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

GRACIANY MIRANDA TRISTANY

Allopathic & Osteopathic Physicians Internal Medicine Hematology & Oncology

NPI
1386639995
CMS profile
943553
Location
HUMACAO, PR

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 · PY2020 · Entire year

$2,913.04

83 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

PY2020 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,524.11 79
Honoraria $1,200.00 1
Education $188.93 3

By paying entity

PY2020 · entire year · sorted by reported total

Page 1 of 2; records 1–50 of 83 matching records. This page contains 50 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

GRACIANY MIRANDA TRISTANY

NPI 1386639995 · CMS profile ID 943553

Allopathic & Osteopathic Physicians / Internal Medicine / Hematology & Oncology

HUMACAO, PR

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, PY2020; 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 2; records 1–50 of 83 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1386639995?year=2020&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/a08c4b30-5cf3-4948-ad40-36f404619019

Cite these filtered records

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

Plain
GRACIANY MIRANDA TRISTANY, NPI 1386639995, CMS profile ID 943553. General Payments, PY2020; 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 2; records 1–50 of 83 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1386639995?year=2020&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/a08c4b30-5cf3-4948-ad40-36f404619019.
APA 7
IndustryPayments. (2026). GRACIANY MIRANDA TRISTANY, NPI 1386639995, CMS profile ID 943553. General Payments, PY2020; 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 2; records 1–50 of 83 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1386639995?year=2020&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/a08c4b30-5cf3-4948-ad40-36f404619019.
Bluebook
GRACIANY MIRANDA TRISTANY, NPI 1386639995, CMS profile ID 943553, IndustryPayments, General Payments, PY2020; 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 2; records 1–50 of 83 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/a08c4b30-5cf3-4948-ad40-36f404619019. https://industrypayments.org/provider/npi-1386639995?year=2020&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 · PY2020

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

General Payments · PY2020 · Physicians and non-physician practitioners · CMS publication 2026-06-30

83 matching records · $2,913.04 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 83 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 1–50 of 83.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
PBG PUERTO RICO LLC $20.0012/17/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 743619411 CMS
E.R. Squibb & Sons, L.L.C. $14.1812/16/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 727789979 CMS
Merck Sharp & Dohme Corporation $15.9512/14/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 747814361 CMS
E.R. Squibb & Sons, L.L.C. $14.1812/09/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 727789975 CMS
Genentech USA, Inc. $20.0012/08/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 743017643 CMS
E.R. Squibb & Sons, L.L.C. $14.1812/07/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 727789981 CMS
AstraZeneca Pharmaceuticals LP $18.5912/03/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 735873061 CMS
Eli Lilly Export S.A. Puerto Rico Branch $22.9512/02/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 728438775 CMS
Janssen Pharmaceuticals, Inc $21.1712/01/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 719157593 CMS
Amgen Inc. $25.0011/25/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 741059769 CMS
Janssen Pharmaceuticals, Inc $21.1711/24/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 719157601 CMS
AstraZeneca Pharmaceuticals LP $20.0011/19/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 735770073 CMS
Eli Lilly Export S.A. Puerto Rico Branch $20.0011/18/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 728462435 CMS
Merck Sharp & Dohme Corporation $15.9511/17/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 747796605 CMS
AstraZeneca Pharmaceuticals LP $20.0011/11/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 736434291 CMS
PBG PUERTO RICO LLC $22.9511/11/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 743625401 CMS
E.R. Squibb & Sons, L.L.C. $14.1811/04/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 727789949 CMS
Amgen Inc. $18.5010/29/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 741059763 CMS
E.R. Squibb & Sons, L.L.C. $14.1810/28/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 727789947 CMS
AstraZeneca Pharmaceuticals LP $20.0010/22/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 736254573 CMS
E.R. Squibb & Sons, L.L.C. $14.1810/22/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 727789943 CMS
Merck Sharp & Dohme Corporation $15.9510/20/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 747774629 CMS
E.R. Squibb & Sons, L.L.C. $22.2210/14/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 727789909 CMS
Eli Lilly Export S.A. Puerto Rico Branch $13.6610/13/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 728452215 CMS
E.R. Squibb & Sons, L.L.C. $14.1810/08/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 727789907 CMS
Merck Sharp & Dohme Corporation $15.9510/01/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 747758485 CMS
E.R. Squibb & Sons, L.L.C. $14.1809/29/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 727789903 CMS
AstraZeneca Pharmaceuticals LP $20.0009/24/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 735980319 CMS
PBG PUERTO RICO LLC $21.2509/23/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 743364449 CMS
E.R. Squibb & Sons, L.L.C. $14.1809/22/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 727789889 CMS
Janssen Pharmaceuticals, Inc $21.1709/17/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 719157597 CMS
Amgen Inc. $22.2909/16/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 741059767 CMS
AstraZeneca Pharmaceuticals LP $20.0009/15/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 736382765 CMS
Genentech USA, Inc. $47.9509/09/2020 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 743017631 CMS
Genentech USA, Inc. $20.0009/09/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 743017641 CMS
E.R. Squibb & Sons, L.L.C. $14.1809/08/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 727789879 CMS
AstraZeneca Pharmaceuticals LP $15.7809/03/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 736135909 CMS
Eli Lilly Export S.A. Puerto Rico Branch $11.9509/02/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 728455557 CMS
AstraZeneca Pharmaceuticals LP $17.7809/01/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 736355917 CMS
AstraZeneca Pharmaceuticals LP $20.0008/27/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 736407851 CMS
E.R. Squibb & Sons, L.L.C. $14.1808/26/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 727789887 CMS
Janssen Biotech, Inc. $64.9908/26/2020 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 719157595 CMS
Lilly USA, LLC $19.9508/25/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 728442093 CMS
Janssen Pharmaceuticals, Inc $21.1708/20/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 719157605 CMS
Merck Sharp & Dohme Corporation $14.1808/18/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 747720833 CMS
Eli Lilly Export S.A. Puerto Rico Branch $11.9508/13/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 728452213 CMS
E.R. Squibb & Sons, L.L.C. $14.1808/06/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 727789857 CMS
AstraZeneca Pharmaceuticals LP $20.0007/23/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 736455985 CMS
Merck Sharp & Dohme Corporation $14.2007/16/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 747650475 CMS
E.R. Squibb & Sons, L.L.C. $22.2207/09/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 727789850 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $1,952.21 109
PY2020 $2,913.04 83
PY2021 $2,582.98 120
PY2022 $3,017.13 139
PY2023 $3,198.97 143
PY2024 $3,974.31 192
PY2025 $4,166.08 187

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
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files and profile matching
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.