Joezer Lugo Ranal, MD
Physical Medicine & Rehabilitation · San Juan, PRNPI 1831355460
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 15 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Every reported general payment came from a single manufacturer, Tactile Systems Technology Inc.
Across 15 payments — averaging $18.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Tactile Systems Technology Inc$278
What the payments were for
- Food & beverage$278100%
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.
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 |
|---|---|---|
| Tactile Systems Technology Inc | 15 | $278 |
How this compares
$278 in reported general payments places this provider in the 80th percentile of 156 physical medicine & rehabilitation providers in Puerto Rico.
See all physical medicine & rehabilitation 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.
Other physical medicine & rehabilitation in San Juan
- Edwardo Ramos CortesSan Juan$247K
- Rafael VaquerSan Juan$2K
- Melissa Alvarez PerezSan Juan$2K
- Victor Rosado TorresSan Juan$1K
- Veronica Rodriguez de la CruzSan Juan$1K
- Miguel Arroyo-RamosSan Juan$788
- Kevin de Jesus-MoralesSan Juan$644
- Miguel Cardona CancioSan Juan$528
- Eduardo Maldonado-ColonSan Juan$467
- Anthony Lombardi GonzalezSan Juan$411
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.