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Edgardo F. Cartagena Ayala, M.D.

NPI 1033262555ActiveIndividual· Internal Medicine, Pulmonary Disease· San Juan, PR

Internal Medicine, Pulmonary Disease (M.D.) in San Juan, Puerto Rico, licensed in PR, with an NPI issued in January 2007. Their prescriptions cost Medicare Part D more than their services did: $1,160,667 for 7,867 claims, against $4,083 paid for services in 2024. Merck Sharp & Dohme LLC was the largest of 7 companies reporting payments in 2025, $353.97 in all, mostly food and beverage. Lists Hospital Menonita Caguas Inc as a hospital affiliation.

Overview

NPI1033262555
StatusActive
Entity typeIndividual
CredentialM.D.
Sole proprietorYes
NPI issuedJan 19, 2007
Last updated in NPPESOct 7, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Internal Medicine, Pulmonary Disease Primary207RP1001X9546PR

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Pulmonary Disease (PR)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients20
Services billed79 across 10 procedure codes
Paid by Medicare$4,083

Part D prescriptions in 2024

Prescriptions (claims)7,867 · 8,635 30-day fills
Patients710
Total drug cost$1,160,667
Generic share62% of claims

Medicare sources and data years

Education and affiliations

Graduation year1987
Medicare specialtyPulmonary Disease
Secondary specialtiesInternal Medicine

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$353.97 · 9 payments from 7 companies
  • 2024$645.84 · 16 payments from 10 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$319.97 · 8 payments
  • Education$34.00 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Internal Medicine, Pulmonary Disease providers in San Juan

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