Jose Echenique Arana, MD
Sports Medicine · San Juan, PRNPI 1083855696
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (47.4%), education and food and beverage — rather than concentrated in one kind of arrangement. 10 manufacturers reported payments, led by Smith+Nephew at 28.8% of the total. Reporting peaked in 2022 at $6,771 and has fallen 97.5% since, to $170 in 2025.
Across 52 payments — averaging $211.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$3K
- Encore Medical, LP$2K
- Arthrex$2K
- RMC Orthopedic & Surgical, Inc.$2K
- Gentleman Orthopedic Solutions$914
- Rigel Pharmaceuticals, Inc.$119
- plus $389 from 4 others
What the payments were for
- Travel & lodging$5,22947%
- Food & beverage$2,05119%
- Education$3,74234%
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 |
|---|---|---|
| Smith+Nephew | 17 | $3,180 |
| Encore Medical, LP | 5 | $2,384 |
| Arthrex | 17 | $2,236 |
| RMC Orthopedic & Surgical, Inc. | 5 | $1,800 |
| Gentleman Orthopedic Solutions | 2 | $914 |
| Rigel Pharmaceuticals, Inc. | 1 | $119 |
| Johnson And Johnson International | 1 | $106 |
| Johnson & Johnson | 1 | $100 |
| Merck | 1 | $96 |
| Stryker(2 entities) | 2 | $87 |
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.
- DJO SURGICAL$6,216
- Bioinductive Implant with Arthroscopic Delivery System - Medium$2,688
- ARTHREX$1,705
- Healicoil$266
- Bone Anchors with Arthroscopic Delivery System$252
- Mini-Open Latarjet$133
- MICRORAPTOR$133
- Tavalisse$119
- DERMABOND PRINEO$106
- STRATAFIX$106
- DERMABOND$106
- XARELTO$100
How this compares
$11,023 in reported general payments places this provider in the 80th percentile of 27 sports medicine 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 |
|---|---|---|
| Ketorolac Tromethamine | 79 | $1,036 |
| Meloxicam | 161 | $918 |
| Triamcinolone Acetonide | 92 | $878 |
| Methylprednisolone | 31 | $336 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in San Juan
- Lionel LazaroSan Juan$38K
- Omar Rodriguez AlejandroSan Juan$25K
- Selma Martinez RojasSan Juan$618
- Carlos Benitez ColonSan Juan$584
- William MicheoSan Juan$125
- Belmarie Rodriguez SantiagoSan Juan$60
- Mark TrautmannSan Juan$36
- Pedro Tort SaadeGuaynabo$41K
- Magdiel Mayol UrdazCarolina$28K
- Artemio Torres MartinezManati$20K
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.