Luis Tous, MD
Colon & Rectal Surgery · San Juan, PRNPI 1912108465
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (51.7%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 88.8% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2022 at $8,602 and has fallen 99.4% since, to $50 in 2025.
Across 46 payments — averaging $231.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$9K
- Johnson & Johnson Medical Devices & Diagnostics Group - Latin America, L.L.C.$590
- Medtronic$245
- Johnson And Johnson International$232
- Stryker$79
- Johnson & Johnson$20
- plus $20 from 1 others
What the payments were for
- Travel & lodging$2,77726%
- Food & beverage$2,34122%
- Education$5,50052%
- Gifts$150%
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 | 25 | $9,446 |
| Johnson & Johnson Medical Devices & Diagnostics Group - Latin America, L.L.C. | 2 | $590 |
| Medtronic | 12 | $245 |
| Johnson And Johnson International | 3 | $232 |
| Stryker | 2 | $79 |
| Johnson & Johnson | 1 | $20 |
| Pfizer Pharmaceuticals LLC | 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.
- DAVINCI XI$5,500
- Da Vinci Surgical System$3,219
- HARMONIC Product Family$590
- STRATAFIX$202
- SURGICEL NU-KNIT$107
How this compares
Too few colon & rectal surgery providers in Puerto Ricoto place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Mesalamine | 12 | $5,532 |
| Naloxone Hcl | 342 | $4,023 |
| LoperamideLoperamide Hcl | 17 | $1,412 |
| Procto-Med HcHydrocortisone | 18 | $1,120 |
| Flumazenil | 105 | $884 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 80 | $763 |
| Hydrocortisone | 14 | $704 |
| Celecoxib | 32 | $457 |
| Dicyclomine Hcl | 15 | $452 |
| Midazolam Hcl | 131 | $353 |
| Fentanyl CitrateFentanyl Citrate/Pf | 95 | $327 |
| Midazolam HclMidazolam Hcl/Pf | 97 | $279 |
| Lidocaine | 11 | $170 |
| Diphenhydramine Hcl | 24 | $71 |
Paid to pharmacies, not to this prescriber.
Other colon & rectal surgery in San Juan
- Marla Torres TorresSan Juan$42K
- Nicolas Lopez AcevedoSan Juan$12K
- Jose Reyes TorresSan Juan$9K
- Nicole Rodriguez GuillotySan Juan$7K
- Victor Rodriguez RapaleSan Juan$7K
- Karla Ruiz VegaSan Juan$4K
- Rosa Alers TalaveraSan Juan$4K
- Aura Delgado CifuentesSan Juan$1K
- Segundo Rodriguez QuilinchiniSan Juan$364
- Jetsen Rodriguez SilvaPonce$14K
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.