Milagros Fernandez Vazquez, MD
Surgery · San Juan, PRNPI 1225361736
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (40.9%), education and speaking fees — rather than concentrated in one kind of arrangement. 14 manufacturers reported payments, led by Intuitive Surgical at 45.8% of the total. Reporting peaked in 2023 at $6,487 and has fallen 51.8% since, to $3,125 in 2025. Among surgery 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 56 payments — averaging $206.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$5K
- Davol Inc.$4K
- Globus Medical$877
- TELA Bio, Inc.$761
- Medtronic$398
- Galderma Laboratories, L.p.$150
- plus $418 from 8 others
What the payments were for
- Speaking & faculty fees$2,25019%
- Travel & lodging$4,72741%
- Food & beverage$2,06918%
- Education$2,50022%
- Gifts$140%
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 |
|---|---|---|
| Intuitive Surgical | 17 | $5,300 |
| Davol Inc. | 13 | $3,657 |
| Globus Medical(2 entities) | 6 | $877 |
| TELA Bio, Inc. | 2 | $761 |
| Medtronic | 5 | $398 |
| Galderma Laboratories, L.p. | 1 | $150 |
| Orthofix Medical, Inc. | 1 | $103 |
| Pacira Pharmaceuticals Incorporated | 4 | $97 |
| AbbVie | 1 | $94 |
| Organogenesis Inc. | 2 | $37 |
| Kerecis Limited | 1 | $32 |
| Boston Scientific | 1 | $21 |
| Guard Medical Inc. | 1 | $20 |
| Mimedx Group, Inc. | 1 | $14 |
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.
- DAVINCI XI$2,500
- Da Vinci Surgical System$2,442
- OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex)$687
- ALIF$632
- Phasix Mesh$543
- ProGrip$229
- CORBEL$158
- Spinal-Stim$103
How this compares
$11,561 in reported general payments places this provider in the 90th 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.
Other surgery in San Juan
- Fernando Rivera CruzSan Juan$88K
- Jorge Pelet MejiasSan Juan$50K
- Eric EscribanoSan Juan$13K
- 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
- Pedro Hernandez RiveraSan Juan$5K
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.