Miguel Sosa Padilla, MD
General Practice · San Juan, PRNPI 1831197037
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,893 of the $2,312 with a category attached, or 81.9%. 6 manufacturers reported payments, led by Boehringer Ingelheim at 34.1% of the total. Reporting peaked in 2019 at $1,321 and has fallen 95.2% since, to $63 in 2025. Among general practice clinicians in PR with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 43 payments — averaging $53.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boehringer Ingelheim$787
- Eli Lilly$717
- Johnson & Johnson$381
- E.r. Squibb & Sons, L.L.C.$251
- Sanofi-aventis U.S. LLC$154
- AstraZeneca$20
Across 19 payments — averaging $8589.55 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Eli Lilly Export S.A. Puerto Rico Branch$148K
- Eli Lilly$15K
- Amgen$5
What the payments were for
- Travel & lodging$41918%
- Food & beverage$1,89382%
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 |
|---|---|---|
| Boehringer Ingelheim | 15 | $787 |
| Eli Lilly | 7 | $717 |
| Johnson & Johnson | 8 | $381 |
| E.r. Squibb & Sons, L.L.C. | 4 | $251 |
| Sanofi-aventis U.S. LLC | 8 | $154 |
| AstraZeneca | 1 | $20 |
How this compares
$2,312 in reported general payments places this provider in the 95th percentile of 3,586 general practice 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.
Other general practice in San Juan
- William E TorresSan Juan$86K
- Vivian Tamayo AgraitSan Juan$64K
- Gregorio Cortes-MaisonetSan Juan$26K
- Victor PalmerSan Juan$21K
- Jose Davila SanchezSan Juan$16K
- Hector Cintron ColonSan Juan$10K
- Gabriela TorresSan Juan$8K
- Orvil MartinezSan Juan$7K
- Carlos Henriquez FelipeSan Juan$6K
- Rene Echevarria CofinoSan 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.