Zaida Fuxench Lopez, MD
Rheumatology · Bayamon, PRNPI 1932200177
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (54.6%), consulting fees and education — rather than concentrated in one kind of arrangement. 22 manufacturers reported payments, led by Johnson & Johnson at 35.6% of the total. Reporting peaked in 2021 at $3,081 and has fallen 50.2% since, to $1,534 in 2025.
Across 275 payments — averaging $45.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$4K
- AbbVie$4K
- Amgen$1K
- E.r. Squibb & Sons, L.L.C.$665
- AstraZeneca$595
- GSK$416
- plus $1K from 16 others
What the payments were for
- Consulting fees$5,56845%
- Food & beverage$6,79355%
- Education$891%
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 | 90 | $4,434 |
| AbbVie | 39 | $4,073 |
| Amgen | 38 | $1,162 |
| E.r. Squibb & Sons, L.L.C. | 33 | $665 |
| AstraZeneca | 18 | $595 |
| GSK | 15 | $416 |
| PBG Puerto Rico LLC | 8 | $172 |
| Organon | 5 | $168 |
| Eli Lilly Export S.A. Puerto Rico Branch | 6 | $135 |
| Actelion Pharmaceuticals US, Inc. | 1 | $118 |
| Novartis | 5 | $101 |
| Mallinckrodt Hospital Products Inc. | 1 | $89 |
| Sanofi | 3 | $60 |
| Regeneron Healthcare Solutions, Inc. | 2 | $50 |
| Hikma Pharmaceuticals USA | 3 | $49 |
| Bayer | 2 | $48 |
| Pfizer Pharmaceuticals LLC | 1 | $24 |
| Astellas Pharma US Inc | 1 | $23 |
| Genentech USA, Inc. | 1 | $21 |
| Merck | 1 | $20 |
| Boehringer Ingelheim | 1 | $15 |
| Radius Health, Inc. | 1 | $11 |
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
$12,450 in reported general payments places this provider in the 85th percentile of 88 rheumatology 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 |
|---|---|---|
| Humira(Cf) PenAdalimumab | 273 | $2,819,572 |
| ActharCorticotropin | 22 | $1,324,930 |
| Orencia ClickjectAbatacept | 190 | $1,068,542 |
| Xeljanz XrTofacitinib Citrate | 144 | $855,839 |
| Enbrel SureclickEtanercept | 100 | $745,498 |
| Humira(Cf)Adalimumab | 33 | $456,326 |
| RinvoqUpadacitinib | 45 | $289,733 |
| XeljanzTofacitinib Citrate | 43 | $245,873 |
| Cosentyx Sensoready (2 Pens)Secukinumab | 26 | $194,773 |
| Cosentyx Sensoready PenSecukinumab | 19 | $189,237 |
| EnbrelEtanercept | 21 | $153,031 |
| Enbrel MiniEtanercept | 12 | $90,931 |
| ForteoTeriparatide | 11 | $47,566 |
| ProliaDenosumab | 18 | $31,848 |
| Leflunomide | 241 | $13,343 |
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 |
|---|---|---|
| Mallinckrodt Hospital Products Inc.Acthar | $89 | $1,324,93022 claims |
| AbbVieHumira(Cf), Rinvoq, Synthroid | $4,073 | $750,008140 claims |
| AmgenEnbrel, Prolia | $1,162 | $184,87939 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 85th percentile of 88 rheumatology providers in Puerto Rico.
Other rheumatology in Bayamon
- Sinia RiosBayamon$6K
- Rene HernandezBayamon$2K
- Yolanda Lopez LopezBayamon$2K
- Alejandro Rivera RodriguezBayamon$2K
- Radames Sierra ZoritaSan Juan$428K
- Oscar Soto RaicesSan Juan$352K
- Yvonne FontSan Juan$193K
- Paloma AlejandroSan Juan$33K
- Linnette Lopez LopezArecibo$28K
- Jose Rodriguez SantiagoSanturce$26K
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.