Miguel Abreu
Clinical Cardiac Electrophysiology · San Juan, PRNPI 1649294687
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,427 of the $7,422 with a category attached, or 73.1%. 12 manufacturers reported payments, led by Abbott at 29.4% of the total. Reporting peaked in 2019 at $2,961 and has fallen 69.0% since, to $918 in 2025. That places this record below the midpoint for clinical cardiac electrophysiology clinicians in PR, where the typical reported total is $31,516.
Across 224 payments — averaging $33.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$2K
- Medtronic$2K
- Boston Scientific$2K
- E.r. Squibb & Sons, L.L.C.$642
- Johnson And Johnson International$343
- Johnson & Johnson$250
- plus $419 from 6 others
What the payments were for
- Travel & lodging$1,99527%
- Food & beverage$5,42773%
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 |
|---|---|---|
| Abbott | 31 | $2,181 |
| Medtronic(2 entities) | 46 | $1,934 |
| Boston Scientific | 72 | $1,653 |
| E.r. Squibb & Sons, L.L.C. | 33 | $642 |
| Johnson And Johnson International | 11 | $343 |
| Johnson & Johnson | 11 | $250 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 10 | $218 |
| PBG Puerto Rico LLC | 6 | $123 |
| Amgen | 1 | $26 |
| Boehringer Ingelheim | 1 | $25 |
| Cordis US CORP. | 1 | $15 |
| AstraZeneca | 1 | $12 |
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.
- EnSite Velocity System Mapping D$935
- Amplia MRI$407
- Micra$383
- Ensite Cardiac Mapping System$247
- AVEIR$243
- COBALT DR MRI SURESCAN$171
- Advisor Catheter$124
- Carto 3$109
- SelectSecure$105
- Farapulse$100
How this compares
$7,422 in reported general payments places this provider in the 5th percentile of 22 clinical cardiac electrophysiology providers in Puerto Rico.
See all clinical cardiac electrophysiology 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 |
|---|---|---|
| EliquisApixaban | 165 | $105,946 |
| XareltoRivaroxaban | 19 | $14,970 |
| Metoprolol Succinate | 208 | $3,478 |
| Flecainide Acetate | 64 | $2,314 |
| Ezetimibe | 40 | $850 |
| Losartan Potassium | 94 | $798 |
| Amiodarone Hcl | 47 | $766 |
| Amlodipine Besylate | 121 | $734 |
| Hydrochlorothiazide | 76 | $471 |
| Rosuvastatin Calcium | 35 | $449 |
| Doxazosin Mesylate | 22 | $381 |
| Irbesartan | 21 | $332 |
| Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide | 24 | $262 |
| Atorvastatin Calcium | 36 | $248 |
| Verapamil Hcl | 16 | $239 |
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 |
|---|---|---|
| Johnson & JohnsonXarelto | $250 | $14,97019 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 5th percentile of 22 clinical cardiac electrophysiology providers in Puerto Rico.
Other clinical cardiac electrophysiology in San Juan
- Richard Silva-CantilloSan Juan$101K
- Luarde Montano SotoSan Juan$29K
- Juan Sotomonte ArizaSan Juan$17K
- Omar Nieves OrtizSan Juan$12K
- Hector ClaudioSan Juan$8K
- Jose Rivera RodriguezSan Juan$1K
- Francisco PerezPonce$202K
- Hector BanchsCarolina$132K
- Hilton Franqui-RiveraToa Alta$131K
- Leonell FreytesPonce$79K
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.