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 · PY2019 · Entire year

$1,952.21

109 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

PY2019 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,849.18 104
Education $103.03 5

By paying entity

PY2019 · entire year · sorted by reported total

Payment records · PY2019

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

General Payments · PY2019 · Physicians and non-physician practitioners · CMS publication 2026-06-30

109 matching records · $1,952.21 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 109 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 109.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
E.R. Squibb & Sons, L.L.C. $15.9512/12/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026651224041 CMS
AstraZeneca Pharmaceuticals LP $20.0012/11/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026685811191 CMS
Merck Sharp & Dohme Corporation $15.9512/10/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026695883633 CMS
Eli Lilly Export S.A. Puerto Rico Branch $11.9512/05/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026657840501 CMS
AstraZeneca Pharmaceuticals LP $22.5012/02/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026685683433 CMS
AstraZeneca Pharmaceuticals LP $15.9511/21/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026685357433 CMS
AstraZeneca Pharmaceuticals LP $20.0011/20/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026685663305 CMS
AstraZeneca Pharmaceuticals LP $5.0011/20/2019 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026685948215 CMS
AbbVie, Inc. $20.0011/12/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026648319409 CMS
Amgen Inc. $9.0011/11/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026662367715 CMS
E.R. Squibb & Sons, L.L.C. $15.9511/07/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026651224031 CMS
Eli Lilly Export S.A. Puerto Rico Branch $11.9511/06/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026657826447 CMS
Genentech USA, Inc. $20.0011/05/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026681325719 CMS
Merck Sharp & Dohme Corporation $15.9511/04/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026695856263 CMS
AstraZeneca Pharmaceuticals LP $20.0010/31/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026685701591 CMS
E.R. Squibb & Sons, L.L.C. $11.9510/30/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026651224023 CMS
Eli Lilly Export S.A. Puerto Rico Branch $15.9510/29/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026657822791 CMS
Merck Sharp & Dohme Corporation $14.1810/24/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026695867753 CMS
Merck Sharp & Dohme Corporation $14.1810/21/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026695809315 CMS
Genentech USA, Inc. $15.9510/16/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026681394685 CMS
E.R. Squibb & Sons, L.L.C. $13.8310/15/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026651224029 CMS
Incyte Corporation $20.0010/15/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026666250143 CMS
Genentech USA, Inc. $15.9510/14/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026681380409 CMS
E.R. Squibb & Sons, L.L.C. $15.9510/10/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026651223899 CMS
AstraZeneca Pharmaceuticals LP $22.5010/08/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026685538169 CMS
Janssen Pharmaceuticals, Inc $9.8410/08/2019 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026659037219 CMS
Amgen Inc. $10.0010/07/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026662367713 CMS
AbbVie, Inc. $16.0010/02/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026648319407 CMS
AstraZeneca Pharmaceuticals LP $20.0009/26/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026685054698 CMS
Amgen Inc. $112.1409/19/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026662367723 CMS
Eli Lilly Export S.A. Puerto Rico Branch $14.1809/19/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026657829619 CMS
E.R. Squibb & Sons, L.L.C. $11.9509/17/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026651223885 CMS
Merck Sharp & Dohme Corporation $14.1809/16/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026695789575 CMS
E.R. Squibb & Sons, L.L.C. $11.9509/11/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026651223883 CMS
AstraZeneca Pharmaceuticals LP $16.0009/10/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026685703817 CMS
Amgen Inc. $8.0009/09/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026662367711 CMS
AbbVie, Inc. $20.0008/26/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026648319405 CMS
Kite Pharma, Inc. $41.7608/24/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026662143461 CMS
AstraZeneca Pharmaceuticals LP $20.0008/22/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026685090107 CMS
Merck Sharp & Dohme Corporation $14.1808/21/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026695714005 CMS
Genentech USA, Inc. $15.9508/19/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026681374167 CMS
AstraZeneca Pharmaceuticals LP $20.0008/15/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026685102361 CMS
Amgen Inc. $8.0008/12/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026662367709 CMS
Janssen Biotech, Inc. $97.4708/09/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026658599177 CMS
AstraZeneca Pharmaceuticals LP $20.0008/08/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026685850925 CMS
Janssen Biotech, Inc. $59.9908/06/2019 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026658599175 CMS
Janssen Pharmaceuticals, Inc $7.0208/06/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026659037215 CMS
Genentech USA, Inc. $9.5308/05/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026681365271 CMS
E.R. Squibb & Sons, L.L.C. $15.9508/01/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026651223873 CMS
E.R. Squibb & Sons, L.L.C. $6.0207/31/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026651223865 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.

Cite this record.

Plain
GRACIANY MIRANDA TRISTANY, NPI 1386639995. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1386639995.
APA 7
IndustryPayments. (2026). GRACIANY MIRANDA TRISTANY, NPI 1386639995 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1386639995
Bluebook
GRACIANY MIRANDA TRISTANY, NPI 1386639995, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1386639995.

Source: Centers for Medicare & Medicaid Services, Open Payments.