Ruben Antonio Tresgallo Pares
Adult Reconstructive Orthopaedic Surgery · Manati, PRNPI 1396292603
Payments from drug & device makers
What this record shows
The money is spread across several categories — grants (45.9%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. Smith+Nephew accounts for 71.7% of it on its own, with 5 other manufacturers making up the rest. 2025 is the largest year on record at $9,404, more than ten times the $923 reported in 2022.
Across 71 payments — averaging $268.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$14K
- Zimmer Biomet$5K
- Stryker$275
- Johnson & Johnson$161
- Orthalign Inc$159
- Restor3d, Inc.$25
What the payments were for
- Consulting fees$4,20022%
- Grants$8,75046%
- Travel & lodging$3,01016%
- Food & beverage$3,07216%
- Education$470%
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 |
|---|---|---|
| Smith+Nephew | 13 | $13,677 |
| Zimmer Biomet | 50 | $4,783 |
| Stryker | 2 | $275 |
| Johnson & Johnson | 4 | $161 |
| Orthalign Inc | 1 | $159 |
| Restor3d, Inc. | 1 | $25 |
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
Too few adult reconstructive orthopaedic surgery providers in Puerto Ricoto place this figure against a meaningful peer group, so we don't.
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 adult reconstructive orthopaedic surgery in Manati
- Ricardo Reina SanabriaSan Juan$144K
- Dencel Garcia VelezSan Juan$22K
- Antonio Otero LopezRio Piedras$21K
- Ruben HernandezPonce$20K
- Alberto CriadoSan German$7K
- Samuel Fernandez-PerezBayamon$4K
- Guillermo Jordan DiazBayamon$4K
- Hector Pagan-MarreroSan Juan$661
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.