Nicole Carvajal, MD
Dermatology · Caguas, PRNPI 1952664807
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,430 of the $1,604 with a category attached, or 89.2%. 9 manufacturers reported payments, led by E.r. Squibb & Sons, L.L.C. at 34.4% of the total. 2025 is the largest year on record at $445, 5.2 times the $86 reported in 2019. That places this record below the midpoint for dermatology clinicians in PR, where the typical reported total is $1,906.
Across 61 payments — averaging $26.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- E.r. Squibb & Sons, L.L.C.$552
- Johnson & Johnson$479
- AbbVie$204
- PBG Puerto Rico LLC$154
- Eli Lilly Export S.A. Puerto Rico Branch$97
- Sanofi$50
- plus $68 from 3 others
What the payments were for
- Food & beverage$1,43089%
- Education$17411%
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 |
|---|---|---|
| E.r. Squibb & Sons, L.L.C. | 22 | $552 |
| Johnson & Johnson(2 entities) | 12 | $479 |
| AbbVie | 10 | $204 |
| PBG Puerto Rico LLC | 7 | $154 |
| Eli Lilly Export S.A. Puerto Rico Branch | 4 | $97 |
| Sanofi | 2 | $50 |
| Galderma Laboratories, L.p. | 2 | $35 |
| Genentech USA, Inc. | 1 | $17 |
| Pfizer Pharmaceuticals LLC | 1 | $16 |
How this compares
$1,604 in reported general payments places this provider in the 45th percentile of 108 dermatology 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 |
|---|---|---|
| Ketoconazole | 455 | $12,153 |
| Betamethasone Diprop AugmentedBetamethasone/Propylene Glyc | 144 | $9,661 |
| Clobetasol Propionate | 114 | $5,830 |
| Mometasone Furoate | 158 | $4,833 |
| Betamethasone Valerate | 100 | $3,870 |
| Ciclopirox | 31 | $2,342 |
| Fluorouracil | 23 | $1,862 |
| Clindamycin Phosphate | 39 | $1,814 |
| Halobetasol Propionate | 22 | $1,809 |
| Desonide | 33 | $1,664 |
| Metronidazole | 31 | $1,635 |
| Hydrocortisone | 147 | $992 |
| Ammonium Lactate | 25 | $667 |
| Betamethasone Dipropionate | 11 | $479 |
| Mupirocin | 43 | $388 |
Paid to pharmacies, not to this prescriber.
Other dermatology in Caguas
- Samuel SanchezCaguas$25K
- Julian Barrera LlauradorCaguas$6K
- Erika Watts OquendoCaguas$2K
- Mariana Cruz ManzanoCaguas$2K
- Rachelle SeijoCaguas$2K
- Luz Figueroa GuzmanCaguas$2K
- Jose Gonzalez ChavezSan Juan$248K
- Rafael Martin GarciaSan Juan$199K
- Noelani Gonzalez-OrtizSan Juan$154K
- Alma Cruz SantanaCarolina$74K
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.