William Marrero Ortiz
Geriatric Medicine · San Juan, PRNPI 1619418027
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 108 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 18 manufacturers reported payments, led by AstraZeneca at 24.1% of the total. Reporting peaked in 2024 at $1,445 and has fallen 66.4% since, to $486 in 2025. Among geriatric medicine clinicians in PR with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 108 payments — averaging $29.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$772
- E.r. Squibb & Sons, L.L.C.$644
- PBG Puerto Rico LLC$440
- GSK$153
- Novo Nordisk$136
- Boehringer Ingelheim$133
- plus $920 from 12 others
What the payments were for
- Food & beverage$3,198100%
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 | 25 | $772 |
| E.r. Squibb & Sons, L.L.C. | 21 | $644 |
| PBG Puerto Rico LLC | 22 | $440 |
| GSK | 3 | $153 |
| Novo Nordisk | 2 | $136 |
| Boehringer Ingelheim | 3 | $133 |
| Regeneron Healthcare Solutions, Inc. | 1 | $128 |
| Sanofi | 6 | $121 |
| Rigel Pharmaceuticals, Inc. | 1 | $121 |
| Exelixis Inc. | 4 | $97 |
| Genentech USA, Inc. | 5 | $92 |
| Johnson & Johnson | 4 | $88 |
| AbbVie | 3 | $72 |
| Pfizer | 3 | $67 |
| Exact Sciences | 2 | $50 |
| Gilead | 1 | $49 |
| Eli Lilly Export S.A. Puerto Rico Branch | 1 | $25 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $10 |
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
$3,198 in reported general payments places this provider in the 90th percentile of 76 geriatric medicine providers in Puerto Rico.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| OzempicSemaglutide | 18 | $17,584 |
| JanuviaSitagliptin Phosphate | 14 | $11,438 |
| FarxigaDapagliflozin Propanediol | 11 | $9,590 |
| SynthroidLevothyroxine Sodium | 41 | $3,272 |
| Omega-3 Acid Ethyl Esters | 29 | $2,477 |
| Estazolam | 32 | $1,742 |
| Clonazepam | 132 | $1,380 |
| Temazepam | 105 | $1,120 |
| Pregabalin | 17 | $730 |
| Gabapentin | 48 | $570 |
| Valsartan | 19 | $560 |
| Doxazosin Mesylate | 26 | $560 |
| Zolpidem Tartrate | 46 | $552 |
| Famotidine | 46 | $547 |
| Atorvastatin Calcium | 55 | $533 |
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 |
|---|---|---|
| Novo NordiskOzempic | $136 | $17,58418 claims |
| AstraZenecaFarxiga | $772 | $9,59011 claims |
| AbbVieSynthroid | $72 | $3,27241 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 90th percentile of 76 geriatric medicine providers in Puerto Rico.
Other geriatric medicine in San Juan
- Ubaldo Santiago BuonoSan Juan$5K
- Cristina Nevarez de JesusSan Juan$2K
- Carmen MarreroSan Juan$1K
- Vanessa Sepulveda RiveraSan Juan$740
- Pedro Gil de Rubio CruzSan Juan$550
- Nicole Rassi StellaSan Juan$519
- Gema Hernandez-SantagoSan Juan$415
- Frances Pietri VazquezSan Juan$408
- Nelson de Jesus RamosSan Juan$381
- Carlos Marrero-PlaudSan Juan$362
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.