EXCLUDEDPROVIDER

Puerto Rico: Excluded Healthcare Providers and Entities

HHS-OIG's public LEIE dataset currently lists 227 exclusion records in Puerto Rico (209 individual and 18 entity). The largest share is in San Juan (33). The most common basis is conviction of program-related crimes (112).

Currently listed
227
Individuals
209
Entities
18

About HHS-OIG exclusions in Puerto Rico

The records on this page are individuals and entities with a Puerto Rico address that the U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG) has excluded from participation in Medicare, Medicaid, and other federally funded health care programs. The latest imported HHS-OIG LEIE dataset lists 227 currently excluded Puerto Rico records — 209 individuals and 18 entities. While a party is excluded, federal health care programs will not pay for items or services they furnish, order, or prescribe.

This page summarizes the public LEIE dataset only and is not an official government record. Always verify a person or entity's identity and current exclusion status directly with HHS-OIG before making employment, contracting, credentialing, billing, or compliance decisions.

Top cities in Puerto Rico

Puerto Rico cities with the most HHS-OIG LEIE exclusion records include San Juan (33), Bayamon (19), Carolina (14), Caguas (12), Arecibo (11), Guaynabo (9).

San Juan (33)Bayamon (19)Carolina (14)Caguas (12)Arecibo (11)Guaynabo (9)Rio Piedras (8)Ponce (7)Utuado (6)Cabo Rojo (6)

Top exclusion types in Puerto Rico

The most common statutory bases for exclusion in Puerto Rico are conviction of program-related crimes (112), felony conviction relating to health care fraud (59), entities controlled by a sanctioned individual (15), default on health education loan or scholarship obligations (15), felony conviction relating to controlled substance (8).

Program Crime (112)Felony Fraud (59)Controlled Entity (15)Loan Default (15)Drug Felony (8)Revocation (5)Patient Abuse (5)Fraud (4)

Provider categories in Puerto Rico

Common provider categories among excluded Puerto Rico records include Physician (MD, DO) (56), DME Company (34), Business Owner / Executive (32), Medical Practice, MD (27), Individual (Unaffiliated) (21), Employee - Private Sector (15).

Records (227)

Rosaida Torres Individual Program Crime
Canovanas, PR · Conviction of program-related crimes · Excluded May 2026
Eddin Orlando Santiago-cordero Individual Felony Fraud
San Juan, PR · Felony conviction relating to health care fraud · Excluded May 2026
Miguel Angel Rojas-reyes Individual Felony Fraud
Coamo, PR · Felony conviction relating to health care fraud · Excluded May 2026
Gabriel Angel Rodriguez-malave Individual Program Crime
San Juan, PR · Conviction of program-related crimes · Excluded May 2026
Enid Margarita Rivera Rosario Individual Program Crime
Aibonito, PR · Conviction of program-related crimes · Excluded May 2026
Maria Teresa Rivera Fuentes Individual Program Crime
Bayamon, PR · Conviction of program-related crimes · Excluded May 2026
Nivia I Rios Matos Individual Felony Fraud
Bayamon, PR · Felony conviction relating to health care fraud · Excluded May 2026
Antonio Fernando Portilla-arzola Individual Felony Fraud
Guaynabo, PR · Felony conviction relating to health care fraud · Excluded May 2026
Javier Enrique Ortiz Rivera Individual Felony Fraud
Gurabo, PR · Felony conviction relating to health care fraud · Excluded May 2026
Raul Morera-llera Individual Program Crime
Aibonito, PR · Conviction of program-related crimes · Excluded May 2026
Moises Oscar Heredia-tineo Individual Felony Fraud
Sabana Seca, PR · Felony conviction relating to health care fraud · Excluded May 2026
Reynaldo Guzman-martinez Individual Felony Fraud
San Juan, PR · Felony conviction relating to health care fraud · Excluded May 2026
Luis Antonio Garcia-de Gracia Individual Felony Fraud
Vega Alta, PR · Felony conviction relating to health care fraud · Excluded May 2026
Jaime Figueroa Ramos Individual Program Crime
Bayamon, PR · Conviction of program-related crimes · Excluded May 2026
Elisa M Cruzado-ramos Individual Felony Fraud
Bayamon, PR · Felony conviction relating to health care fraud · Excluded May 2026
Valerie Marie Cintron Rivera Individual Felony Fraud
Caguas, PR · Felony conviction relating to health care fraud · Excluded May 2026
Holvin Enrique Aviles-carmona Individual Felony Fraud
Sabana Seca, PR · Felony conviction relating to health care fraud · Excluded May 2026
Eric Antonio Aquino-garcia Individual Felony Fraud
Guaynabo, PR · Felony conviction relating to health care fraud · Excluded May 2026
Jose Manuel Amalbert-rohena Individual Felony Fraud
Juncos, PR · Felony conviction relating to health care fraud · Excluded May 2026
Christopher Grottenthaler Individual Program Crime
Dorado, PR · Conviction of program-related crimes · Excluded Apr 2026
Julia E Torres Ortiz Individual Program Crime
Ponce, PR · Conviction of program-related crimes · Excluded Sep 2025
Jorge Rivera Perez Individual Felony Fraud
Utuado, PR · Felony conviction relating to health care fraud · Excluded Sep 2025
Jose A Gonzalez Maldonado Individual Felony Fraud
San Juan, PR · Felony conviction relating to health care fraud · Excluded Sep 2025
Jose Yamil Diaz-maymi Individual Patient Abuse
Guayama, PR · Conviction relating to patient abuse or neglect · Excluded Jul 2025
Julio Martorell-gonzalez Individual Program Crime
Dorado, PR · Conviction of program-related crimes · Excluded Jun 2025
Laboratorio Clinico San Juan I Entity Program Crime
Dorado, PR · Conviction of program-related crimes · Excluded Jun 2025
Mayra Elena Perez Oyola Individual Patient Abuse
San Juan, PR · Conviction relating to patient abuse or neglect · Excluded Mar 2025
Zulma Ivelisse Morales Sierra Individual Patient Abuse
Cayey, PR · Conviction relating to patient abuse or neglect · Excluded Mar 2025
Everedith Ramos Individual Program Crime
Cabo Rojo, PR · Conviction of program-related crimes · Excluded Nov 2024
Carlos A Sr Muniz Individual Program Crime
Aguada, PR · Conviction of program-related crimes · Excluded Nov 2024
Elizabeth Velez Valentin Individual Program Crime
Aguadilla, PR · Conviction of program-related crimes · Excluded Oct 2024
Jose Antonio Burgos-millan Individual Program Crime
San Juan, PR · Conviction of program-related crimes · Excluded Aug 2024
Yary A Guzman Individual Program Crime
Cayey, PR · Conviction of program-related crimes · Excluded May 2024
Hector Antonio Reyes Aponte Individual Program Crime
Cabo Rojo, PR · Conviction of program-related crimes · Excluded Mar 2024
Florita Hernandez-sanchez Individual Program Crime
Bayamon, PR · Conviction of program-related crimes · Excluded Feb 2024
Ramon Anibal Jr Julbe-rosa Individual Felony Fraud
Morovis, PR · Felony conviction relating to health care fraud · Excluded Jan 2024
Yamilet Tirado Vega Individual Program Crime
Carolina, PR · Conviction of program-related crimes · Excluded Nov 2023
Sahen L Maldonado-lopez Individual Felony Fraud
Utuado, PR · Felony conviction relating to health care fraud · Excluded Nov 2023
Maria De Lourdes Irizarry-rodriguez Individual Felony Fraud
Camuy, PR · Felony conviction relating to health care fraud · Excluded Nov 2023
Michelle Andujar-gonzalez Individual Felony Fraud
Utuado, PR · Felony conviction relating to health care fraud · Excluded Nov 2023
Angel R Santos-garcia Individual Fraud
Toa Alta, PR · Conviction relating to fraud · Excluded Oct 2023
Victor Cruz-quintero Individual Fraud
Ciales, PR · Conviction relating to fraud · Excluded Oct 2023
Felix Melendez-ortiz Individual Program Crime
San Juan, PR · Conviction of program-related crimes · Excluded Aug 2023
Cesar Marcell Cubano-martinez Individual Program Crime
Arecibo, PR · Conviction of program-related crimes · Excluded Aug 2023
Carmen Judith Pagan-dominguez Individual Program Crime
San Juan, PR · Conviction of program-related crimes · Excluded May 2023
Robert Crespo Zamora Individual Program Crime
San Juan, PR · Conviction of program-related crimes · Excluded May 2023
Americo Oms-rivera Individual Felony Fraud
Ponce, PR · Felony conviction relating to health care fraud · Excluded Sep 2022
Melvin Francisco Mathews-bermudez Individual Program Crime
Vega Alta, PR · Conviction of program-related crimes · Excluded Sep 2022
Alice Ruscalleda-lebron Individual Program Crime
Carolina, PR · Conviction of program-related crimes · Excluded Jul 2022
Nelsa Odina Rodriguez-cespedes Individual Program Crime
San Juan, PR · Conviction of program-related crimes · Excluded Jul 2022
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Verify with HHS-OIG. This page summarizes public HHS-OIG LEIE data. It is not an official government record. Name matches alone are not sufficient to verify identity. Verify identity and exclusion status directly with HHS-OIG before relying on this information for employment, contracting, credentialing, legal, or compliance decisions.