Rafael Velez, MD
Dermatology · San German, PRNPI 1659354157
Payments from drug & device makers
Across 44 payments — averaging $27.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novartis$523
- Johnson & Johnson$434
- Lilly USA, LLC$120
- Pfizer$35
- Eli Lilly Export S.A. Puerto Rico Branch$25
- PBG Puerto Rico LLC$24
- plus $28 from 2 others
What the payments were for
- Food & beverage$78066%
- Education$41034%
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 |
|---|---|---|
| Novartis | 32 | $523 |
| Johnson & Johnson(2 entities) | 6 | $434 |
| Lilly USA, LLC | 1 | $120 |
| Pfizer | 1 | $35 |
| Eli Lilly Export S.A. Puerto Rico Branch | 1 | $25 |
| PBG Puerto Rico LLC | 1 | $24 |
| E.r. Squibb & Sons, L.L.C. | 1 | $14 |
| Sanofi-aventis U.S. LLC | 1 | $14 |
How this compares
$1,189 in reported general payments places this provider in the 35th 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 | 97 | $752,529 |
| Humira(Cf) PenAdalimumab | 78 | $552,795 |
| Skyrizi PenRisankizumab-Rzaa | 21 | $439,932 |
| Dupixent PenDupilumab | 56 | $212,544 |
| Dupixent SyringeDupilumab | 40 | $152,199 |
| Cosentyx Unoready PenSecukinumab | 17 | $147,817 |
| OpzeluraRuxolitinib Phosphate | 25 | $51,625 |
| Desonide | 265 | $15,958 |
| Betamethasone Diprop AugmentedBetamethasone/Propylene Glyc | 383 | $11,868 |
| Clobetasol Propionate | 290 | $9,007 |
| Fluorouracil | 111 | $8,900 |
| Mometasone Furoate | 252 | $8,647 |
| Acitretin | 34 | $7,403 |
| Metronidazole | 73 | $4,429 |
| Econazole Nitrate | 78 | $4,168 |
Paid to pharmacies, not to this prescriber.
Other dermatology in San German
- Adriana Figueroa DiazSan German$4K
- Jose Gonzalez ChavezSan Juan$4.7M
- Samuel SanchezCaguas$1.6M
- Maria Martinez ColonSan Juan$1.4M
- Eneida de la TorreBayamon$811K
- Alma Cruz SantanaCarolina$796K
- Pedro Vendrell BenitoPonce$368K
- Rafael Martin GarciaSan Juan$199K
- Noelani Gonzalez-OrtizSan Juan$154K
- Elena Montalvan MiroSan Juan$20K
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.