$19,802
- GARDASIL$9,000
- GARDASIL 9$3,770
- GARDASIL9$1,500
- Humira$1,400
How this compares
$37,336 in reported general payments places this provider in the 95th percentile of 22 obstetrics 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 |
|---|---|---|
| ProgesteroneProgesterone, Micronized | 159 | $6,873 |
| Metronidazole | 24 | $1,395 |
| Naproxen Sodium | 66 | $1,001 |
| Ketoconazole | 28 | $584 |
| ValacyclovirValacyclovir Hcl | 16 | $515 |
| Doxycycline Hyclate | 50 | $270 |
| Doxycycline Monohydrate | 28 | $182 |
| Fluconazole | 18 | $137 |
Paid to pharmacies, not to this prescriber.
Other obstetrics in San Juan
- Adrian Colon LaracuenteSan Juan$2K
- Carmen SierraSan Juan$42
- Hazel Cruz PerezBayamon$2K
- Yurizam RamirezToa Baja$2K
- Owen ConnellyHato Rey$2K
- Lisandra Cordero NievesPonce$1K
- Jose Alvarez RomagosaHato Rey$1K
- Luis Rosario VargasBayamon$1K
- Juan Tosado PolancoGuayama$729
- Eduardo TorresBayamon$689
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.