Livette Milan Sepulveda, MD
Obstetrics & Gynecology · San Juan, PRNPI 1396828943
Payments from drug & device makers
Across 25 payments — averaging $30.99 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$258
- Smith+Nephew$130
- Amgen$125
- Hologic Sales And Service, LLC$122
- PBG Puerto Rico LLC$100
- Eli Lilly Export S.A. Puerto Rico Branch$21
- plus $20 from 1 others
What the payments were for
- Food & beverage$775100%
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 |
|---|---|---|
| AbbVie | 10 | $258 |
| Smith+Nephew | 2 | $130 |
| Amgen | 1 | $125 |
| Hologic Sales And Service, LLC | 5 | $122 |
| PBG Puerto Rico LLC | 5 | $100 |
| Eli Lilly Export S.A. Puerto Rico Branch | 1 | $21 |
| Merck | 1 | $20 |
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
$775 in reported general payments places this provider in the 65th 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 |
|---|---|---|
| Fluconazole | 13 | $129 |
| Alendronate Sodium | 15 | $74 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in San Juan
- Pamela Silen RiveraSan Juan$78K
- Keimari MendezSan Juan$68K
- Daisy Vazquez DubeauSan Juan$55K
- Erika Benabe-GonzalezSan Juan$24K
- Carlos FonsecaSan Juan$8K
- Olga PereiraSan Juan$7K
- Eduardo Muniz VelezSan Juan$7K
- Miriam Matos-MatosSan Juan$6K
- Soan Cruz-OrtizSan Juan$5K
- Janice Soto-MoralesSan Juan$5K
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.