Ricardo Fernandez, MD
Internal Medicine · San Juan, PRNPI 1588764013
Payments from drug & device makers
Across 606 payments — averaging $792.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$147K
- Boehringer Ingelheim$144K
- AstraZeneca$105K
- E.r. Squibb & Sons, L.L.C.$43K
- Bayer$17K
- Regeneron$10K
- plus $14K from 28 others
Across 3 payments — averaging $10,120 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Eli Lilly$30K
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 |
|---|---|---|
| Johnson & Johnson | 122 | $147,240 |
| Boehringer Ingelheim | 103 | $143,677 |
| AstraZeneca | 136 | $105,216 |
| E.r. Squibb & Sons, L.L.C. | 9 | $42,993 |
| Bayer | 34 | $17,332 |
| Regeneron | 2 | $10,089 |
| Sanofi | 25 | $4,929 |
| Boehringer Ingelheim International GmbH | 27 | $3,610 |
| GSK | 55 | $1,750 |
| Genentech USA, Inc. | 14 | $575 |
| United Therapeutics Corporation | 9 | $446 |
| Merck | 10 | $360 |
| Eli Lilly | 2 | $273 |
| Mylan Specialty L.p. | 7 | $201 |
| Insmed, Inc. | 4 | $187 |
| AbbVie(2 entities) | 7 | $149 |
| Mallinckrodt Hospital Products Inc. | 3 | $148 |
| Jazz Pharmaceuticals Inc. | 3 | $147 |
| Mylan LLC | 7 | $133 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $115 |
| Actelion Pharmaceuticals US, Inc. | 1 | $112 |
| PBG Puerto Rico LLC | 5 | $105 |
| Novartis | 1 | $94 |
| Edwards Lifesciences | 1 | $90 |
| Medtronic | 1 | $81 |
| Eli Lilly Export S.A. Puerto Rico Branch | 3 | $77 |
| Pfizer | 2 | $52 |
| Chiesi USA, Inc. | 2 | $34 |
| Sanofi-aventis U.S. LLC | 2 | $33 |
| Olympus Latin America, Inc. | 1 | $32 |
| Caris MPI, Inc. | 1 | $25 |
| Amgen | 1 | $23 |
| Shire North American Group Inc | 1 | $20 |
| Viatris Specialty LLC | 1 | $15 |
How this compares
$480,364 in reported general payments places this provider in the 95th percentile of 1,043 internal medicine 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.
Other internal medicine in San Juan
- Grisell Ortiz LasantaSan Juan$5.9M
- Pedro del Valle de TomasSan Juan$114K
- Norma SalgadoSan Juan$21K
- Victor Gordo GonzalezSan Juan$21K
- Roberto Calderon SantiagoSan Juan$20K
- Natalia Almodovar ArbeloSan Juan$9K
- Jeremy FelicianoSan Juan$8K
- Porfirio Diaz-RodriguezSan Juan$8K
- Rafael Figueroa NavarroSan Juan$6K
- Amilcar Torres FigueroaSan Juan$6K
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.