Maribel Cotto, MD
Hematology & Oncology · Caguas, PRNPI 1730348384
Payments from drug & device makers
Across 1,003 payments — averaging $22.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- E.r. Squibb & Sons, L.L.C.$4K
- AstraZeneca$2K
- Amgen$2K
- Johnson & Johnson$1K
- Novartis$1K
- Genentech USA, Inc.$1K
- plus $11K from 47 others
What the payments were for
- Consulting fees$1,6707%
- Food & beverage$20,27090%
- Education$5172%
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.
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
$22,456 in reported general payments places this provider in the 60th percentile of 138 hematology & oncology 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 |
|---|---|---|
| RevlimidLenalidomide | 83 | $1,497,808 |
| PomalystPomalidomide | 48 | $1,122,791 |
| ImbruvicaIbrutinib | 36 | $573,465 |
| TagrissoOsimertinib Mesylate | 23 | $387,213 |
| KisqaliRibociclib Succinate | 21 | $369,359 |
| Darzalex FasproDaratumumab-Hyaluronidase-Fihj | 24 | $320,777 |
| VerzenioAbemaciclib | 13 | $202,488 |
| IbrancePalbociclib | 12 | $193,908 |
| XtandiEnzalutamide | 12 | $150,360 |
| KeytrudaPembrolizumab | 12 | $136,511 |
| XgevaDenosumab | 15 | $48,259 |
| RetacritEpoetin Alfa-Epbx | 26 | $43,660 |
| EliquisApixaban | 55 | $33,331 |
| Abiraterone Acetate | 18 | $20,159 |
| Imatinib Mesylate | 30 | $7,842 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Bristol Myers SquibbRevlimid | $193 | $1,497,80883 claims |
| E.r. Squibb & Sons, L.L.C.Pomalyst | $3,502 | $1,122,79148 claims |
| Pharmacyclics LLC, An Abbvie CompanyImbruvica | $24 | $573,46536 claims |
| AstraZenecaTagrisso | $2,177 | $387,21323 claims |
| NovartisKisqali | $1,409 | $369,35921 claims |
| PfizerIbrance, Retacrit, Eliquis | $304 | $270,89893 claims |
| Lilly USA, LLCVerzenio | $42 | $202,48813 claims |
| Astellas Pharma US IncXtandi | $174 | $150,36012 claims |
| MerckKeytruda | $1,115 | $136,51112 claims |
| AmgenXgeva | $1,680 | $48,25915 claims |
| Johnson & JohnsonXarelto | $1,418 | $6,28411 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 60th percentile of 138 hematology & oncology providers in Puerto Rico.
Other hematology & oncology in Caguas
- Maria Garcia PallasCaguas$1.8M
- Maryangely Moreno CampaCaguas$179K
- Carlos Mendez SerranoCaguas$91K
- Edgardo Rodriguez MongeCaguas$31K
- Evelyn Fonseca RiveraCaguas$21K
- Mirelis AcostaSan Juan$6.3M
- Hector Velez CortesPonce$3.1M
- Luis FloresSan Juan$2.3M
- Noridza Rivera RodriguezSan Juan$2.1M
- Adelba Torres-LopezSan Juan$1.9M
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.