Marely Santiago Vazquez, MD
Dermatology · Palmas del Mar, Humacao, PRNPI 1144776865
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,668 of the $8,253 with a category attached, or 68.7%. 15 manufacturers reported payments, led by AbbVie at 40.6% of the total. Reporting peaked in 2023 at $2,722 and has fallen 70.8% since, to $794 in 2025. Among dermatology 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 193 payments — averaging $42.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$3K
- Johnson & Johnson$2K
- Sanofi$1K
- E.r. Squibb & Sons, L.L.C.$436
- PBG Puerto Rico LLC$298
- Eli Lilly Export S.A. Puerto Rico Branch$292
- plus $982 from 9 others
What the payments were for
- Consulting fees$1,72521%
- Food & beverage$5,66869%
- Education$86010%
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(2 entities) | 54 | $3,347 |
| Johnson & Johnson(2 entities) | 50 | $1,757 |
| Sanofi | 28 | $1,141 |
| E.r. Squibb & Sons, L.L.C. | 14 | $436 |
| PBG Puerto Rico LLC | 15 | $298 |
| Eli Lilly Export S.A. Puerto Rico Branch | 14 | $292 |
| Sun Pharmaceutical Industries Inc. | 3 | $244 |
| Genentech USA, Inc. | 4 | $183 |
| Sanofi-aventis U.S. LLC | 4 | $133 |
| Galderma Laboratories, L.p. | 1 | $124 |
| Janssen Scientific Affairs, LLC | 1 | $120 |
| Regeneron Healthcare Solutions, Inc. | 1 | $100 |
| Pfizer | 2 | $31 |
| Kyowa Kirin, Inc. | 1 | $28 |
| Amgen | 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
$8,253 in reported general payments places this provider in the 90th percentile of 108 dermatology 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 |
|---|---|---|
| Humira(Cf) PenAdalimumab | 13 | $179,988 |
| Taltz AutoinjectorIxekizumab | 13 | $101,020 |
| Dupixent PenDupilumab | 19 | $73,071 |
| Betamethasone Valerate | 456 | $18,416 |
| Ketoconazole | 567 | $11,390 |
| Metronidazole | 109 | $6,210 |
| Mometasone Furoate | 204 | $6,063 |
| Calcipotriene | 29 | $5,052 |
| Clobetasol Propionate | 85 | $5,032 |
| Betamethasone Diprop AugmentedBetamethasone/Propylene Glyc | 75 | $4,353 |
| Ciclopirox | 111 | $3,809 |
| Clotrimazole | 226 | $3,643 |
| Tacrolimus | 43 | $3,327 |
| Triamcinolone Acetonide | 154 | $2,880 |
| Clindamycin Phosphate | 56 | $2,416 |
Paid to pharmacies, not to this prescriber.
Other dermatology in Palmas del Mar, Humacao
- Jose Gonzalez ChavezSan Juan$248K
- Rafael Martin GarciaSan Juan$199K
- Noelani Gonzalez-OrtizSan Juan$154K
- Alma Cruz SantanaCarolina$74K
- Eneida de la TorreBayamon$39K
- Samuel SanchezCaguas$25K
- Elena Montalvan MiroSan Juan$20K
- Luis Ortiz EspinosaBayamon$18K
- Hiram RuizArecibo$17K
- Pedro Vendrell BenitoPonce$12K
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.