Josefina Romaguera, MD
Obstetrics & Gynecology · Hato Rey, PRNPI 1295863843
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $2,250 of the $3,380 with a category attached, or 66.6%. Merck accounts for 79.4% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2019 at $1,664 and has fallen 92.3% since, to $129 in 2025. Among obstetrics & gynecology clinicians in PR with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 15 payments — averaging $225.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merck$3K
- AbbVie$204
- Roche Diagnostics Corporation$121
- Hologic Sales And Service, LLC$109
- Hologic Inc$101
- Boston Scientific$89
- plus $73 from 2 others
Across 90 payments — averaging $2916.46 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- AbbVie$262K
- Merck$0
What the payments were for
- Consulting fees$2,25067%
- Food & beverage$1,13033%
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 |
|---|---|---|
| Merck | 6 | $2,683 |
| AbbVie | 2 | $204 |
| Roche Diagnostics Corporation | 1 | $121 |
| Hologic Sales And Service, LLC | 1 | $109 |
| Hologic Inc | 1 | $101 |
| Boston Scientific | 1 | $89 |
| PBG Puerto Rico LLC | 2 | $54 |
| Sage Therapeutics, LLC | 1 | $19 |
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.
- GARDASIL9$1,500
- GARDASIL 9$750
- Aptima$210
- cobas 4800 CT/NG Test v2.0$121
- Orilissa$116
How this compares
$3,380 in reported general payments places this provider in the 90th percentile of 333 obstetrics & gynecology 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 |
|---|---|---|
| Estradiol | 25 | $1,894 |
| ProgesteroneProgesterone, Micronized | 13 | $331 |
| Alendronate Sodium | 17 | $92 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Hato Rey
- Rodrigo DiazHato Rey$2K
- Carmen ZorrillaRio Piedras$41K
- Yari Vale MorenoGuaynabo$25K
- Erika Benabe-GonzalezSan Juan$24K
- Francisco Quintana GonzalezCoto Laurel Pr$16K
- Alexandra OrtizPonce$15K
- Leonardo Molina MilletGuaynabo$13K
- Javier PerezDorado$10K
- Carlos FonsecaSan Juan$8K
- Carlos Sierra-RodriguezPonce$7K
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.