Karen Cruz
Neurology with Special Qualifications in Child Neurology · Caguas, PRNPI 1952507691
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.2% of the total across 41 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 13 manufacturers, the largest accounting for just 17.7% — the pattern of someone who eats at a lot of different presentations.
Across 41 payments — averaging $33.57 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sanofi$243
- Genentech USA, Inc.$198
- Lilly USA, LLC$194
- AbbVie$169
- Tris Pharma Inc$163
- PBG Puerto Rico LLC$143
- plus $266 from 7 others
Across 121 payments — averaging $5398.30 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.
- Eli Lilly Export S.A. Puerto Rico Branch$416K
- AbbVie$137K
- Eli Lilly$101K
What the payments were for
- Food & beverage$1,36599%
- Education$111%
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.
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 |
|---|---|---|
| Sanofi | 2 | $243 |
| Genentech USA, Inc. | 2 | $198 |
| Lilly USA, LLC | 3 | $194 |
| AbbVie | 3 | $169 |
| Tris Pharma Inc | 16 | $163 |
| PBG Puerto Rico LLC | 7 | $143 |
| Teva Pharmaceuticals USA, Inc. | 1 | $88 |
| Eli Lilly | 1 | $62 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $40 |
| UCB, Inc. | 1 | $34 |
| Novartis | 1 | $16 |
| Acadia Pharmaceuticals Inc | 1 | $15 |
| Shire North American Group Inc | 1 | $11 |
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.
How this compares
$1,376 in reported general payments places this provider in the 65th percentile of 28 neurology with special qualifications in child neurology providers in Puerto Rico.
See all neurology with special qualifications in child neurology providers in Puerto Rico →
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Levetiracetam ErLevetiracetam | 13 | $289 |
| Topiramate | 18 | $225 |
Paid to pharmacies, not to this prescriber.
Other neurology with special qualifications in child neurology in Caguas
- Angel Maldonado SotoCaguas$1K
- Karla Cay-MartinezCaguas$673
- Jocelyn Montalvo OrtizCaguas$345
- Antonio GonzalezCaguas$50
- Janice Rodriguez HernandezGuaynabo$160K
- Lesbia AponteBayamon$15K
- Mayela Diaz DiazBayamon$2K
- Lionel Vazquez-FigueroaSan Juan$2K
- Luisa Angel BuitragoCayey$2K
- Leyda Sanchez-OrtizGuaynabo$2K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.