Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record

Covered recipient · General Payments record

RAFAEL ANDRES MIRABAL

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1134755663
CMS profile
10677505
Location
FORT MYERS, FL

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

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General Payments · PY2023 · Entire year

$1,029.47

49 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

“Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.”

— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated . CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

By nature of payment

PY2023 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,029.47 49

By paying entity

PY2023 · entire year · sorted by reported total

Page 1 of 1; records 1–49 of 49 matching records. This page contains 49 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

RAFAEL ANDRES MIRABAL

NPI 1134755663 · CMS profile ID 10677505

Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner / Family

FORT MYERS, FL

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

General Payments, PY2023; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 1 of 1; records 1–49 of 49 matching records. This page contains 49 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1134755663?year=2023&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain
RAFAEL ANDRES MIRABAL, NPI 1134755663, CMS profile ID 10677505. General Payments, PY2023; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 1; records 1–49 of 49 matching records. This page contains 49 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1134755663?year=2023&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9.
APA 7
IndustryPayments. (2026). RAFAEL ANDRES MIRABAL, NPI 1134755663, CMS profile ID 10677505. General Payments, PY2023; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 1; records 1–49 of 49 matching records. This page contains 49 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1134755663?year=2023&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9.
Bluebook
RAFAEL ANDRES MIRABAL, NPI 1134755663, CMS profile ID 10677505, IndustryPayments, General Payments, PY2023; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 1 of 1; records 1–49 of 49 matching records. This page contains 49 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9. https://industrypayments.org/provider/npi-1134755663?year=2023&recipient=provider#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

Payment records · PY2023

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

General Payments · PY2023 · Physicians and non-physician practitioners · CMS publication 2026-06-30

49 matching records · $1,029.47 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 49 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–49 of 49.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
GlaxoSmithKline, LLC. $21.4512/18/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1004302321 CMS
GlaxoSmithKline, LLC. $22.9711/29/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1004301882 CMS
GlaxoSmithKline, LLC. $19.8511/29/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1004301905 CMS
AstraZeneca Pharmaceuticals LP $16.1611/07/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1015131941 CMS
Lilly USA, LLC $12.6911/02/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1033225653 CMS
GlaxoSmithKline, LLC. $23.1110/24/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1004301941 CMS
GlaxoSmithKline, LLC. $12.8410/05/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1004301929 CMS
Novo Nordisk Inc $19.9110/05/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1002099151 CMS
Lilly USA, LLC $18.7810/02/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1033316481 CMS
AstraZeneca Pharmaceuticals LP $13.4409/28/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1011621683 CMS
Bayer Healthcare Pharmaceuticals Inc. $33.4809/25/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1005614675 CMS
GlaxoSmithKline, LLC. $22.5709/12/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1004301877 CMS
Bayer Healthcare Pharmaceuticals Inc. $27.7208/17/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1005607417 CMS
SANOFI PASTEUR INC. $22.7708/16/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1044025625 CMS
AstraZeneca Pharmaceuticals LP $14.2708/15/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1016131099 CMS
Dexcom, Inc. $19.6408/03/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1054632173 CMS
GlaxoSmithKline, LLC. $23.5107/31/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1004301893 CMS
Bayer Healthcare Pharmaceuticals Inc. $24.3507/21/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1005599343 CMS
Shield Therapeutics Inc $14.6407/14/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1045788599 CMS
GlaxoSmithKline, LLC. $23.2306/21/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1004301887 CMS
GlaxoSmithKline, LLC. $22.6806/01/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1004302317 CMS
Amgen Inc. $12.7305/25/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1020792695 CMS
AstraZeneca Pharmaceuticals LP $14.1605/23/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1015205831 CMS
Lilly USA, LLC $22.1805/18/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1033312413 CMS
GlaxoSmithKline, LLC. $23.8305/12/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1004301911 CMS
Bayer Healthcare Pharmaceuticals Inc. $27.9605/10/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1005607953 CMS
Dexcom, Inc. $18.8705/03/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1054632167 CMS
Merck Sharp & Dohme LLC $32.5105/02/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1048814129 CMS
AstraZeneca Pharmaceuticals LP $16.2204/27/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1011912526 CMS
Bayer Healthcare Pharmaceuticals Inc. $27.3104/21/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1005606439 CMS
GlaxoSmithKline, LLC. $23.8304/12/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1004301899 CMS
PFIZER INC. $18.2804/11/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1049162953 CMS
Bayer Healthcare Pharmaceuticals Inc. $24.7603/16/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1005600691 CMS
Janssen Pharmaceuticals, Inc $29.2403/14/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 987767093 CMS
AstraZeneca Pharmaceuticals LP $19.3703/02/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1014980989 CMS
GlaxoSmithKline, LLC. $19.5602/28/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1004301917 CMS
Merck Sharp & Dohme LLC $25.5302/28/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1048886165 CMS
Novo Nordisk Inc $24.2502/23/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1002099163 CMS
E.R. Squibb & Sons, L.L.C. $20.8102/21/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1015490163 CMS
Bayer Healthcare Pharmaceuticals Inc. $27.1502/16/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1005606043 CMS
Novartis Pharmaceuticals Corporation $15.8902/15/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 992826803 CMS
IDORSIA PHARMACEUTICALS US INC $17.5702/14/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1034258725 CMS
GlaxoSmithKline, LLC. $21.1002/09/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1004301923 CMS
Lilly USA, LLC $20.3002/08/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1033479565 CMS
PFIZER INC. $17.2601/25/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1049120389 CMS
AstraZeneca Pharmaceuticals LP $13.5701/19/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1011610179 CMS
GlaxoSmithKline, LLC. $22.9601/19/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1004301935 CMS
Bayer Healthcare Pharmaceuticals Inc. $25.4901/17/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1005602685 CMS
Amgen Inc. $16.7201/11/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1020476301 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $893.74 40
PY2022 $1,666.43 79
PY2023 $1,029.47 49
PY2024 $1,105.86 50
PY2025 $949.64 40

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2021, 2022, 2023, 2024, 2025
Source files and profile matching
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.