Luis Natali, MD
Neurology · Mayaguez, PRNPI 1578709440
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 340 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 40 manufacturers reported payments, led by AbbVie at 35.4% of the total.
Across 340 payments — averaging $14.54 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$2K
- Novartis$563
- Lilly USA, LLC$307
- SK Life Science, Inc.$301
- Teva Pharmaceuticals USA, Inc.$213
- Biogen$196
- plus $2K from 34 others
What the payments were for
- Food & beverage$4,944100%
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.
How this compares
$4,944 in reported general payments places this provider in the 75th percentile of 129 neurology 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 |
|---|---|---|
| Gabapentin | 148 | $1,712 |
| Pregabalin | 25 | $1,345 |
| Levetiracetam | 28 | $1,312 |
| Donepezil Hcl | 117 | $1,232 |
| Carbidopa-LevodopaCarbidopa/Levodopa | 44 | $1,009 |
| Memantine Hcl | 46 | $968 |
| Tizanidine Hcl | 108 | $569 |
| Lamotrigine | 29 | $439 |
| Citalopram HbrCitalopram Hydrobromide | 64 | $281 |
| ClopidogrelClopidogrel Bisulfate | 25 | $261 |
| Primidone | 25 | $216 |
| Baclofen | 33 | $204 |
| Meloxicam | 88 | $107 |
| Quetiapine Fumarate | 26 | $73 |
Paid to pharmacies, not to this prescriber.
Other neurology in Mayaguez
- Alfredo Perez CanabalMayaguez$4K
- Jose AcevedoMayaguez$4K
- Merbil Gonzalez DiazMayaguez$3K
- Angel ChineaGuaynabo$1.7M
- Jose Avila OrnelasCaguas$538K
- Franchesca Fiorito-TorresSan Juan$453K
- Patricia de JesusCaguas$310K
- Mari GarciaSan Juan$138K
- Cristina Cabret-AymatSan Juan$108K
- Gishlaine Alfonso MendezSan Juan$53K
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.