Rafael Llanso
Pediatrics · Coral Gables, FLNPI 1659305589
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 136 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 23 manufacturers, the largest accounting for just 15.1% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $794, 2.4 times the $337 reported in 2019. Among pediatrics clinicians in FL 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 136 payments — averaging $21.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$442
- Pfizer$389
- Corium, LLC$385
- Sanofi Pasteur Inc.$253
- Cranial Technologies, Inc$228
- Regeneron Healthcare Solutions, Inc.$216
- plus $1K from 17 others
What the payments were for
- Food & beverage$2,929100%
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 |
|---|---|---|
| GSK | 15 | $442 |
| Pfizer | 20 | $389 |
| Corium, LLC | 18 | $385 |
| Sanofi Pasteur Inc. | 13 | $253 |
| Cranial Technologies, Inc | 13 | $228 |
| Regeneron Healthcare Solutions, Inc. | 2 | $216 |
| Ironshore Pharmaceuticals Inc. | 9 | $166 |
| Sanofi-aventis U.S. LLC | 8 | $162 |
| Merck | 8 | $141 |
| Tris Pharma Inc | 8 | $120 |
| Neos Therapeutics, LP | 5 | $85 |
| Seqirus USA Inc | 4 | $83 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $53 |
| AbbVie | 2 | $28 |
| Verrica Pharmaceuticals Inc. | 1 | $27 |
| LNHC, Inc | 1 | $25 |
| Adlon Therapeutics L.p. | 1 | $22 |
| Vertical Pharmaceuticals, LLC | 1 | $20 |
| Collegium Pharmaceutical, Inc. | 1 | $20 |
| Shire North American Group Inc | 1 | $16 |
| Genentech USA, Inc. | 1 | $16 |
| Phadia US Inc. | 1 | $15 |
| Mylan Pharmaceuticals 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.
- DUPIXENT$124
How this compares
$2,929 in reported general payments places this provider in the 95th percentile of 3,964 pediatrics providers in Florida.
Other pediatrics in Coral Gables
- Elizabeth VainderCoral Gables$17K
- Lazaro NunezCoral Gables$10K
- Liat CorciaCoral Gables$9K
- Ernesto ErdmannCoral Gables$9K
- Jorge Lujan-ZilbermanTampa$378K
- Bonnie SmeryageHollywood$153K
- Patricia DeanMiami$92K
- Ryan CantvilleJacksonville$87K
- Christina CanodyTampa$87K
- Sofia MirandaMiami$67K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.