Paloma Alejandro, M.D.
NPI 1578820577ActiveIndividual· Internal Medicine, Rheumatology· San Juan, PR
Internal Medicine, Rheumatology (M.D.) with Mindful Rheumatix LLC, practicing in San Juan, Puerto Rico. Their prescriptions cost Medicare Part D more than their services did: $1,484,358 for 2,824 claims, against $18,488 paid for services in 2024. Glaxosmithkline, LLC. was the largest of 8 companies reporting payments in 2025, $9,124 in all, mostly speaking and faculty fees.
Overview
| NPI | 1578820577 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Apr 13, 2012 |
| Last updated in NPPES | Sep 9, 2020 |
| Certified by provider | Sep 8, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Rheumatology Primary | 207RR0500X | 21330 | PR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Rheumatology (PR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 78 |
|---|---|
| Services billed | 230 across 9 procedure codes |
| Paid by Medicare | $18,488 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,824 · 3,373 30-day fills |
|---|---|
| Patients | 429 |
| Total drug cost | $1,484,358 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Rheumatology |
| Telehealth | Offers telehealth |
Medical group
- Mindful Rheumatix LLCSan Juan, PR · 2 clinicians
Industry payments (Open Payments)
- 2025$9,124 · 25 payments from 8 companies
- 2024$13,324 · 29 payments from 9 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Glaxosmithkline, LLC. | $6,500 | 10 |
| Abbvie Inc. | $2,100 | 1 |
| Ucb, Inc. | $218.19 | 5 |
| Amgen Inc. | $188.63 | 5 |
| E.R. Squibb & Sons, L.L.C. | $42.80 | 1 |
What the 2025 payments were for
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$6,175 · 4 payments
- Consulting Fee$2,100 · 1 payment
- Food and Beverage$849.01 · 20 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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