Rafael Martin Garcia, MD
Dermatology · San Juan, PRNPI 1942299375
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $136,276 of the $199,119 with a category attached, or 68.4%. AbbVie accounts for 85.5% of it on its own, with 17 other manufacturers making up the rest. Among dermatology 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 397 payments — averaging $501.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$170K
- E.r. Squibb & Sons, L.L.C.$22K
- Sanofi$5K
- Johnson & Johnson$687
- Eli Lilly Export S.A. Puerto Rico Branch$399
- PBG Puerto Rico LLC$203
- plus $930 from 12 others
What the payments were for
- Consulting fees$46,91224%
- Speaking & faculty fees$136,27668%
- Travel & lodging$4,2742%
- Food & beverage$11,3156%
- Education$3430%
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 |
|---|---|---|
| AbbVie(2 entities) | 257 | $170,230 |
| E.r. Squibb & Sons, L.L.C. | 40 | $21,769 |
| Sanofi | 26 | $4,902 |
| Johnson & Johnson(2 entities) | 22 | $687 |
| Eli Lilly Export S.A. Puerto Rico Branch | 18 | $399 |
| PBG Puerto Rico LLC | 9 | $203 |
| Novartis | 5 | $198 |
| Genentech, Inc. | 3 | $163 |
| Pfizer | 3 | $150 |
| Janssen Scientific Affairs, LLC | 1 | $120 |
| Amgen | 4 | $80 |
| Genentech USA, Inc. | 2 | $46 |
| Pfizer Pharmaceuticals LLC | 2 | $36 |
| Sanofi-aventis U.S. LLC | 1 | $35 |
| Incyte Corporation | 1 | $29 |
| Sun Pharmaceutical Industries Inc. | 1 | $28 |
| LEO Pharma Inc. | 1 | $25 |
| UCB, Inc. | 1 | $20 |
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
$199,119 in reported general payments places this provider in the 95th 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 |
|---|---|---|
| Taltz AutoinjectorIxekizumab | 34 | $229,672 |
| Humira(Cf) PenAdalimumab | 15 | $132,813 |
| Cosentyx Sensoready (2 Pens)Secukinumab | 15 | $111,879 |
| Dupixent PenDupilumab | 19 | $72,751 |
| Dapsone | 22 | $1,988 |
| Clobetasol Propionate | 40 | $1,943 |
| Betamethasone Dipropionate | 53 | $1,870 |
| Betamethasone Valerate | 46 | $1,782 |
| Metronidazole | 23 | $1,281 |
| Ketoconazole | 70 | $1,271 |
| Halobetasol Propionate | 17 | $1,239 |
| Calcipotriene | 11 | $1,126 |
| Betamethasone Diprop AugmentedBetamethasone/Propylene Glyc | 45 | $1,076 |
| Desonide | 40 | $951 |
| Mupirocin | 38 | $375 |
Paid to pharmacies, not to this prescriber.
Other dermatology in San Juan
- Jose Gonzalez ChavezSan Juan$248K
- Noelani Gonzalez-OrtizSan Juan$154K
- Elena Montalvan MiroSan Juan$20K
- Damaris Torres PaoliSan Juan$6K
- Maria Martinez ColonSan Juan$6K
- Natalia Pelet del ToroSan Juan$5K
- Frances HernandezSan Juan$5K
- Karina Cancel ArtauSan Juan$4K
- Eduardo Michelen GomezSan Juan$4K
- Andrea CaroSan Juan$3K
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.