Lilia Roque-Guerrero
Pediatrics · Miami, FLNPI 1356382667
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (51.4%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 6 manufacturers reported payments, led by Regeneron at 51.4% of the total. 2024 is the largest year on record at $3,570, 3.2 times the $1,107 reported in 2019. Among pediatrics clinicians in FL with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 30 payments — averaging $160.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Regeneron$2K
- Merck$2K
- Pfizer$595
- Cranial Technologies, Inc$93
- Phadia US Inc.$19
- Sanofi Pasteur Inc.$16
Across 1,127 payments — averaging $35,367 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.
- Regeneron$35.2M
- Pfizer$2.5M
- Eli Lilly$812K
- Teva Pharmaceuticals USA, Inc.$359K
- Abbott$249K
- Sanofi Pasteur Inc.$195K
- plus $573K from 8 others
What the payments were for
- Consulting fees$2,47851%
- Travel & lodging$1,22625%
- Food & beverage$1,11623%
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 |
|---|---|---|
| Regeneron | 1 | $2,478 |
| Merck | 18 | $1,619 |
| Pfizer | 3 | $595 |
| Cranial Technologies, Inc | 6 | $93 |
| Phadia US Inc. | 1 | $19 |
| Sanofi Pasteur Inc. | 1 | $16 |
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
$4,820 in reported general payments places this provider in the 95th percentile of 3,964 pediatrics providers in Florida.
Other pediatrics in Miami
- Patricia DeanMiami$92K
- Sofia MirandaMiami$67K
- Jose HerreraMiami$61K
- Joanna DavisMiami$59K
- Andrew ColinMiami$32K
- Luis BlancoMiami$13K
- Annette CaraviaMiami$9K
- Daneb GonzalezMiami$8K
- Aileen RodriguezMiami$7K
- Johana MayorMiami$7K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.