Luis E Iguina Mella, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Arecibo, PRNPI 1861550550
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 29 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Medtronic accounts for 83.4% of it on its own, with 6 other manufacturers making up the rest. That places this record below the midpoint for thoracic surgery (cardiothoracic vascular surgery) clinicians in PR, where the typical reported total is $4,112.
Across 29 payments — averaging $70.18 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$2K
- Olympus Latin America, Inc.$80
- Johnson And Johnson International$69
- Smith+Nephew$65
- E.r. Squibb & Sons, L.L.C.$53
- KCI USA, Inc.$49
- plus $21 from 1 others
What the payments were for
- Food & beverage$2,035100%
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 |
|---|---|---|
| Medtronic(2 entities) | 23 | $1,698 |
| Olympus Latin America, Inc. | 1 | $80 |
| Johnson And Johnson International | 1 | $69 |
| Smith+Nephew | 1 | $65 |
| E.r. Squibb & Sons, L.L.C. | 1 | $53 |
| KCI USA, Inc. | 1 | $49 |
| Johnson & Johnson | 1 | $21 |
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.
- Micra$235
- Ellipsys$144
- SYMPLICITY G3$142
- COBALT DR MRI SURESCAN$125
- ATTESTA SR MRI SURESCAN$114
- IN.PACT Admiral$104
How this compares
$2,035 in reported general payments places this provider in the 30th percentile of 23 thoracic surgery (cardiothoracic vascular surgery) providers in Puerto Rico.
See all thoracic surgery (cardiothoracic vascular surgery) 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 |
|---|---|---|
| Cilostazol | 25 | $568 |
| ClopidogrelClopidogrel Bisulfate | 12 | $113 |
Paid to pharmacies, not to this prescriber.
Other thoracic surgery (cardiothoracic vascular surgery) in Arecibo
- Javier Castillo-GraneroBayamon$113K
- Alberto Maldonado MolinaPonce$84K
- Juan HernandezSan Juan$24K
- Elizardo Matos-CruzSan Juan$23K
- Ivan GonzalezSan Juan$20K
- Alex Cedeno RodriguezSan Juan$9K
- Ernesto SolteroPonce$8K
- Eugenio Mulero PortelaPonce$7K
- Orlando Lopez de VictoriaSan Juan$6K
- Francisco Melendez QuinonesSan 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.