Ramon Ruiz Rivera, MD
General Practice · Trujillo Alto, PRNPI 1447310685
Payments from drug & device makers
Across 28 payments — averaging $23.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Shield Therapeutics Inc$236
- Lilly USA, LLC$84
- Exact Sciences$68
- Noven Therapeutics, LLC$49
- Novo Nordisk$44
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$39
- plus $124 from 7 others
What the payments were for
- Food & beverage$644100%
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 |
|---|---|---|
| Shield Therapeutics Inc | 5 | $236 |
| Lilly USA, LLC | 5 | $84 |
| Exact Sciences | 4 | $68 |
| Noven Therapeutics, LLC | 2 | $49 |
| Novo Nordisk | 3 | $44 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 2 | $39 |
| Alk-abello, Inc | 1 | $27 |
| Medtronic | 1 | $24 |
| Abbott | 1 | $21 |
| Dexcom, Inc. | 1 | $18 |
| Pfizer | 1 | $15 |
| Idorsia Pharmaceuticals US Inc | 1 | $15 |
| Corium, LLC | 1 | $3 |
How this compares
$644 in reported general payments places this provider in the 80th percentile of 3,586 general practice 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 |
|---|---|---|
| Atorvastatin Calcium | 32 | $850 |
| Fenofibrate | 24 | $473 |
| Losartan Potassium | 22 | $359 |
| Risperidone | 12 | $281 |
| Alprazolam | 23 | $229 |
| Levothyroxine Sodium | 17 | $228 |
| Amlodipine Besylate | 14 | $223 |
| Gabapentin | 24 | $207 |
| Lisinopril | 22 | $191 |
| Rosuvastatin Calcium | 11 | $182 |
| Omeprazole | 14 | $177 |
| Diclofenac Potassium | 20 | $162 |
| Sertraline Hcl | 15 | $95 |
| Trazodone Hcl | 16 | $69 |
| Zolpidem Tartrate | 17 | $57 |
Paid to pharmacies, not to this prescriber.
Other general practice in Trujillo Alto
- Elba PerezTrujillo Alto$651K
- Gregorio Cortes-MaisonetSan Juan$12.8M
- Barbara Orozco PerezCanovanas$5.1M
- Jesus Rodriguez RodriguezPonce$4.9M
- Luis PaganDorado$3.3M
- Cindy MartinezHormigueros$3.2M
- Gustavo AlbizuMorovis$3.1M
- Elham GhorbaniDorado$1.2M
- Victor MorenoMaunabo$903K
- Grisselle Ortiz RiveraMorovis$715K
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.