Rodolfo Estremera Marcial, MD
Gastroenterology · San Juan, PRNPI 1588922520
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (55.0%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 10 manufacturers reported payments, led by Johnson & Johnson at 57.7% of the total. Reporting peaked in 2024 at $3,420 and has fallen 87.1% since, to $440 in 2025.
Across 115 payments — averaging $49.93 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$3K
- AbbVie$1K
- E.r. Squibb & Sons, L.L.C.$853
- Olympus Latin America, Inc.$84
- Boston Scientific$84
- Gilead$67
- plus $153 from 4 others
What the payments were for
- Consulting fees$2,27540%
- Travel & lodging$3095%
- Food & beverage$3,15855%
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 |
|---|---|---|
| Johnson & Johnson | 27 | $3,314 |
| AbbVie | 43 | $1,188 |
| E.r. Squibb & Sons, L.L.C. | 33 | $853 |
| Olympus Latin America, Inc. | 1 | $84 |
| Boston Scientific | 1 | $84 |
| Gilead | 3 | $67 |
| PBG Puerto Rico LLC | 3 | $63 |
| Eli Lilly Export S.A. Puerto Rico Branch | 2 | $45 |
| Madrigal Pharmaceuticals | 1 | $25 |
| Boehringer Ingelheim | 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
$5,742 in reported general payments places this provider in the 80th percentile of 198 gastroenterology 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 |
|---|---|---|
| Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates | 68 | $5,609 |
| SuprepSodium, Potassium,mag Sulfates | 43 | $5,013 |
| Naloxone Hcl | 252 | $3,123 |
| Pantoprazole Sodium | 130 | $1,186 |
| Gavilyte-CPeg3350/Sod Sulf,bicarb,cl/Kcl | 31 | $792 |
| Flumazenil | 94 | $750 |
| Sodium Chloride0.9 % Sodium Chloride | 103 | $558 |
| Sucralfate | 12 | $528 |
| Clarithromycin | 14 | $484 |
| Fentanyl CitrateFentanyl Citrate/Pf | 84 | $284 |
| Midazolam HclMidazolam Hcl/Pf | 93 | $262 |
| Midazolam Hcl | 93 | $260 |
| Amoxicillin | 14 | $234 |
Paid to pharmacies, not to this prescriber.
Other gastroenterology in San Juan
- Marcia Cruz CorreaSan Juan$62K
- Loscar SantiagoSan Juan$39K
- Henry Gonzalez RiveraSan Juan$34K
- Hector LozanoSan Juan$28K
- Rafael Rodriguez LopezSan Juan$20K
- Alexis Gonzalez RiveraSan Juan$16K
- Sulimar Rodriguez SantiagoSan Juan$11K
- Esther TorresSan Juan$9K
- Yahaira Moreno DenizardSan Juan$9K
- Ricky Jimenez CarloSan Juan$8K
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.