Miguel Echenique, MD
Surgery · San Juan, PRNPI 1730189606
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (35.9%), consulting fees and speaking fees — rather than concentrated in one kind of arrangement. Merck accounts for 63.3% of it on its own, with 14 other manufacturers making up the rest. Reporting peaked in 2023 at $1,595 and has fallen 81.5% since, to $295 in 2025.
Across 33 payments — averaging $120.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merck$3K
- Stryker$364
- Gilead$169
- Eli Lilly Export S.A. Puerto Rico Branch$144
- Medtronic$132
- Johnson And Johnson International$131
- plus $518 from 9 others
What the payments were for
- Consulting fees$1,32533%
- Speaking & faculty fees$1,12528%
- Food & beverage$1,43036%
- Education$1003%
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 |
|---|---|---|
| Merck | 3 | $2,520 |
| Stryker | 7 | $364 |
| Gilead | 2 | $169 |
| Eli Lilly Export S.A. Puerto Rico Branch | 3 | $144 |
| Medtronic | 2 | $132 |
| Johnson And Johnson International | 2 | $131 |
| Biotissue Holdings Inc. | 1 | $118 |
| GSK | 1 | $90 |
| Profound Medical Corp. | 1 | $81 |
| AbbVie | 3 | $71 |
| PBG Puerto Rico LLC | 3 | $52 |
| Johnson & Johnson | 2 | $43 |
| Bayer Puerto Rico Inc. | 1 | $27 |
| Bristol Myers Squibb | 1 | $21 |
| Baxter Healthcare | 1 | $15 |
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.
- KEYTRUDA$2,450
- Trodelvy$147
- Sonicision$110
- DERMABOND PRINEO$106
- STRATAFIX$106
- DERMABOND$106
How this compares
$3,980 in reported general payments places this provider in the 80th percentile of 202 surgery 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 |
|---|---|---|
| Anastrozole | 84 | $2,945 |
Paid to pharmacies, not to this prescriber.
Other surgery in San Juan
- Fernando Rivera CruzSan Juan$88K
- Jorge Pelet MejiasSan Juan$50K
- Eric EscribanoSan Juan$13K
- Milagros Fernandez VazquezSan Juan$12K
- William Mendez LatalladiSan Juan$10K
- Edwin Torres RiveraSan Juan$8K
- Jorge Sanchez-VivaldiSan Juan$7K
- Vangie Texidor CabanillasSan Juan$7K
- Eduardo Chinea AmadeoSan Juan$6K
- Albert Suarez-DominguezSan Juan$6K
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.