Puerto Rico Medicare prescriber rankings
11,228 Puerto Rico prescribers billed $3.1 billion in Medicare Part D drugs in 2024, the 29th largest of 56 states and territories. The average opioid rate is 1.5%, below the national 6.1%.
- Prescribers11,228
- Part D drug cost$3.1 billion
- Average per prescriber$273,833
- Prescribers with opioid claims2,395
- Average opioid rate1.5%
Reading the Puerto Rico tables
Puerto Rico's 11,228 prescribers wrote 30,927,797 Part D claims in 2024, about $273,833 in drug cost per prescriber. A high total usually reflects specialty practice, such as cancer, rheumatology or HIV care, and a high opioid rate often reflects pain, palliative or hospice care. These are billing tables, not quality ratings.
Top 50 by drug cost
| Prescriber | Drug cost | Claims |
|---|---|---|
| 1Alvaro Aranda- RodriguezPulmonary Disease Physician | $31.0 million | 6,972 |
| 2Angel ChineaSpecialist | $19.6 million | 5,780 |
| 3Santa MerleHematology & Oncology Physician | $17.5 million | 4,712 |
| 4Michael Babilonia RomanRheumatology Physician | $17.1 million | 31,159 |
| 5Jorge MundoRheumatology Physician | $13.2 million | 11,907 |
| 6Alexis Cruz-ChaconInternal Medicine Physician | $11.7 million | 1,539 |
| 7Jose Gonzalez ChavezDermatology Physician | $11.0 million | 3,418 |
| 8Luis Baez VallecilloInternal Medicine Physician | $10.8 million | 4,522 |
| 9Lee Ming ShumRheumatology Physician | $10.7 million | 11,076 |
| 10Hector Velez CortesHematology & Oncology Physician | $10.2 million | 2,842 |
| 11Luis Negron-GarciaInternal Medicine Physician | $10.0 million | 2,819 |
| 12Roxabella TorresRheumatology Physician | $9.8 million | 6,909 |
| 13Angel VinuelaInternal Medicine Physician | $9.8 million | 22,605 |
| 14Livia BermudezRheumatology Physician | $9.3 million | 4,890 |
| 15Carlos Figueroa NunezEndocrinology, Diabetes & Metabolism Physician | $9.0 million | 36,573 |
| 16Zaida Fuxench LopezRheumatology Physician | $9.0 million | 4,661 |
| 17Roberto AlvarezRheumatology Physician | $9.0 million | 35,656 |
| 18Anaida Nadal TorresInternal Medicine Physician | $8.8 million | 9,777 |
| 19Jose Lozada CostasHematology & Oncology Physician | $8.7 million | 2,329 |
| 20Radames Sierra-ZoritaRheumatology Physician | $8.6 million | 5,693 |
| 21Pedro YaporSpecialist | $8.5 million | 4,960 |
| 22Samuel GonzalezHematology & Oncology Physician | $8.5 million | 1,728 |
| 23Victor Vazquez-RodriguezHematology & Oncology Physician | $8.5 million | 2,284 |
| 24Maryknoll De La PazHematology & Oncology Physician | $8.3 million | 4,057 |
| 25Elba Martin ReyesPulmonary Disease Physician | $8.3 million | 2,214 |
| 26Dennis SuarezRheumatology Physician | $8.2 million | 20,179 |
| 27Dania Santiago-CaraballoInternal Medicine Physician | $8.1 million | 1,996 |
| 28Monica Mendez AyalaSpecialist | $8.0 million | 2,600 |
| 29Anna Di MarcoSpecialist | $7.8 million | 3,127 |
| 30Patricia De JesusNeurology Physician | $7.4 million | 2,361 |
| 31Carlos Mendez SerranoHematology & Oncology Physician | $7.2 million | 1,828 |
| 32Roberto Leon-PerezRheumatology Physician | $7.0 million | 5,976 |
| 33Rolando JimenezHematology & Oncology Physician | $6.9 million | 1,419 |
| 34Domingo ChardonSpecialist | $6.8 million | 17,411 |
| 35Rafael PerezHematology & Oncology Physician | $6.6 million | 2,577 |
| 36Esther TorresGastroenterology Physician | $6.6 million | 642 |
| 37Luis Cotto SantanaInternal Medicine Physician | $6.6 million | 2,183 |
| 38Graciany MirandaHematology & Oncology Physician | $6.6 million | 1,628 |
| 39Hector Leon-FigueroaInternal Medicine Physician | $6.5 million | 2,110 |
| 40Jose Garcia MateoEndocrinology, Diabetes & Metabolism Physician | $6.5 million | 23,612 |
| 41Carlos Martinez RiveraEndocrinology, Diabetes & Metabolism Physician | $6.4 million | 42,053 |
| 42Kenel Fernandes BarbosaHematology & Oncology Physician | $6.2 million | 2,453 |
| 43Alex Gonzalez BossoloStudent in an Organized Health Care Education/Training Program | $6.1 million | 12,609 |
| 44Jose RodriguezSpecialist | $6.1 million | 8,063 |
| 45Luis Sepulveda-MaldonadoHematology & Oncology Physician | $6.1 million | 1,703 |
| 46George FahedInternal Medicine Physician | $6.0 million | 6,000 |
| 47Karina Vila-RiveraRheumatology Physician | $6.0 million | 6,539 |
| 48Maria Garcia PallasHematology & Oncology Physician | $5.9 million | 1,078 |
| 49Jose Ortega SanchezHematology & Oncology Physician | $5.9 million | 3,162 |
| 50Brenda DelizNeuromuscular Medicine (Psychiatry & Neurology) Physician | $5.9 million | 961 |
Top 50 by opioid rate
| Prescriber | Opioid rate | Opioid claims |
|---|---|---|
| 1Kimberly Ramos-RamosGeneral Practice Physician | 75.6% | 303 |
| 2Jose Marin LopezSurgery Physician | 73.0% | 27 |
| 3Angel Quinones RodriguezSurgery Physician | 68.7% | 57 |
| 4Roberto Perez RomanNeurological Surgery Physician | 67.5% | 54 |
| 5Christopher Alcala-MarquezOrthopaedic Surgery Physician | 66.4% | 87 |
| 6Renier MendezInterventional Pain Medicine Physician | 66.3% | 608 |
| 7Omar MoralesOrthopaedic Hand Surgery Physician | 66.0% | 132 |
| 8Carlos Buxo TiradoPain Medicine (Anesthesiology) Physician | 62.7% | 1,616 |
| 9Armando CruzadoSurgery Physician | 61.5% | 211 |
| 10Marisol Rivera-MislaPain Medicine (Anesthesiology) Physician | 61.5% | 398 |
| 11Eduardo IbarraPain Medicine (Anesthesiology) Physician | 61.5% | 375 |
| 12Christian FoyOrthopaedic Surgery Physician | 59.1% | 146 |
| 13Mauro IranzoSurgery Physician | 58.8% | 20 |
| 14Jose CollazoOrthopaedic Surgery Physician | 58.5% | 38 |
| 15Gabriel Rivera EspineiraSurgery Physician | 57.4% | 27 |
| 16Ramon Davila OrtizOrthopaedic Trauma Physician | 55.9% | 132 |
| 17Oscar Vargas GonzalezPlastic and Reconstructive Surgery Physician | 54.7% | 389 |
| 18Edgar Miranda GonzalezEmergency Medicine Physician | 54.1% | 20 |
| 19Francisco Batlle BatlleSurgery Physician | 53.6% | 96 |
| 20Jean CarrasquilloSurgery Physician | 53.5% | 46 |
| 21Viviana Negron-GonzalezSurgery Physician | 53.4% | 70 |
| 22Diego Monasterio OliverStudent in an Organized Health Care Education/Training Program | 53.4% | 39 |
| 23Andres GuerreroSurgery Physician | 53.1% | 85 |
| 24Giancarlo MignucciStudent in an Organized Health Care Education/Training Program | 53.1% | 52 |
| 25Francis Beauchamp-RocheSpecialist | 52.1% | 101 |
| 26Yamil Rivera-ColonOrthopaedic Surgery of the Spine Physician | 51.1% | 164 |
| 27Reynaldo Dejesus-RodriguezNeurological Surgery Physician | 51.0% | 26 |
| 28Javier Marquez GracianiSurgery Physician | 50.1% | 262 |
| 29Eduardo MedinaStudent in an Organized Health Care Education/Training Program | 48.6% | 18 |
| 30Adriana Tormos AbadiaStudent in an Organized Health Care Education/Training Program | 48.6% | 17 |
| 31Laura Rodriguez RiveraSurgery Physician | 47.5% | 58 |
| 32Jose Colon ColonSpecialist | 47.3% | 35 |
| 33Ian Marrero AmadeoPlastic Surgery Physician | 47.2% | 51 |
| 34Luis Carcorze SotoSurgery Physician | 46.8% | 111 |
| 35Magdiel Mayol-UrdazOrthopaedic Trauma Physician | 46.8% | 147 |
| 36Hector Garcia NavasStudent in an Organized Health Care Education/Training Program | 46.5% | 33 |
| 37Micael Lopez-AcevedoGynecologic Oncology Physician | 46.3% | 63 |
| 38Raul Roura AriasOrthopaedic Surgery Physician | 46.2% | 109 |
| 39Angel Rivera - BarriosSurgery Physician | 45.8% | 60 |
| 40Boris Guzman-HernandezInternal Medicine Physician | 45.3% | 346 |
| 41Orlando CanizaresLegal Medicine | 45.0% | 18 |
| 42Jose Perez LopezOrthopaedic Surgery Physician | 44.3% | 409 |
| 43Daniel Rodriguez HernandezStudent in an Organized Health Care Education/Training Program | 44.2% | 19 |
| 44Ian Soto LopezSurgery Physician | 43.1% | 189 |
| 45Fernando Martinez-ColonColon & Rectal Surgery Physician | 42.9% | 27 |
| 46Heriberto Sanchez GuzmanSurgery Physician | 42.6% | 84 |
| 47Carlos Marquez - ToroSpecialist | 42.3% | 74 |
| 48Orlando BoletGeneral Practice Physician | 41.9% | 126 |
| 49Jaime FumeroOrthopaedic Surgery Physician | 41.1% | 434 |
| 50Giovanni AyalaStudent in an Organized Health Care Education/Training Program | 41.1% | 76 |
Source: CMS Medicare Part D Prescribers by Provider, 2024 (data.cms.gov), matched to CMS NPPES by NPI. Opioid ranking needs at least 10 opioid claims; CMS leaves out counts under 11 beneficiaries.
Common questions
How many Medicare prescribers are in Puerto Rico?
Puerto Rico has 11,228 Medicare Part D prescribers who filed 30,927,797 claims totaling $3.1 billion in drug costs.
What is the opioid prescribing rate in Puerto Rico?
The average opioid prescribing rate in Puerto Rico is 1.5%. 2,395 prescribers in the state had at least one opioid claim. The national average is 6.1%.
Checking a prescriber
Open the prescriber's record for the full NPI entry and prescribing detail, then confirm the license on the state board search. The Part D file covers Medicare Part D only; commercial, Medicaid, VA and cash prescriptions are not in it.
Prescriber rankings in other states
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Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of 2026-09-26.