Paloma Ortiz Fernandez
Family · San Juan, PRNPI 1588309405
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (43.2%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Puma Biotechnology, Inc. accounts for 77.0% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2023 at $8,566 and has fallen 91.3% since, to $742 in 2025. Among family 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 103 payments — averaging $97.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Puma Biotechnology, Inc.$8K
- Eli Lilly Export S.A. Puerto Rico Branch$637
- AbbVie$402
- Merck$346
- Sanofi$223
- E.r. Squibb & Sons, L.L.C.$118
- plus $580 from 11 others
What the payments were for
- Speaking & faculty fees$4,34043%
- Travel & lodging$3,02930%
- Food & beverage$2,49625%
- Education$1832%
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 |
|---|---|---|
| Puma Biotechnology, Inc. | 17 | $7,743 |
| Eli Lilly Export S.A. Puerto Rico Branch | 26 | $637 |
| AbbVie | 17 | $402 |
| Merck | 16 | $346 |
| Sanofi | 10 | $223 |
| E.r. Squibb & Sons, L.L.C. | 1 | $118 |
| AstraZeneca | 1 | $104 |
| Exelixis Inc. | 1 | $99 |
| Lilly USA, LLC | 1 | $98 |
| Taiho Oncology, Inc. | 4 | $93 |
| Caris MPI, Inc. | 2 | $45 |
| Ipsen Biopharmaceuticals, Inc | 2 | $43 |
| Pharmaessentia USA Corporation | 1 | $25 |
| Tolmar Pharmaceuticals, Inc. | 1 | $21 |
| Pfizer | 1 | $19 |
| Stemline Therapeutics Inc. | 1 | $19 |
| Johnson & Johnson | 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.
How this compares
$10,049 in reported general payments places this provider in the 95th percentile of 31 family providers in Puerto Rico.
Other family in San Juan
- Frances Casillas ChiesaSan Juan$14K
- Natalie DaySan Juan$2K
- Yuissa Hernandez SierraSan Juan$767
- Luz Ocasio RiveraSan Juan$736
- Gustavo Durand-HernandezSan Juan$375
- Mildred NegronSan Juan$189
- Siulmary de Jesus CabanSan Juan$156
- Yamilet Otero RomeroSan Juan$130
- Wilda Montero-ColonSan Juan$125
- Millinette Roldan TorresSan Juan$96
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.