Healthcare provider profile · identity verified

Carlos Armando Alejandro, MD

General Practice · GUAYAMA, PR · NPI 1427665009

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
Atorvastatin Calcium	Atorvastatin Calcium	2296	375
Gabapentin	Gabapentin	1365	210
Losartan Potassium	Losartan Potassium	1214	204
Famotidine	Famotidine	1074	184
Metoprolol Succinate	Metoprolol Succinate	1051	163
Levothyroxine Sodium	Levothyroxine Sodium	950	158
Amlodipine Besylate	Amlodipine Besylate	878	147
Metformin Hcl	Metformin Hcl	801	135
Omeprazole	Omeprazole	758	124
Rosuvastatin Calcium	Rosuvastatin Calcium	724	123
Pantoprazole Sodium	Pantoprazole Sodium	723	121
Synthroid	Levothyroxine Sodium	665	94
Tamsulosin Hcl	Tamsulosin Hcl	595	105
Alendronate Sodium	Alendronate Sodium	588	101
Lisinopril	Lisinopril	588	105
Carvedilol	Carvedilol	565	89
Diclofenac Sodium	Diclofenac Sodium	515	153
Simvastatin	Simvastatin	515	101
Clopidogrel	Clopidogrel Bisulfate	508	82
Allopurinol	Allopurinol	465	73
Montelukast Sodium	Montelukast Sodium	439	92
Meclizine Hcl	Meclizine Hcl	424	88
Furosemide	Furosemide	417	80
Irbesartan	Irbesartan	370	54
Doxazosin Mesylate	Doxazosin Mesylate	369	60
Candesartan Cilexetil	Candesartan Cilexetil	357	53
Hydrochlorothiazide	Hydrochlorothiazide	351	62
Metformin Hcl Er	Metformin Hcl	351	56
Glipizide	Glipizide	347	50
Donepezil Hcl	Donepezil Hcl	336	52
Glipizide Er	Glipizide	312	58
Hydralazine Hcl	Hydralazine Hcl	301	48
Ezetimibe	Ezetimibe	284	50
Eliquis	Apixaban	280	43
Clotrimazole-Betamethasone	Clotrimazole/Betamethasone Dip	277	78
Clonazepam	Clonazepam	272	41
Pioglitazone Hcl	Pioglitazone Hcl	269	42
Farxiga	Dapagliflozin Propanediol	264	47
Mirtazapine	Mirtazapine	259	51
Isosorbide Mononitrate Er	Isosorbide Mononitrate	244	41
Latanoprost	Latanoprost	238	38
Temazepam	Temazepam	237	30
Meloxicam	Meloxicam	231	61
Finasteride	Finasteride	219	41
Glimepiride	Glimepiride	215	33
Valsartan	Valsartan	214	39
Fluticasone Propionate	Fluticasone Propionate	205	58
Humulin N	Insulin Nph Human Isophane	190	28
Fenofibrate	Fenofibrate	189	33
Duloxetine Hcl	Duloxetine Hcl	173	35
Lactulose	Lactulose	166	59
Prednisone	Prednisone	166	49
Pravastatin Sodium	Pravastatin Sodium	161	22
Albuterol Sulfate Hfa	Albuterol Sulfate	159	41
Metoprolol Tartrate	Metoprolol Tartrate	156	28
Spironolactone	Spironolactone	155	29
Cilostazol	Cilostazol	154	23
Lantus	Insulin Glargine,hum.Rec.Anlog	153	30
Xarelto	Rivaroxaban	146	27
Baclofen	Baclofen	130	42
Labetalol Hcl	Labetalol Hcl	130	18
Enalapril Maleate	Enalapril Maleate	122	18
Atenolol	Atenolol	116	21
Irbesartan-Hydrochlorothiazide	Irbesartan/Hydrochlorothiazide	114	18
Valsartan-Hydrochlorothiazide	Valsartan/Hydrochlorothiazide	111	18
Diltiazem 24hr Er (Cd)	Diltiazem Hcl	108	24
Losartan-Hydrochlorothiazide	Losartan/Hydrochlorothiazide	106	15
Buspirone Hcl	Buspirone Hcl	104	20
Methotrexate	Methotrexate Sodium	103	17
Tizanidine Hcl	Tizanidine Hcl	102	39
Trazodone Hcl	Trazodone Hcl	101	15
Tradjenta	Linagliptin	100	13
Lovastatin	Lovastatin	98	16
Sertraline Hcl	Sertraline Hcl	97	18
Zolpidem Tartrate	Zolpidem Tartrate	97	13
Levetiracetam	Levetiracetam	95	18
Candesartan-Hydrochlorothiazid	Candesartan/Hydrochlorothiazid	91	18
Memantine Hcl	Memantine Hcl	90	11
Oxybutynin Chloride Er	Oxybutynin Chloride	90	18
Nabumetone	Nabumetone	87	20
Raloxifene Hcl	Raloxifene Hcl	87	14
Levoxyl	Levothyroxine Sodium	86	suppressed
Fluoxetine Hcl	Fluoxetine Hcl	85	15
Fenofibrate	Fenofibrate,micronized	82	14
Nifedipine Er	Nifedipine	81	16
Diclofenac Potassium	Diclofenac Potassium	80	27
Esomeprazole Magnesium	Esomeprazole Magnesium	80	15
Insulin Syringe	Syring-Needl,disp,insul,0.3 Ml	80	23
Humulin 70-30	Insulin Nph Hum/Reg Insulin Hm	78	12
Jardiance	Empagliflozin	78	19
Pregabalin	Pregabalin	77	suppressed
Levocetirizine Dihydrochloride	Levocetirizine Dihydrochloride	74	15
Gemfibrozil	Gemfibrozil	70	11
Ciclopirox	Ciclopirox	65	27
Etodolac	Etodolac	65	21
Quetiapine Fumarate	Quetiapine Fumarate	65	14
Sure Comfort	Syringe And Needle,insulin,1ml	65	16
Primidone	Primidone	64	suppressed
Warfarin Sodium	Warfarin Sodium	64	suppressed
Lorazepam	Lorazepam	62	suppressed
Insulin Syringe	Syringe And Needle,insulin,1ml	61	20
Betamethasone Dipropionate	Betamethasone Dipropionate	60	22
Amiodarone Hcl	Amiodarone Hcl	59	suppressed
Ketoconazole	Ketoconazole	59	17
Sildenafil Citrate	Sildenafil Citrate	59	15
Alprazolam	Alprazolam	58	suppressed
Verapamil Er	Verapamil Hcl	57	11
Citalopram Hbr	Citalopram Hydrobromide	54	13
Ibandronate Sodium	Ibandronate Sodium	54	11
Dicyclomine Hcl	Dicyclomine Hcl	53	17
Chlorthalidone	Chlorthalidone	51	suppressed
Glyxambi	Empagliflozin/Linagliptin	51	suppressed
Lansoprazole	Lansoprazole	51	suppressed
Paroxetine Hcl	Paroxetine Hcl	51	suppressed
Sucralfate	Sucralfate	51	11
Glipizide Xl	Glipizide	50	suppressed
Brilinta	Ticagrelor	49	suppressed
Janumet	Sitagliptin Phos/Metformin Hcl	48	suppressed
Lisinopril-Hydrochlorothiazide	Lisinopril/Hydrochlorothiazide	47	suppressed
Cyclobenzaprine Hcl	Cyclobenzaprine Hcl	46	14
Indapamide	Indapamide	46	suppressed
Naproxen	Naproxen	46	12
Ciprofloxacin Hcl	Ciprofloxacin Hcl	45	41
Fenofibric Acid	Fenofibric Acid (Choline)	45	suppressed
Amitriptyline Hcl	Amitriptyline Hcl	43	suppressed
Glycopyrrolate	Glycopyrrolate	43	suppressed
Ramipril	Ramipril	43	suppressed
Diltiazem Hcl	Diltiazem Hcl	42	suppressed
Clonidine Hcl	Clonidine Hcl	41	suppressed
Triamcinolone Acetonide	Triamcinolone Acetonide	40	22
Fosinopril Sodium	Fosinopril Sodium	39	suppressed
Pramipexole Dihydrochloride	Pramipexole Di-Hcl	39	suppressed
Carbidopa-Levodopa	Carbidopa/Levodopa	38	suppressed
Humulin R	Insulin Regular, Human	38	suppressed
Insulin Glargine-Yfgn	Insulin Glargine-Yfgn	37	suppressed
Sulindac	Sulindac	37	suppressed
Timolol Maleate	Timolol Maleate	37	suppressed
Lantus Solostar	Insulin Glargine,hum.Rec.Anlog	36	suppressed
Methylprednisolone	Methylprednisolone	36	29
Amlodipine Besylate-Benazepril	Amlodipine Besylate/Benazepril	35	suppressed
Bupropion Xl	Bupropion Hcl	34	suppressed
Folic Acid	Folic Acid	34	suppressed
Trijardy Xr	Empaglifloz/Linaglip/Metformin	34	suppressed
Bicalutamide	Bicalutamide	32	suppressed
Desloratadine	Desloratadine	32	suppressed
Dorzolamide-Timolol	Dorzolamide Hcl/Timolol Maleat	32	suppressed
Entresto	Sacubitril/Valsartan	32	suppressed
Lamotrigine	Lamotrigine	32	suppressed
Memantine Hcl Er	Memantine Hcl	32	suppressed
Celecoxib	Celecoxib	31	13
Colchicine	Colchicine	31	suppressed
Digoxin	Digoxin	30	suppressed
Fluconazole	Fluconazole	30	20
Repaglinide	Repaglinide	30	suppressed
Januvia	Sitagliptin Phosphate	28	suppressed
Olanzapine	Olanzapine	28	suppressed
Advocate Syringes	Syringe And Needle,insulin,1ml	27	suppressed
Enulose	Lactulose	27	12
Amoxicillin-Clavulanate Potass	Amoxicillin/Potassium Clav	26	24
Mometasone Furoate	Mometasone Furoate	26	suppressed
Nitroglycerin	Nitroglycerin	26	suppressed
Tramadol Hcl	Tramadol Hcl	26	suppressed
Butalbital-Acetaminophen-Caffe	Butalb/Acetaminophen/Caffeine	25	suppressed
Alfuzosin Hcl Er	Alfuzosin Hcl	24	suppressed
Estazolam	Estazolam	24	suppressed
Flurbiprofen	Flurbiprofen	24	suppressed
Insulin Syringe	Syringe-Needle,insulin,0.5 Ml	24	11
Terconazole	Terconazole	24	12
Wixela Inhub	Fluticasone Propion/Salmeterol	24	suppressed
Calcitriol	Calcitriol	23	suppressed
Neomycin-Polymyxin-Hydrocort	Neomycin/Polymyxin B/Hydrocort	23	21
Oxybutynin Chloride	Oxybutynin Chloride	23	suppressed
Metolazone	Metolazone	22	suppressed
Ropinirole Hcl	Ropinirole Hcl	22	suppressed
Veo Insulin Syringe	Syringe And Needle,insulin,1ml	22	suppressed
Budesonide-Formoterol Fumarate	Budesonide/Formoterol Fumarate	21	suppressed
Doxepin Hcl	Doxepin Hcl	21	suppressed
Fluorometholone	Fluorometholone	21	suppressed
Olmesartan-Hydrochlorothiazide	Olmesartan/Hydrochlorothiazide	21	suppressed
Risperidone	Risperidone	21	suppressed
Synjardy	Empagliflozin/Metformin Hcl	21	suppressed
Terbinafine Hcl	Terbinafine Hcl	21	suppressed
Brimonidine Tartrate	Brimonidine Tartrate	20	suppressed
Clobetasol Propionate	Clobetasol Propionate	20	suppressed
Humalog Mix 75-25	Insulin Lispro Protamin/Lispro	20	suppressed
Jentadueto	Linagliptin/Metformin Hcl	20	suppressed
Potassium Chloride	Potassium Chloride	20	suppressed
Tramadol Hcl-Acetaminophen	Tramadol Hcl/Acetaminophen	20	suppressed
Betamethasone Valerate	Betamethasone Valerate	19	suppressed
Diltiazem 24hr Er	Diltiazem Hcl	19	suppressed
Elmiron	Pentosan Polysulfate Sodium	19	suppressed
Galantamine Er	Galantamine Hbr	19	suppressed
Jentadueto Xr	Linagliptin/Metformin Hcl	19	suppressed
Procto-Med Hc	Hydrocortisone	19	suppressed
Rivastigmine	Rivastigmine	19	suppressed
Clorazepate Dipotassium	Clorazepate Dipotassium	18	suppressed
Synjardy Xr	Empagliflozin/Metformin Hcl	18	suppressed
Telmisartan	Telmisartan	18	suppressed
Azithromycin	Azithromycin	17	16
Fenofibrate	Fenofibrate Nanocrystallized	17	suppressed
Hydrocortisone	Hydrocortisone	17	suppressed
Mupirocin	Mupirocin	17	11
Ranolazine Er	Ranolazine	17	suppressed
Verapamil Sr	Verapamil Hcl	17	suppressed
Acyclovir	Acyclovir	16	suppressed
Flecainide Acetate	Flecainide Acetate	16	suppressed
Ibuprofen	Ibuprofen	16	suppressed
Pen Needle	Pen Needle, Diabetic	16	suppressed
Silver Sulfadiazine	Silver Sulfadiazine	16	suppressed
Carbidopa-Levodopa Er	Carbidopa/Levodopa	15	suppressed
Hydroxyzine Pamoate	Hydroxyzine Pamoate	15	suppressed
Pentoxifylline	Pentoxifylline	15	suppressed
Benzonatate	Benzonatate	14	suppressed
Bumetanide	Bumetanide	14	suppressed
Clotrimazole	Clotrimazole	14	suppressed
Dexamethasone	Dexamethasone	14	suppressed
Loperamide	Loperamide Hcl	14	suppressed
Tobramycin-Dexamethasone	Tobramycin/Dexamethasone	14	suppressed
Acetaminophen-Codeine	Acetaminophen With Codeine	13	suppressed
Carbamazepine Er	Carbamazepine	13	suppressed
Escitalopram Oxalate	Escitalopram Oxalate	13	suppressed
Humalog	Insulin Lispro	13	suppressed
Risedronate Sodium	Risedronate Sodium	13	suppressed
Spiriva Respimat	Tiotropium Bromide	13	suppressed
Tacrolimus	Tacrolimus	13	suppressed
Tadalafil	Tadalafil	13	suppressed
Vitamin D2	Ergocalciferol (Vitamin D2)	13	suppressed
Acebutolol Hcl	Acebutolol Hcl	12	suppressed
Azelastine Hcl	Azelastine Hcl	12	suppressed
Captopril	Captopril	12	suppressed
Carbamazepine	Carbamazepine	12	suppressed
Janumet Xr	Sitagliptin Phos/Metformin Hcl	12	suppressed
Metoclopramide Hcl	Metoclopramide Hcl	12	suppressed
Mexiletine Hcl	Mexiletine Hcl	12	suppressed
Nebivolol Hcl	Nebivolol Hcl	12	suppressed
Paxlovid	Nirmatrelvir/Ritonavir	12	12
Riluzole	Riluzole	12	suppressed
Stiolto Respimat	Tiotropium Br/Olodaterol Hcl	12	suppressed
Sure Comfort	Syringe-Needle,insulin,0.5 Ml	12	suppressed
Symbicort	Budesonide/Formoterol Fumarate	12	suppressed
Terazosin Hcl	Terazosin Hcl	12	suppressed
Acetazolamide	Acetazolamide	11	suppressed
Breo Ellipta	Fluticasone/Vilanterol	11	suppressed
Econazole Nitrate	Econazole Nitrate	11	suppressed
Humulin 70/30 Kwikpen	Insulin Nph Hum/Reg Insulin Hm	11	suppressed
Ketorolac Tromethamine	Ketorolac Tromethamine	11	suppressed
Mesalamine Dr	Mesalamine	11	suppressed
Mupirocin	Mupirocin Calcium	11	suppressed
Qvar Redihaler	Beclomethasone Dipropionate	11	suppressed
Trulicity	Dulaglutide	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