Wanda Casiano
Hematology & Oncology · San German, PRNPI 1740356468
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.4% of the total across 413 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 37 manufacturers, the largest accounting for just 15.0% — the pattern of someone who eats at a lot of different presentations. That places this record below the midpoint for hematology & oncology clinicians in PR, where the typical reported total is $10,882.
Across 413 payments — averaging $21.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$1K
- E.r. Squibb & Sons, L.L.C.$1K
- Merck$728
- PBG Puerto Rico LLC$688
- Genentech USA, Inc.$599
- Novartis$596
- plus $4K from 31 others
What the payments were for
- Travel & lodging$340%
- Food & beverage$8,63899%
- Education$220%
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 |
|---|---|---|
| AstraZeneca | 60 | $1,303 |
| E.r. Squibb & Sons, L.L.C. | 55 | $1,169 |
| Merck | 38 | $728 |
| PBG Puerto Rico LLC | 34 | $688 |
| Genentech USA, Inc. | 27 | $599 |
| Novartis | 27 | $596 |
| AbbVie | 27 | $583 |
| Johnson & Johnson | 27 | $512 |
| Tempus AI, Inc | 14 | $330 |
| Amgen | 14 | $303 |
| Eli Lilly Export S.A. Puerto Rico Branch | 14 | $303 |
| Sanofi | 8 | $176 |
| GSK | 8 | $170 |
| Bayer Puerto Rico Inc. | 7 | $150 |
| Taiho Oncology, Inc. | 6 | $130 |
| Regeneron Healthcare Solutions, Inc. | 6 | $125 |
| Pfizer Pharmaceuticals LLC | 6 | $106 |
| Puma Biotechnology, Inc. | 5 | $103 |
| Bristol Myers Squibb | 4 | $83 |
| Pfizer | 3 | $53 |
| Sobi, Inc | 2 | $43 |
| Caris MPI, Inc. | 2 | $43 |
| Clovis Oncology, Inc. | 2 | $42 |
| Springworks Therapeutics, Inc. | 2 | $40 |
| Eisai Inc. | 2 | $38 |
| Zimmer Biomet | 1 | $34 |
| Lilly USA, LLC | 2 | $32 |
| Gilead | 1 | $24 |
| Rigel Pharmaceuticals, Inc. | 1 | $23 |
| Ipsen Biopharmaceuticals, Inc | 1 | $23 |
| Sanofi-aventis U.S. LLC | 1 | $22 |
| Seagen Inc. | 1 | $22 |
| Incyte Corporation | 1 | $20 |
| Tolmar, Inc. | 1 | $19 |
| Pharmaand GmbH | 1 | $19 |
| Shire North American Group Inc | 1 | $19 |
| Astellas Pharma US Inc | 1 | $18 |
How this compares
$8,694 in reported general payments places this provider in the 45th percentile of 138 hematology & oncology providers in Puerto Rico.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| RevlimidLenalidomide | 11 | $200,793 |
| Hydroxyurea | 11 | $257 |
| Dexamethasone | 15 | $208 |
| Letrozole | 13 | $148 |
| Acyclovir | 17 | $131 |
| Pantoprazole Sodium | 13 | $114 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Bristol Myers SquibbRevlimid | $83 | $200,79311 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 45th percentile of 138 hematology & oncology providers in Puerto Rico.
Other hematology & oncology in San German
- Alexis Cruz ChaconSan Juan$450K
- Jose Lozada CostasSan Juan$260K
- Cristian Rodriguez ArochoSan Juan$227K
- Noridza Rivera RodriguezSan Juan$177K
- Joel Lopez-FigueroaHumacao$163K
- Mirelis AcostaSan Juan$154K
- Luis Baez VallecilloSan Juan$107K
- Carlos Mendez SerranoCaguas$91K
- Santa MerleMoca$84K
- Edgardo Santiago-GuzmanSan Juan$79K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.