Healthcare provider profile · identity verified

Carlos Ramos, M.D.

Internal Medicine · SAN SEBASTIAN, PR · NPI 1023231131

Profile state: partd only Open Payments: 2025 Medicare Part D: 2024 Last identity check: 2026-08-10 Page data build: 2026-08-12

Verified facts

What the public records show

We did not find matching Open Payments records for this doctor in 2025.

These records do not establish that a payment influenced prescribing or medical care.

Payment overview · 2025

General Payments

We did not find matching Open Payments records for this doctor in the selected program year.

Separate record types

Research & Ownership

Research Payments (direct recipient): not present in the loaded data

Associated Research Funding (for example, named PI): not present in the loaded data

Ownership / Investment: not present in the loaded data

These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.

Analysis 1 · Payment-linked products

Products named in Open Payments records

No payment-linked product analysis is available because no matching General Payment records were found for the selected year.

Public prescribing for products named in payments

There is no explicit payment-product set available for a Part D comparison.

The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.

Analysis 2 · Same-company prescribing overlap

Drugs reported in other payments from the same company that also appear in Medicare Part D

This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.

There is no payer-company set available for this comparison.

These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.

Public Medicare Part D data

Provider-and-drug rows loaded for 2024

Brand	Generic	Claims	Beneficiaries
Gabapentin	Gabapentin	1501	261
Famotidine	Famotidine	1326	305
Montelukast Sodium	Montelukast Sodium	644	128
Atorvastatin Calcium	Atorvastatin Calcium	620	204
Simvastatin	Simvastatin	589	191
Synthroid	Levothyroxine Sodium	582	84
Levothyroxine Sodium	Levothyroxine Sodium	576	82
Omeprazole	Omeprazole	548	101
Tamsulosin Hcl	Tamsulosin Hcl	461	78
Losartan Potassium	Losartan Potassium	456	148
Clopidogrel	Clopidogrel Bisulfate	454	95
Alendronate Sodium	Alendronate Sodium	434	80
Metformin Hcl	Metformin Hcl	390	129
Pantoprazole Sodium	Pantoprazole Sodium	384	108
Clonazepam	Clonazepam	347	63
Nabumetone	Nabumetone	321	105
Lisinopril	Lisinopril	301	98
Cefadroxil	Cefadroxil	295	212
Dexamethasone	Dexamethasone	272	166
Amlodipine Besylate	Amlodipine Besylate	219	75
Duloxetine Hcl	Duloxetine Hcl	208	60
Ciprofloxacin Hcl	Ciprofloxacin Hcl	205	157
Diclofenac Potassium	Diclofenac Potassium	201	103
Glipizide	Glipizide	198	62
Metoprolol Succinate	Metoprolol Succinate	197	67
Amitriptyline Hcl	Amitriptyline Hcl	196	62
Lantus	Insulin Glargine,hum.Rec.Anlog	185	26
Pentoxifylline	Pentoxifylline	185	45
Clotrimazole-Betamethasone	Clotrimazole/Betamethasone Dip	176	94
Naproxen	Naproxen	175	74
Donepezil Hcl	Donepezil Hcl	172	37
Enalapril Maleate	Enalapril Maleate	164	53
Meloxicam	Meloxicam	163	49
Hydrochlorothiazide	Hydrochlorothiazide	161	55
Humulin R	Insulin Regular, Human	155	31
Pioglitazone Hcl	Pioglitazone Hcl	139	50
Alprazolam	Alprazolam	137	23
Diclofenac Sodium	Diclofenac Sodium	136	62
Rosuvastatin Calcium	Rosuvastatin Calcium	131	53
Paroxetine Hcl	Paroxetine Hcl	127	20
Buspirone Hcl	Buspirone Hcl	123	32
Humulin 70-30	Insulin Nph Hum/Reg Insulin Hm	122	21
Lansoprazole	Lansoprazole	118	24
Tramadol Hcl	Tramadol Hcl	118	44
Albuterol Sulfate Hfa	Albuterol Sulfate	117	42
Etodolac	Etodolac	109	34
Furosemide	Furosemide	107	41
Ibandronate Sodium	Ibandronate Sodium	99	19
Atenolol	Atenolol	91	29
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	85	15
Glimepiride	Glimepiride	83	31
Valsartan	Valsartan	83	26
Doxazosin Mesylate	Doxazosin Mesylate	80	20
Lorazepam	Lorazepam	77	suppressed
Carvedilol	Carvedilol	76	21
Gemfibrozil	Gemfibrozil	75	36
Humulin N	Insulin Nph Human Isophane	75	suppressed
Tizanidine Hcl	Tizanidine Hcl	75	49
Finasteride	Finasteride	74	13
Sertraline Hcl	Sertraline Hcl	73	12
Omega-3 Acid Ethyl Esters	Omega-3 Acid Ethyl Esters	72	25
Metoprolol Tartrate	Metoprolol Tartrate	67	22
Irbesartan	Irbesartan	66	23
Losartan-Hydrochlorothiazide	Losartan/Hydrochlorothiazide	61	21
Sulindac	Sulindac	60	26
Temazepam	Temazepam	59	suppressed
Dicyclomine Hcl	Dicyclomine Hcl	57	43
Amlodipine Besylate-Benazepril	Amlodipine Besylate/Benazepril	56	18
Sucralfate	Sucralfate	56	37
Orphenadrine Citrate Er	Orphenadrine Citrate	52	39
Tolterodine Tartrate Er	Tolterodine Tartrate	49	suppressed
Meclizine Hcl	Meclizine Hcl	48	33
Isosorbide Mononitrate Er	Isosorbide Mononitrate	47	14
Fluoxetine Hcl	Fluoxetine Hcl	46	suppressed
Humalog Mix 75-25	Insulin Lispro Protamin/Lispro	46	suppressed
Methotrexate	Methotrexate Sodium	46	suppressed
Trazodone Hcl	Trazodone Hcl	46	suppressed
Latanoprost	Latanoprost	45	13
Raloxifene Hcl	Raloxifene Hcl	45	suppressed
Sure Comfort	Syringe-Needle,insulin,0.5 Ml	45	suppressed
Sure Comfort	Syringe And Needle,insulin,1ml	43	suppressed
Escitalopram Oxalate	Escitalopram Oxalate	41	suppressed
Allopurinol	Allopurinol	40	suppressed
Azithromycin	Azithromycin	40	36
Mometasone Furoate	Mometasone Furoate	40	23
Betamethasone Diprop Augmented	Betamethasone/Propylene Glyc	39	15
Naproxen Sodium	Naproxen Sodium	39	15
Mupirocin	Mupirocin Calcium	38	32
Zolpidem Tartrate	Zolpidem Tartrate	38	11
Levofloxacin	Levofloxacin	37	30
Quetiapine Fumarate	Quetiapine Fumarate	37	suppressed
Neomycin-Polymyxin-Hc	Neomycin/Polymyxin B/Hydrocort	35	34
Nitroglycerin	Nitroglycerin	35	suppressed
Primidone	Primidone	35	suppressed
Clobetasol Propionate	Clobetasol Propionate	34	13
Theophylline Er	Theophylline Anhydrous	34	16
Esomeprazole Magnesium	Esomeprazole Magnesium	32	12
Valsartan-Hydrochlorothiazide	Valsartan/Hydrochlorothiazide	31	12
Cilostazol	Cilostazol	30	suppressed
Nifedipine Er	Nifedipine	30	suppressed
Memantine Hcl	Memantine Hcl	29	suppressed
Sulfamethoxazole-Trimethoprim	Sulfamethoxazole/Trimethoprim	29	26
Sildenafil Citrate	Sildenafil Citrate	28	11
Amoxicillin-Clavulanate Potass	Amoxicillin/Potassium Clav	27	21
Pravastatin Sodium	Pravastatin Sodium	27	suppressed
Flecainide Acetate	Flecainide Acetate	26	suppressed
Tramadol Hcl-Acetaminophen	Tramadol Hcl/Acetaminophen	26	13
Bupropion Xl	Bupropion Hcl	25	suppressed
Fluticasone Propionate	Fluticasone Propionate	25	suppressed
Ibuprofen	Ibuprofen	25	suppressed
Levetiracetam	Levetiracetam	25	suppressed
Baclofen	Baclofen	24	suppressed
Estazolam	Estazolam	24	suppressed
Leflunomide	Leflunomide	24	suppressed
Alfuzosin Hcl Er	Alfuzosin Hcl	23	suppressed
Fenofibrate	Fenofibrate Nanocrystallized	23	suppressed
Insulin Syringe	Syringe-Needle,insulin,0.5 Ml	23	suppressed
Metformin Hcl Er	Metformin Hcl	23	suppressed
Mirtazapine	Mirtazapine	23	suppressed
Neomycin-Polymyxin-Hydrocort	Neomycin/Polymyxin B/Hydrocort	23	22
Nystatin	Nystatin	23	16
Citalopram Hbr	Citalopram Hydrobromide	22	suppressed
Clotrimazole	Clotrimazole	22	suppressed
Ketorolac Tromethamine	Ketorolac Tromethamine	22	14
Midodrine Hcl	Midodrine Hcl	22	suppressed
Ezetimibe	Ezetimibe	21	suppressed
Verapamil Er	Verapamil Hcl	21	suppressed
Bumetanide	Bumetanide	20	suppressed
Carbidopa-Levodopa	Carbidopa/Levodopa	20	suppressed
Cyclobenzaprine Hcl	Cyclobenzaprine Hcl	20	suppressed
Divalproex Sodium	Divalproex Sodium	20	suppressed
Janumet	Sitagliptin Phos/Metformin Hcl	20	suppressed
Ketoconazole	Ketoconazole	20	suppressed
Pramipexole Dihydrochloride	Pramipexole Di-Hcl	20	suppressed
Ranolazine Er	Ranolazine	19	suppressed
Warfarin Sodium	Warfarin Sodium	19	suppressed
Diltiazem Hcl	Diltiazem Hcl	18	suppressed
Farxiga	Dapagliflozin Propanediol	18	suppressed
Spironolactone	Spironolactone	18	suppressed
Betamethasone Dipropionate	Betamethasone Dipropionate	17	suppressed
Clonidine Hcl	Clonidine Hcl	17	suppressed
Humalog	Insulin Lispro	17	suppressed
Pregabalin	Pregabalin	17	suppressed
Trulicity	Dulaglutide	17	suppressed
Albuterol Sulfate	Albuterol Sulfate	16	13
Butalbital-Acetaminophen-Caffe	Butalb/Acetaminophen/Caffeine	16	suppressed
Lactulose	Lactulose	16	suppressed
Tolterodine Tartrate	Tolterodine Tartrate	16	suppressed
Brilinta	Ticagrelor	15	suppressed
Candesartan Cilexetil	Candesartan Cilexetil	15	suppressed
Eliquis	Apixaban	15	suppressed
Isosorbide Dinitrate	Isosorbide Dinitrate	15	suppressed
Comfort Ez Insulin Syringe	Syring-Needl,disp,insul,0.3 Ml	14	suppressed
Felodipine Er	Felodipine	14	suppressed
Galantamine Er	Galantamine Hbr	14	suppressed
Phenytoin Sodium Extended	Phenytoin Sodium Extended	14	suppressed
Risperidone	Risperidone	14	suppressed
Budesonide-Formoterol Fumarate	Budesonide/Formoterol Fumarate	13	suppressed
Carbidopa-Levodopa Er	Carbidopa/Levodopa	13	suppressed
Cimetidine	Cimetidine	13	suppressed
Diltiazem 24hr Er (Cd)	Diltiazem Hcl	13	suppressed
Insulin Glargine	Insulin Glargine,hum.Rec.Anlog	13	suppressed
Lantus Solostar	Insulin Glargine,hum.Rec.Anlog	13	suppressed
Prednisone	Prednisone	13	suppressed
Propranolol Hcl	Propranolol Hcl	13	suppressed
Sure Comfort	Syring-Needl,disp,insul,0.3 Ml	13	suppressed
Synjardy	Empagliflozin/Metformin Hcl	13	suppressed
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	13	suppressed
Anastrozole	Anastrozole	12	suppressed
Bisoprolol-Hydrochlorothiazide	Bisoprolol/Hydrochlorothiazide	12	suppressed
Digoxin	Digoxin	12	suppressed
Januvia	Sitagliptin Phosphate	12	suppressed
Jardiance	Empagliflozin	12	suppressed
Methylprednisolone	Methylprednisolone	12	suppressed
Mupirocin	Mupirocin	12	suppressed
Ropinirole Hcl	Ropinirole Hcl	12	suppressed
Asmanex Hfa	Mometasone Furoate	11	suppressed
Dutasteride	Dutasteride	11	suppressed
Fenofibrate	Fenofibrate	11	suppressed
Insulin Glargine-Yfgn	Insulin Glargine-Yfgn	11	suppressed
Soliqua 100-33	Insulin Glargine/Lixisenatide	11	suppressed
Tadalafil	Tadalafil	11	suppressed

Timeline

Payment and prescribing data by year

Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.

Year	General Payments	Main payer	Explicit products	Company overlaps	Part D coverage
2025	—	—	—	—	—
2024	—	—	—	—	Complete

Questions to ask

Questions you could discuss with your doctor

Are there reasonable alternatives I should understand when we discuss treatment options?
How should I interpret the industry-payment records shown here in the context of my care?

These are general questions generated from reviewed templates. They are not personalized medical advice.

Sources and limitations

How to read this page

Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.

Loaded source releases

Dataset	Year	Publication	Source
CMS Open Payments — General Payments	2025	2026-06-30	Original source
Medicare Part D Prescribers by Provider and Drug	2024	2026-05-06	Original source
NPPES Data Dissemination V2	current / reference data	2026-08-10	Original source

Methodology version: 2.1

Editorial template version: 2.4

Product contract version: 2.0

Schema version: 0.7.0

Page data build: 2026-08-12T23:34:59.370714+00:00

Publication policy: eligible for indexing after public-launch controls are enabled

Full methodology · Questions & answers · Report a possible error