Ivan Gonzalez, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · San Juan, PRNPI 1720084171
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $12,910 of the $19,675 with a category attached, or 65.6%. Abbott accounts for 62.7% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2022 at $12,239 and has fallen 96.3% since, to $447 in 2025.
Across 174 payments — averaging $113.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$12K
- Edwards Lifesciences$4K
- Medtronic$2K
- Livanova USA, Inc.$491
- E.r. Squibb & Sons, L.L.C.$238
- Atricure, Inc.$155
- plus $257 from 7 others
What the payments were for
- Consulting fees$2381%
- Travel & lodging$12,91066%
- Food & beverage$6,52733%
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 |
|---|---|---|
| Abbott | 31 | $12,344 |
| Edwards Lifesciences | 89 | $4,157 |
| Medtronic(2 entities) | 41 | $2,034 |
| Livanova USA, Inc. | 4 | $491 |
| E.r. Squibb & Sons, L.L.C. | 1 | $238 |
| Atricure, Inc. | 1 | $155 |
| Bard Peripheral Vascular, Inc. | 1 | $124 |
| Abiomed | 1 | $30 |
| Biotronik Inc. | 1 | $24 |
| Boston Scientific | 1 | $23 |
| Novartis | 1 | $19 |
| Johnson & Johnson | 1 | $18 |
| PBG Puerto Rico LLC | 1 | $18 |
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.
- THORATEC HEARTMATE 3 LVAS IMPLANT KIT$11,124
- EDWARDS INTUITY Elite valve system$1,075
- Micra$366
- Edwards SAPIEN 3 Transcatheter Heart Valve$363
- CoreValve Evolut$362
- Perceval$257
- HeartMate 3 Left Ventricular Dev$255
- OPDIVO$238
- ATRICLIP LAA EXCLUSION SYSTEM$155
- ATRICURE CRYOICE CRYOABLATION SYSTEM (CRYO2)$155
- Perfusion Tubing$141
- Mitra Clip system$139
- Edwards SAPIEN 3 Ultra Transcatheter Heart Valve$103
- Trifecta GT Tissue Heart Valve$101
How this compares
$19,675 in reported general payments places this provider in the 80th percentile of 23 thoracic surgery (cardiothoracic vascular surgery) providers in Puerto Rico.
See all thoracic surgery (cardiothoracic vascular surgery) 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 |
|---|---|---|
| Mupirocin | 37 | $364 |
| Gabapentin | 12 | $128 |
Paid to pharmacies, not to this prescriber.
Other thoracic surgery (cardiothoracic vascular surgery) in San Juan
- Juan HernandezSan Juan$24K
- Elizardo Matos-CruzSan Juan$23K
- Alex Cedeno RodriguezSan Juan$9K
- Orlando Lopez de VictoriaSan Juan$6K
- Francisco Melendez QuinonesSan Juan$5K
- Jose QuilichiniSan Juan$2K
- Jose Colon PerezSan Juan$23
- Javier Castillo-GraneroBayamon$113K
- Alberto Maldonado MolinaPonce$84K
- Ernesto SolteroPonce$8K
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.