Covered recipient · General Payments record

MICHELLE M MANGUAL GARCIA

Allopathic & Osteopathic Physicians Internal Medicine Endocrinology, Diabetes & Metabolism

NPI: 1518292960
CMS profile: 605795
Location: SAN JUAN, PR

General Payments · PY2018–2024

$111,153.25

Reported across 872 records
CMS publication 2026-01-23

Latest program year · PY2024

$4,490.84

109 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 payment	Amount	Records
Food and Beverage	$3,012.56	100
Travel and Lodging	$1,478.28	9

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Merck Sharp & Dohme Corporation	$1,004.88	9
Medtronic, Inc.	$815.26	8
Boehringer Ingelheim Pharmaceuticals, Inc.	$324.30	11
Acerta Pharma LLC	$304.68	10
SANOFI-AVENTIS U.S. LLC	$302.84	3
Amgen Inc.	$284.16	8
Eli Lilly Export S.A. Puerto Rico Branch	$216.44	9
Abbott Laboratories	$203.94	12
NOVARTIS PHARMACEUTICALS CORPORATION	$192.35	8
Bayer Puerto Rico Inc.	$173.26	9
Bayer HealthCare Pharmaceuticals Inc.	$120.97	1
DEXCOM, INC.	$118.82	6
Lilly USA, LLC	$118.71	1
Novo Nordisk AS	$88.47	4
ABBVIE INC.	$84.51	4
PBG PUERTO RICO LLC	$72.39	4
Corcept Therapeutics	$42.86	1
Rhythm Pharmaceuticals, Inc.	$22.00	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$30,232.24	166
PY2019	$30,159.86	119
PY2020	$28,846.54	115
PY2021	$9,431.76	123
PY2022	$4,367.94	124
PY2023	$3,624.07	116
PY2024	$4,490.84	109

Payment records · PY2024 (109)

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

Program year 2024 2018 2019 2020 2021 2022 2023 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
Abbott Laboratories	$22.44	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1125104870	CMS
Abbott Laboratories	$22.30	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1125104872	CMS
Abbott Laboratories	$20.63	04/08/2024	Food and Beverage	Undisputed	01/23/2026	1125104874	CMS
Abbott Laboratories	$22.00	05/24/2024	Food and Beverage	Undisputed	01/23/2026	1125104876	CMS
Abbott Laboratories	$6.28	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1125104878	CMS
Abbott Laboratories	$1.80	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1125104880	CMS
Abbott Laboratories	$22.77	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1125104882	CMS
Abbott Laboratories	$22.77	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1125104888	CMS
Abbott Laboratories	$22.00	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1125104884	CMS
Abbott Laboratories	$22.00	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1125104886	CMS
Abbott Laboratories	$9.88	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1125104890	CMS
Abbott Laboratories	$9.07	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1125104892	CMS
ABBVIE INC.	$25.00	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1104955780	CMS
ABBVIE INC.	$21.44	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1104955784	CMS
ABBVIE INC.	$19.34	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1104955788	CMS
ABBVIE INC.	$18.73	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1104955792	CMS
Amgen Inc.	$25.00	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1115899557	CMS
Amgen Inc.	$124.92	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1115899565	CMS
Amgen Inc.	$21.00	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1115899545	CMS
Amgen Inc.	$20.00	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1115899533	CMS
Amgen Inc.	$20.00	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1115899539	CMS
Amgen Inc.	$30.36	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1115899571	CMS
Amgen Inc.	$25.00	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1115899579	CMS
Amgen Inc.	$17.88	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1115899551	CMS
AstraZeneca Pharmaceuticals LP	$17.83	01/16/2024	Food and Beverage	Undisputed	01/23/2026	1104634847	CMS
AstraZeneca Pharmaceuticals LP	$17.00	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1104583770	CMS
AstraZeneca Pharmaceuticals LP	$19.98	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1104517154	CMS
AstraZeneca Pharmaceuticals LP	$29.16	04/05/2024	Food and Beverage	Undisputed	01/23/2026	1104416573	CMS
AstraZeneca Pharmaceuticals LP	$19.98	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1105785252	CMS
AstraZeneca Pharmaceuticals LP	$109.38	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1104525738	CMS
AstraZeneca Pharmaceuticals LP	$21.65	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1105862666	CMS
AstraZeneca Pharmaceuticals LP	$26.02	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1104595734	CMS
AstraZeneca Pharmaceuticals LP	$21.84	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1104401739	CMS
AstraZeneca Pharmaceuticals LP	$21.84	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1104641097	CMS
Bayer Healthcare Pharmaceuticals Inc.	$120.97	03/22/2024	Food and Beverage	Undisputed	01/23/2026	1086270254	CMS
Bayer Puerto Rico Inc.	$26.26	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1086108280	CMS
Bayer Puerto Rico Inc.	$17.27	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1086236516	CMS
Bayer Puerto Rico Inc.	$13.77	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1086144519	CMS
Bayer Puerto Rico Inc.	$20.33	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1086142345	CMS
Bayer Puerto Rico Inc.	$19.55	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1086221067	CMS
Bayer Puerto Rico Inc.	$22.73	11/01/2024	Food and Beverage	Undisputed	01/23/2026	1086220437	CMS
Bayer Puerto Rico Inc.	$9.50	12/06/2024	Food and Beverage	Undisputed	01/23/2026	1086086179	CMS
Bayer Puerto Rico Inc.	$18.60	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1086207991	CMS
Bayer Puerto Rico Inc.	$25.25	12/20/2024	Food and Beverage	Undisputed	01/23/2026	1086218085	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$8.42	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1118041014	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$25.00	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1118041024	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.03	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1118041016	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$25.00	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1118041026	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$29.55	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1118041032	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$102.42	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1118041034	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$20.00	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1118041018	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$25.00	10/10/2024	Food and Beverage	Undisputed	01/23/2026	1118041028	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$26.92	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1118041030	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$21.75	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1118041020	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$23.21	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1118041022	CMS
Corcept Therapeutics	$42.86	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1117780237	CMS
Dexcom, Inc.	$19.99	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1153323086	CMS
Dexcom, Inc.	$18.78	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1153323088	CMS
Dexcom, Inc.	$20.07	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1153323090	CMS
Dexcom, Inc.	$19.98	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1153323092	CMS
Dexcom, Inc.	$20.00	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1153323094	CMS
Dexcom, Inc.	$20.00	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1153323096	CMS
Eli Lilly Export S.A. Puerto Rico Branch	$25.00	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1135204435	CMS
Eli Lilly Export S.A. Puerto Rico Branch	$20.00	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1135204439	CMS
Eli Lilly Export S.A. Puerto Rico Branch	$22.73	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1135204443	CMS
Eli Lilly Export S.A. Puerto Rico Branch	$27.28	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1135173430	CMS
Eli Lilly Export S.A. Puerto Rico Branch	$25.00	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1135194546	CMS
Eli Lilly Export S.A. Puerto Rico Branch	$25.00	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1135194544	CMS
Eli Lilly Export S.A. Puerto Rico Branch	$25.00	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1135173432	CMS
Eli Lilly Export S.A. Puerto Rico Branch	$25.00	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1135241324	CMS
Eli Lilly Export S.A. Puerto Rico Branch	$21.43	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1135204447	CMS
Lilly USA, LLC	$118.71	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1135206449	CMS
Medtronic, Inc.	$67.38	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1119355949	CMS
Medtronic, Inc.	$34.40	07/31/2024	Travel and Lodging	Undisputed	01/23/2026	1119355941	CMS
Medtronic, Inc.	$261.81	07/31/2024	Travel and Lodging	Undisputed	01/23/2026	1119355943	CMS
Medtronic, Inc.	$261.82	07/31/2024	Travel and Lodging	Undisputed	01/23/2026	1119355945	CMS
Medtronic, Inc.	$96.79	07/31/2024	Travel and Lodging	Undisputed	01/23/2026	1119355947	CMS
Medtronic, Inc.	$34.07	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1119355953	CMS
Medtronic, Inc.	$58.12	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1119355951	CMS
Medtronic, Inc.	$0.87	10/17/2024	Travel and Lodging	Undisputed	01/23/2026	1119355955	CMS
Merck Sharp & Dohme LLC	$19.26	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1141717084	CMS
Merck Sharp & Dohme LLC	$20.00	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1141717082	CMS
Merck Sharp & Dohme LLC	$486.43	10/15/2024	Travel and Lodging	Undisputed	01/23/2026	1141681847	CMS
Merck Sharp & Dohme LLC	$72.54	10/15/2024	Travel and Lodging	Undisputed	01/23/2026	1141681855	CMS
Merck Sharp & Dohme LLC	$159.50	10/15/2024	Travel and Lodging	Undisputed	01/23/2026	1141681857	CMS
Merck Sharp & Dohme LLC	$64.99	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1141681981	CMS
Merck Sharp & Dohme LLC	$104.12	10/15/2024	Travel and Lodging	Undisputed	01/23/2026	1141864301	CMS
Merck Sharp & Dohme LLC	$28.08	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1141681845	CMS
Merck Sharp & Dohme LLC	$49.96	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1141681849	CMS
Novartis Pharmaceuticals Corporation	$25.00	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1087095530	CMS
Novartis Pharmaceuticals Corporation	$26.78	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1087095542	CMS
Novartis Pharmaceuticals Corporation	$20.45	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1087095558	CMS
Novartis Pharmaceuticals Corporation	$25.00	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1087095560	CMS
Novartis Pharmaceuticals Corporation	$18.57	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1087095566	CMS
Novartis Pharmaceuticals Corporation	$23.43	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1087095580	CMS
Novartis Pharmaceuticals Corporation	$26.56	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1087095584	CMS
Novartis Pharmaceuticals Corporation	$26.56	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1087095588	CMS
Novo Nordisk Inc	$25.00	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1096563257	CMS
Novo Nordisk Inc	$18.47	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1096562331	CMS
Novo Nordisk Inc	$20.00	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1096563041	CMS
Novo Nordisk Inc	$25.00	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1096565265	CMS
PBG PUERTO RICO LLC	$17.83	01/16/2024	Food and Beverage	Undisputed	01/23/2026	1130945117	CMS
PBG PUERTO RICO LLC	$17.83	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1131218762	CMS
PBG PUERTO RICO LLC	$17.83	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1131272657	CMS
PBG PUERTO RICO LLC	$18.90	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1132036526	CMS
Rhythm Pharmaceuticals, Inc.	$22.00	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1141480450	CMS
SANOFI-AVENTIS U.S. LLC	$130.63	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1139836580	CMS
SANOFI-AVENTIS U.S. LLC	$147.88	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1139836648	CMS
SANOFI-AVENTIS U.S. LLC	$24.33	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1139836706	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

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