Rafael Bouet Blasini, MD
Urology · San Juan, PRNPI 1477754265
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $36,000 of the $55,041 with a category attached, or 65.4%. Verity Pharmaceuticals Inc. accounts for 96.5% of it on its own, with 13 other manufacturers making up the rest. 2025 is the largest year on record at $18,201, more than ten times the $659 reported in 2019. Among urology 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 65 payments — averaging $846.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Verity Pharmaceuticals Inc.$53K
- Johnson & Johnson$518
- Boston Scientific$424
- Stryker$163
- Ferring Pharmaceuticals Inc.$128
- BD$122
- plus $562 from 8 others
What the payments were for
- Consulting fees$17,00031%
- Speaking & faculty fees$36,00065%
- Food & beverage$1,8113%
- Education$2300%
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 |
|---|---|---|
| Verity Pharmaceuticals Inc. | 10 | $53,125 |
| Johnson & Johnson(2 entities) | 17 | $518 |
| Boston Scientific | 9 | $424 |
| Stryker | 3 | $163 |
| Ferring Pharmaceuticals Inc. | 1 | $128 |
| BD | 3 | $122 |
| PBG Puerto Rico LLC | 6 | $111 |
| Merck | 1 | $96 |
| Neotract Inc. | 1 | $87 |
| Amgen | 4 | $69 |
| AbbVie | 3 | $68 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $62 |
| Pfizer Pharmaceuticals LLC | 2 | $42 |
| Tolmar, Inc. | 1 | $27 |
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.
- TRELSTAR$53,125
- ADSTILADRIN$128
- rezum Generator$100
How this compares
$55,041 in reported general payments places this provider in the 90th percentile of 122 urology 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 |
|---|---|---|
| ErleadaApalutamide | 23 | $343,199 |
| TrelstarTriptorelin Pamoate | 139 | $331,288 |
| MyrbetriqMirabegron | 597 | $291,474 |
| Trospium Chloride ErTrospium Chloride | 366 | $46,650 |
| Oxybutynin Chloride ErOxybutynin Chloride | 2,086 | $33,801 |
| Tamsulosin Hcl | 1,226 | $11,144 |
| Bethanechol Chloride | 208 | $9,892 |
| Tolterodine Tartrate ErTolterodine Tartrate | 118 | $8,494 |
| Darifenacin ErDarifenacin Hydrobromide | 63 | $7,304 |
| Solifenacin Succinate | 277 | $6,616 |
| Sildenafil Citrate | 235 | $5,833 |
| ToviazFesoterodine Fumarate | 13 | $3,835 |
| Tadalafil | 95 | $3,815 |
| Ciprofloxacin Hcl | 447 | $3,362 |
| Fesoterodine Fumarate ErFesoterodine Fumarate | 38 | $2,749 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Johnson & JohnsonErleada | $518 | $343,19923 claims |
| Verity Pharmaceuticals Inc.Trelstar | $53,125 | $331,288139 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 90th percentile of 122 urology providers in Puerto Rico.
Other urology in San Juan
- Andres Perez RomanSan Juan$58K
- Jose Saavedra-BelaundeSan Juan$45K
- Francisco CapoSan Juan$38K
- Gil NievesSan Juan$30K
- Francois Soto PalouSan Juan$26K
- Pablo Ortiz CerezoSan Juan$20K
- Jorge Rivera HerreraSan Juan$19K
- Eduardo CantoSan Juan$17K
- Hector Cardona DobleSan Juan$13K
- Antonio Puras BaezSan Juan$9K
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.