Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

ALBERTO J GRANA SANTINI

Allopathic & Osteopathic Physicians Internal Medicine Endocrinology, Diabetes & Metabolism

NPI
1366829731
CMS profile
4852711
Location
CAGUAS, PR

General Payments · PY2018–2024

$6,679.77

  • Reported across 289 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$992.69

44 records · 0 disputed

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

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. 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.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $992.69 44

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $573.09 20
PY2019 $1,413.66 59
PY2020 $1,157.57 58
PY2021 $859.30 38
PY2022 $769.25 36
PY2023 $914.21 34
PY2024 $992.69 44

Payment records · PY2024 (44)

Sorted by paying entity, then date · as published by CMS

Program year 2024 201820192020202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Amgen Inc. $20.00 10/02/2024 Food and Beverage Undisputed 01/23/2026 1111588284 CMS
AstraZeneca Pharmaceuticals LP $22.47 04/05/2024 Food and Beverage Undisputed 01/23/2026 1104586720 CMS
AstraZeneca Pharmaceuticals LP $21.95 07/10/2024 Food and Beverage Undisputed 01/23/2026 1104451110 CMS
AstraZeneca Pharmaceuticals LP $19.95 08/01/2024 Food and Beverage Undisputed 01/23/2026 1105633320 CMS
AstraZeneca Pharmaceuticals LP $20.94 09/03/2024 Food and Beverage Undisputed 01/23/2026 1105465813 CMS
AstraZeneca Pharmaceuticals LP $23.21 11/20/2024 Food and Beverage Undisputed 01/23/2026 1105394517 CMS
Bayer Puerto Rico Inc. $25.00 05/07/2024 Food and Beverage Undisputed 01/23/2026 1086112958 CMS
Bayer Puerto Rico Inc. $21.43 06/05/2024 Food and Beverage Undisputed 01/23/2026 1086207281 CMS
Bayer Puerto Rico Inc. $21.43 10/24/2024 Food and Beverage Undisputed 01/23/2026 1086212479 CMS
Bayer Puerto Rico Inc. $25.00 11/12/2024 Food and Beverage Undisputed 01/23/2026 1086251162 CMS
Bayer Puerto Rico Inc. $25.00 12/11/2024 Food and Beverage Undisputed 01/23/2026 1086205375 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $35.00 01/31/2024 Food and Beverage Undisputed 01/23/2026 1117982568 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $34.57 06/21/2024 Food and Beverage Undisputed 01/23/2026 1117982562 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $34.57 07/11/2024 Food and Beverage Undisputed 01/23/2026 1117982564 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $34.57 10/25/2024 Food and Beverage Undisputed 01/23/2026 1117982566 CMS
Dexcom, Inc. $14.32 01/17/2024 Food and Beverage Undisputed 01/23/2026 1153277162 CMS
Dexcom, Inc. $20.00 02/14/2024 Food and Beverage Undisputed 01/23/2026 1153277164 CMS
Dexcom, Inc. $14.34 04/23/2024 Food and Beverage Undisputed 01/23/2026 1153277166 CMS
Dexcom, Inc. $20.00 07/17/2024 Food and Beverage Undisputed 01/23/2026 1153277168 CMS
Dexcom, Inc. $14.09 11/26/2024 Food and Beverage Undisputed 01/23/2026 1153277170 CMS
Eli Lilly Export S.A. Puerto Rico Branch $21.88 01/23/2024 Food and Beverage Undisputed 01/23/2026 1136011283 CMS
Eli Lilly Export S.A. Puerto Rico Branch $25.00 02/20/2024 Food and Beverage Undisputed 01/23/2026 1135996074 CMS
Eli Lilly Export S.A. Puerto Rico Branch $25.00 03/20/2024 Food and Beverage Undisputed 01/23/2026 1136016955 CMS
Eli Lilly Export S.A. Puerto Rico Branch $25.00 05/08/2024 Food and Beverage Undisputed 01/23/2026 1136014532 CMS
Eli Lilly Export S.A. Puerto Rico Branch $3.44 05/23/2024 Food and Beverage Undisputed 01/23/2026 1136015669 CMS
Eli Lilly Export S.A. Puerto Rico Branch $20.94 06/14/2024 Food and Beverage Undisputed 01/23/2026 1136015671 CMS
Eli Lilly Export S.A. Puerto Rico Branch $21.43 06/25/2024 Food and Beverage Undisputed 01/23/2026 1136015673 CMS
Eli Lilly Export S.A. Puerto Rico Branch $20.86 07/30/2024 Food and Beverage Undisputed 01/23/2026 1135996076 CMS
Eli Lilly Export S.A. Puerto Rico Branch $25.00 09/11/2024 Food and Beverage Undisputed 01/23/2026 1136015391 CMS
Eli Lilly Export S.A. Puerto Rico Branch $32.08 09/17/2024 Food and Beverage Undisputed 01/23/2026 1136019450 CMS
Eli Lilly Export S.A. Puerto Rico Branch $25.00 10/11/2024 Food and Beverage Undisputed 01/23/2026 1136016957 CMS
Eli Lilly Export S.A. Puerto Rico Branch $25.00 11/13/2024 Food and Beverage Undisputed 01/23/2026 1135996070 CMS
Eli Lilly Export S.A. Puerto Rico Branch $25.00 12/10/2024 Food and Beverage Undisputed 01/23/2026 1135996072 CMS
Medtronic, Inc. $34.07 09/24/2024 Food and Beverage Undisputed 01/23/2026 1119288324 CMS
Merck Sharp & Dohme LLC $20.00 06/18/2024 Food and Beverage Undisputed 01/23/2026 1141966419 CMS
Novo Nordisk Inc $25.00 02/13/2024 Food and Beverage Undisputed 01/23/2026 1096564663 CMS
Novo Nordisk Inc $15.86 02/23/2024 Food and Beverage Undisputed 01/23/2026 1096564657 CMS
Novo Nordisk Inc $20.17 03/13/2024 Food and Beverage Undisputed 01/23/2026 1096561355 CMS
Novo Nordisk Inc $14.44 04/19/2024 Food and Beverage Undisputed 01/23/2026 1096564591 CMS
Novo Nordisk Inc $20.82 06/07/2024 Food and Beverage Undisputed 01/23/2026 1096564547 CMS
Novo Nordisk Inc $16.96 07/19/2024 Food and Beverage Undisputed 01/23/2026 1096562947 CMS
Novo Nordisk Inc $21.43 10/01/2024 Food and Beverage Undisputed 01/23/2026 1096565511 CMS
Novo Nordisk Inc $15.47 10/31/2024 Food and Beverage Undisputed 01/23/2026 1096563879 CMS
Radius Health, Inc. $25.00 12/18/2024 Food and Beverage Undisputed 01/23/2026 1089932366 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.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.