Rafael Fernandez Soltero, MD
Orthopaedic Surgery · Coto Laurel, PRNPI 1336105428
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $5,610 of the $6,997 with a category attached, or 80.2%. Medical Device Business Services, Inc. accounts for 63.1% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2022 at $4,924 and has fallen 98.9% since, to $55 in 2025.
Across 37 payments — averaging $189.11 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$4K
- Smith+Nephew$2K
- BD$465
- Johnson And Johnson International$146
- Globus Medical$91
- Stryker$48
- plus $33 from 1 others
What the payments were for
- Consulting fees$4657%
- Travel & lodging$5,61080%
- Food & beverage$92213%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 16 | $4,415 |
| Smith+Nephew | 11 | $1,800 |
| BD | 1 | $465 |
| Johnson And Johnson International | 5 | $146 |
| Globus Medical | 1 | $91 |
| Stryker | 2 | $48 |
| Medtronic | 1 | $33 |
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.
- REAL INTELLIGENCE$1,555
- Legion Revision$258
- REDAPT$258
How this compares
$6,997 in reported general payments places this provider in the 75th percentile of 94 orthopaedic 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Nabumetone | 76 | $1,485 |
| Baclofen | 98 | $819 |
| Diclofenac Sodium ErDiclofenac Sodium | 15 | $508 |
| Meloxicam | 28 | $111 |
| Gabapentin | 12 | $85 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Coto Laurel
- Alberto Rivera RosadoSanturce$197K
- Andres Muniz MartinezCayey$56K
- David Beaton ComuladaSan Juan$29K
- John KaganHumacao$27K
- Juan Santiago TorresHatillo$24K
- Ariel Davila-ParrillaSan Juan$21K
- Francisco Lopez-GonzalezSan Juan$16K
- Jose Rodriguez DiazDorado$14K
- Edil Jimenez-PerezBayamon$14K
- Eric Hernandez-OrtizPonce$14K
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.