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)

Carlos Victor Rivera-chinchilla Individual Program Crime
Caguas, PR · Conviction of program-related crimes · Excluded Jul 2022
Sophia Pineiro Ruscalleda Individual Program Crime
Carolina, PR · Conviction of program-related crimes · Excluded Jul 2022
Diana M Gallardo Individual Program Crime
Caguas, PR · Conviction of program-related crimes · Excluded Jul 2022
Liz Ann Banchs-aleman Individual Program Crime
Coto Laurel, PR · Conviction of program-related crimes · Excluded Jul 2022
Miguel Rivera-sanabria Individual Program Crime
Guaynabo, PR · Conviction of program-related crimes · Excluded May 2022
Esther L Villanueva Valdes Individual Program Crime
Arecibo, PR · Conviction of program-related crimes · Excluded Mar 2022
Maria Judith Torres Individual Program Crime
Caguas, PR · Conviction of program-related crimes · Excluded Mar 2022
Juan Jose Ruscalleda Individual Program Crime
San Juan, PR · Conviction of program-related crimes · Excluded Nov 2021
Martha Iris Nieves Individual Program Crime
Arecibo, PR · Conviction of program-related crimes · Excluded Nov 2021
Carlos Maldonado-lopez Individual Program Crime
Hatillo, PR · Conviction of program-related crimes · Excluded Nov 2021
Hector L Cotto-torres Individual Drug Felony
San Juan, PR · Felony conviction relating to controlled substance · Excluded Nov 2021
Carlos A Perez Figueroa Individual Program Crime
Anasco, PR · Conviction of program-related crimes · Excluded Apr 2021
Javier Antonio Aguirre-estrada Individual Program Crime
Arecibo, PR · Conviction of program-related crimes · Excluded Mar 2021
Nexeon Medsystems Puerto Rico Entity Kickbacks
San Juan, PR · Fraud, kickbacks, and other prohibited activities · Excluded Oct 2020
Miriam R Lacen Rivas Individual Program Crime
Vieques, PR · Conviction of program-related crimes · Excluded Jun 2020
Jose M Sr Vega Emmanuelli Individual Drug Felony
Humacao, PR · Felony conviction relating to controlled substance · Excluded Feb 2020
Miriam I Torres-colon Individual Program Crime
Bayamon, PR · Conviction of program-related crimes · Excluded Sep 2019
William E Velez Montes Individual Drug Felony
Mayaguez, PR · Felony conviction relating to controlled substance · Excluded Jul 2019
Rebecca Sierra-lopez Individual Drug Felony
Caguas, PR · Felony conviction relating to controlled substance · Excluded Jul 2019
Myrna E Nevares Sobrino Individual Drug Felony
San Juan, PR · Felony conviction relating to controlled substance · Excluded Jul 2019
David Perez-larregui Individual Felony Fraud
San Juan, PR · Felony conviction relating to health care fraud · Excluded Apr 2019
Raymond Rodriguez Navarro Individual Felony Fraud
Dorado, PR · Felony conviction relating to health care fraud · Excluded Mar 2019
Richard Pietri Sepulveda Individual Felony Fraud
Juncos, PR · Felony conviction relating to health care fraud · Excluded Mar 2019
Yalixa Flores-fuentes Individual Program Crime
Caguas, PR · Conviction of program-related crimes · Excluded Mar 2019
Luis Velez Quinones Individual Drug Felony
Adjuntas, PR · Felony conviction relating to controlled substance · Excluded Jul 2018
Yolanda Rodriguez-torres Individual Felony Fraud
Toa Baja, PR · Felony conviction relating to health care fraud · Excluded Apr 2018
Luis Escabi-perez Individual Fraud
Guaynabo, PR · Conviction relating to fraud · Excluded Apr 2018
Andrea Marie Jimenez-de Jesus Individual Program Crime
San Juan, PR · Conviction of program-related crimes · Excluded Feb 2018
Luis Angel Garcia-rosa Individual Program Crime
San Juan, PR · Conviction of program-related crimes · Excluded Jan 2018
Ruben Escalera Individual Program Crime
Carolina, PR · Conviction of program-related crimes · Excluded Jan 2018
Perfecto De Leon Toribio Individual Program Crime
Carolina, PR · Conviction of program-related crimes · Excluded Jan 2018
Luis Angel Caceres De Leon Individual Program Crime
San Juan, PR · Conviction of program-related crimes · Excluded Jan 2018
Carlos Padilla-torres Individual Loan Default
Ponce, PR · Default on health education loan or scholarship obligations · Excluded Dec 2017
Reyes Delgado-ramirez Individual Felony Fraud
Utuado, PR · Felony conviction relating to health care fraud · Excluded Oct 2017
Ana Yarely Miro-rivera Individual Program Crime
Maricao, PR · Conviction of program-related crimes · Excluded Sep 2017
Louis A Cruz Rendon Individual Program Crime
Toa Alta, PR · Conviction of program-related crimes · Excluded May 2017
Gloriana M Romero Individual Loan Default
Guaynabo, PR · Default on health education loan or scholarship obligations · Excluded Dec 2016
Milagros Ramos Soto Individual Program Crime
Arecibo, PR · Conviction of program-related crimes · Excluded Oct 2016
Narciso A Reyes Carrillo Individual Kickbacks
Puerto Real, PR · Fraud, kickbacks, and other prohibited activities · Excluded Sep 2016
Elba Bonilla Individual Fraud
San Juan, PR · Conviction relating to fraud · Excluded Jul 2016
Carlos T Vargas Individual Revocation
Arecibo, PR · License revocation, suspension, or surrender · Excluded Sep 2015
Luz M Vega Rivera Individual Program Crime
Arecibo, PR · Conviction of program-related crimes · Excluded Aug 2015
Luis Navedo-ortiz Individual Felony Fraud
Carolina, PR · Felony conviction relating to health care fraud · Excluded Aug 2015
Pedro Colon-ramos Individual Felony Fraud
Ceiba, PR · Felony conviction relating to health care fraud · Excluded Aug 2015
Carlos Rivera-torres Individual Program Crime
Cidra, PR · Conviction of program-related crimes · Excluded Jun 2015
Pedro Rivera-rivera Individual Program Crime
Caguas, PR · Conviction of program-related crimes · Excluded Apr 2015
Francisco A Rivera Individual Program Crime
Mayaguez, PR · Conviction of program-related crimes · Excluded Apr 2015
Manuel Salgado-diaz Individual Felony Fraud
Salinas, PR · Felony conviction relating to health care fraud · Excluded Feb 2015
Joseph Negron Caban Individual Program Crime
Guaynabo, PR · Conviction of program-related crimes · Excluded Jan 2015
Luisa Nieves Individual Program Crime
Lares, PR · Conviction of program-related crimes · Excluded Dec 2014
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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.