NAPOLEON A PUENTE CUELLAR
Allopathic & Osteopathic Physicians|Internal Medicine|Pulmonary Disease SAN ANTONIO, TX NPI 1962675488
Browse related groups: Allopathic & Osteopathic Physicians|Internal Medicine|Pulmonary Disease TX INTUITIVE SURGICAL, INC. All categories
General Payments — all program years on this page
$184,156.12
- Category: General Payments
- Program years: PY2018–2024
- Record count: 533
- As of (CMS publication): 2026-01-23
Latest program year (PY2024): $25,048.34 across 56 records · disputed records: 0
Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.
How this figure is 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
Latest program year (PY2024) · sorted by reported total.
| Nature of payment | Amount | Records |
|---|---|---|
| Education | $24,000.00 | 12 |
| Food and Beverage | $1,048.34 | 44 |
By paying entity
Latest program year (PY2024) · sorted by reported total.
| Paying entity | Amount | Records |
|---|---|---|
| INTUITIVE SURGICAL, INC. | $24,167.38 | 14 |
| GlaxoSmithKline, LLC. | $246.77 | 13 |
| Acerta Pharma LLC | $154.18 | 7 |
| GENZYME CORPORATION | $145.64 | 6 |
| Mylan Specialty L.P. | $87.60 | 4 |
| Insmed, Inc. | $67.19 | 3 |
| Regeneron Healthcare Solutions, Inc. | $48.21 | 2 |
| Electromed, Inc. | $31.74 | 2 |
| ANI Pharmaceuticals, Inc. | $28.23 | 1 |
| TACTILE SYSTEMS TECHNOLOGY INC | $25.07 | 1 |
| BAXTER HEALTHCARE | $18.46 | 1 |
| Takeda Pharmaceuticals U.S.A., Inc. | $14.47 | 1 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $13.40 | 1 |
By program year
Records — PY2024 (56)
Provenance & corrections
- Dataset: CMS Open Payments — General Payments
- Source: CMS Open Payments dataset (bulk file)
- Publisher of source data: Centers for Medicare & Medicaid Services
- 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.