Puerto Rico
Why These Physicians Were Excluded
Federal exclusion types for physicians in Puerto Rico who still have active provider records.
| Reason for Exclusion | Count |
|---|---|
| Felony Healthcare Fraud 1128a3 | 22 |
| Program-Related Crime 1128a1 | 18 |
| Felony Controlled Substance 1128a4 | 5 |
| License Revoked/Suspended 1128b4 | 2 |
| Misdemeanor Fraud 1128b1 | 1 |
| Fraud/Kickbacks 1128b7 | 1 |
| 1128b14 1128b14 | 1 |
Excluded Physicians Who Moved
After being excluded, some physicians move to a different state. The new state's medical board may not be aware of the federal exclusion.
Moved to Puerto Rico
| From | Count |
|---|---|
| Florida | 8 |
| Connecticut | 1 |
| Nevada | 1 |
| Tennessee | 1 |
| Virginia | 1 |
| Georgia | 1 |
Highest-Priority Cases
Inclusion on this list reflects a federal exclusion record and an active NPI registry entry — it does not confirm the physician is currently seeing patients. NPIs may remain active for billing, research, teaching, or administrative purposes. Full methodology
These physicians have the most concerning combination of serious offense, recent registry activity, and cross-state movement.
| Physician | Reason for Exclusion | Exclusion Date | Specialty |
|---|---|---|---|
| REYES, HARRY O | Felony Healthcare Fraud | 2015-08-20 | EMERGENCY MEDICINE |
| DE JESUS, JORGE R | Program-Related Crime | 2025-03-20 | PSYCHIATRY |
| MADRID GUZMAN, ALFONSO ALBERTO | Felony Healthcare Fraud | 2016-07-20 | PSYCHIATRY |
| MELENDEZ ORTIZ, FELIX | Program-Related Crime | 2023-08-20 | FAMILY PRACTICE |
| TIRADO, GUILLERMO J | Felony Controlled Substance | 2019-09-19 | GENERAL PRACTICE |
| CASTILLO, MARCIAL | Felony Healthcare Fraud | 2012-11-20 | GENERAL PRACTICE |
| FAURA CLAVELL, LUIS ENRIQUE | Felony Healthcare Fraud | 2015-08-20 | GENERAL PRACTICE |
| CASTRO CRUZ, JULIO | Felony Healthcare Fraud | 2014-03-20 | GENERAL PRACTICE |
| PACHECO, RAYSA R | Felony Healthcare Fraud | 2013-06-20 | GENERAL PRACTICE |
| VALLEJO, GLADYS | Felony Healthcare Fraud | 2012-09-20 | GENERAL PRACTICE |
Pharmaceutical Payments to Excluded Physicians
Drug and medical device companies made these payments to excluded physicians in Puerto Rico between 2018 and 2024.
| Physician | Total | Payments | Companies |
|---|---|---|---|
| MUNIZ MOLINERO, CARLOS A | $4,430 | 128 | 14 |
| COTTO, HECTOR L | $2,597 | 37 | 9 |
| MELENDEZ ORTIZ, FELIX | $1,845 | 52 | 9 |
| CUBANO, CESAR M | $1,051 | 31 | 6 |
| MADRID GUZMAN, ALFONSO ALBERTO | $493 | 6 | 3 |
| HERNANDEZ RAMIREZ, AARON A | $444 | 11 | 8 |
| ALVAREZ, MARIO | $332 | 4 | 3 |
| DE JESUS, JORGE R | $300 | 5 | 3 |
| RIVERA, MIGUEL ANGEL | $188 | 9 | 1 |
| SANTIAGO, LUIS ANTONIO | $143 | 4 | 2 |
If you found your doctor on this page
- An active registry record does not confirm they are currently practicing.
- Check your state medical board for their current license status.
- Report concerns to the OIG Hotline: 1-800-HHS-TIPS.