Vangie Texidor Cabanillas, MD
Surgery · San Juan, PRNPI 1952611022
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (39.7%), education and travel and lodging — rather than concentrated in one kind of arrangement. 11 manufacturers reported payments, led by Intuitive Surgical at 52.5% of the total. Reporting peaked in 2023 at $3,662 and has fallen 82.8% since, to $629 in 2025.
Across 45 payments — averaging $161.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$4K
- Davol Inc.$3K
- Medtronic$162
- Sanara Medtech Inc.$157
- Pacira Pharmaceuticals Incorporated$153
- Smith+Nephew$139
- plus $317 from 5 others
What the payments were for
- Travel & lodging$1,89226%
- Food & beverage$2,88640%
- Education$2,50034%
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 |
|---|---|---|
| Intuitive Surgical | 12 | $3,823 |
| Davol Inc. | 21 | $2,526 |
| Medtronic | 3 | $162 |
| Sanara Medtech Inc. | 1 | $157 |
| Pacira Pharmaceuticals Incorporated | 1 | $153 |
| Smith+Nephew | 1 | $139 |
| Vertex | 1 | $122 |
| BD | 2 | $88 |
| Conmed Corporation | 1 | $51 |
| Dilon Technologies, Inc. | 1 | $42 |
| Olympus America Inc. | 1 | $15 |
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.
- DAVINCI XI$2,500
- Phasix Mesh$2,084
- Da Vinci Surgical System$1,211
- CellerateRx$157
- EXPAREL$153
- PICO7$139
- RENASYS GO$139
- RENASYS TOUCH$139
- JOURNAVX$122
How this compares
$7,278 in reported general payments places this provider in the 85th percentile of 202 surgery 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 |
|---|---|---|
| Acetaminophen-CodeineAcetaminophen With Codeine | 14 | $49 |
Paid to pharmacies, not to this prescriber.
Other surgery in San Juan
- Fernando Rivera CruzSan Juan$88K
- Jorge Pelet MejiasSan Juan$50K
- Eric EscribanoSan Juan$13K
- Milagros Fernandez VazquezSan Juan$12K
- William Mendez LatalladiSan Juan$10K
- Edwin Torres RiveraSan Juan$8K
- Jorge Sanchez-VivaldiSan Juan$7K
- Eduardo Chinea AmadeoSan Juan$6K
- Albert Suarez-DominguezSan Juan$6K
- Pedro Hernandez RiveraSan Juan$5K
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.