Luis Gerena Montano, MD
Pulmonary Disease · San Juan, PRNPI 1104225523
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (40.9%), travel and lodging and education — rather than concentrated in one kind of arrangement. 29 manufacturers reported payments, led by Intuitive Surgical at 40.9% of the total. Reporting peaked in 2024 at $6,329 and has fallen 51.0% since, to $3,101 in 2025. Among pulmonary disease 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 148 payments — averaging $103.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$6K
- Medtronic$2K
- Olympus Corporation Of The Americas$1K
- Olympus Latin America, Inc.$1K
- GSK$1K
- AstraZeneca$883
- plus $3K from 23 others
What the payments were for
- Travel & lodging$4,95332%
- Food & beverage$6,27041%
- Education$4,09027%
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 |
|---|---|---|
| Intuitive Surgical | 15 | $6,256 |
| Medtronic | 17 | $1,679 |
| Olympus Corporation Of The Americas | 7 | $1,135 |
| Olympus Latin America, Inc. | 9 | $1,122 |
| GSK | 16 | $1,001 |
| AstraZeneca | 21 | $883 |
| Boehringer Ingelheim | 12 | $402 |
| United Therapeutics Corporation | 4 | $323 |
| Merck | 6 | $269 |
| Pulmonx Corporation | 2 | $267 |
| Johnson & Johnson | 10 | $266 |
| Bayer | 6 | $149 |
| Caris MPI, Inc. | 1 | $145 |
| Jazz Pharmaceuticals Inc. | 1 | $145 |
| E.r. Squibb & Sons, L.L.C. | 2 | $144 |
| Sanofi | 2 | $138 |
| Novo Nordisk | 2 | $118 |
| Mallinckrodt Hospital Products Inc. | 1 | $114 |
| Lilly USA, LLC | 1 | $102 |
| Tempus AI, Inc | 1 | $100 |
| Shire North American Group Inc | 1 | $98 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 2 | $96 |
| Actelion Pharmaceuticals US, Inc. | 1 | $90 |
| Mylan Specialty L.p. | 1 | $76 |
| Boston Scientific | 1 | $66 |
| Olympus America Inc. | 1 | $45 |
| Amgen | 2 | $38 |
| Mylan LLC | 2 | $36 |
| Sanofi-aventis U.S. LLC | 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.
- Da Vinci Surgical System$6,049
- ILLUMISITE$1,403
- Spiration Valve System$1,049
- EVIS EXERA II ULTRASONIC BRONCHOFIBERVIDEOSCOPE$959
- CHARTIS CATHETER$267
- ZEPHYR DELIVERY CATHETER$267
- ZEPHYR ENDOBRONCHIAL VALVE$267
- PULMONX CHARTIS TABLET CONSOLE$267
- TRELEGY ELLIPTA$250
- FASENRA$207
- NUCALA$200
- MI CANCER SEEK$145
- XYWAV$145
- TEZSPIRE$125
- AREXVY$125
- DALIRESP$120
- SHINGRIX$120
- AIRSUPRA$119
- OPDIVO$119
- ACTHAR$114
How this compares
$15,314 in reported general payments places this provider in the 90th percentile of 138 pulmonary disease 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.
Other pulmonary disease in San Juan
- Joel Nieves ScharonSan Juan$43K
- Rafael Franjul JuliaoSan Juan$15K
- Roberto Martinez QuintanaSan Juan$12K
- Sandra Rosario LebronSan Juan$11K
- Juan Malpica-SantiagoSan Juan$11K
- Daphne Delgado PerezSan Juan$10K
- Maximo Blondet PassalacquaSan Juan$8K
- Pedro Monroig QuilesSan Juan$6K
- Marieliz Alvarado DavilaSan Juan$6K
- Edgar Rodriguez GonzalezSan 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.