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)

Blanca Martinez Rivera Individual Felony Fraud
Bayamon, PR · Felony conviction relating to health care fraud · Excluded Oct 2009
Jose Ramon Figueroa Pacheco Individual Program Crime
Fajardo, PR · Conviction of program-related crimes · Excluded Oct 2009
Rafael Esteva Heal Individual Program Crime
Luquillo, PR · Conviction of program-related crimes · Excluded Oct 2009
William De Jesus Individual Program Crime
Utuado, PR · Conviction of program-related crimes · Excluded Oct 2009
Jaime Roberto Belardo Individual Program Crime
Fajardo, PR · Conviction of program-related crimes · Excluded Oct 2009
Nabal Barreto Urdaz Individual Felony Fraud
Arecibo, PR · Felony conviction relating to health care fraud · Excluded Oct 2009
Gladys Aviles Individual Program Crime
Fajardo, PR · Conviction of program-related crimes · Excluded Oct 2009
Daisy Franco Individual Program Suspension
Coamo, PR · Exclusion or suspension under a federal or state health care program · Excluded Dec 2007
Julio Cardona Individual Patient Abuse
Bayamon, PR · Conviction relating to patient abuse or neglect · Excluded Jun 2007
Angel Rafael Otero-cruz Individual Program Crime
Manati, PR · Conviction of program-related crimes · Excluded Mar 2007
Comerio Ambulance Service Entity Controlled Entity
Bayamon, PR · Entities controlled by a sanctioned individual · Excluded May 2006
Angel Santiago-berrios Individual Program Crime
Bayamon, PR · Conviction of program-related crimes · Excluded Mar 2006
Carmen Marrero-arcelay Individual Program Crime
Bayamon, PR · Conviction of program-related crimes · Excluded Sep 2005
Jose R Melendez-colon Individual Program Crime
San Juan, PR · Conviction of program-related crimes · Excluded Jul 2005
Wilson Rivera-iglesias Individual Program Crime
Cabo Rojo, PR · Conviction of program-related crimes · Excluded Jun 2005
Jorge W Rivera-iglesias Individual Program Crime
Cabo Rojo, PR · Conviction of program-related crimes · Excluded Jun 2005
Carlos Morales-montalvo Individual Program Crime
San German, PR · Conviction of program-related crimes · Excluded Jun 2005
Harry Reyes-lopez Individual Program Crime
Hatillo, PR · Conviction of program-related crimes · Excluded May 2005
Robert J Ramos Individual Program Crime
Carolina, PR · Conviction of program-related crimes · Excluded May 2005
Efrain Sierra-pujols Individual Program Crime
Bayamon, PR · Conviction of program-related crimes · Excluded May 2004
Juan E Ayala Individual Loan Default
San German, PR · Default on health education loan or scholarship obligations · Excluded Oct 2003
Ignacio Pintado-garcia Individual Program Crime
San Juan, PR · Conviction of program-related crimes · Excluded Jun 2003
Southern Integrated Medical Sv Entity Controlled Entity
Yauco, PR · Entities controlled by a sanctioned individual · Excluded Jun 2003
Centro Equipos Medicos Entity Controlled Entity
Yauco, PR · Entities controlled by a sanctioned individual · Excluded Jun 2003
Reynaldo Soto-santiago Individual Program Crime
Arecibo, PR · Conviction of program-related crimes · Excluded Feb 2003
Jaime Rosich-bachs Individual Program Crime
Hormigueros, PR · Conviction of program-related crimes · Excluded Feb 2003
Luis Anotonio Rendon-gonzalez Individual Drug Felony
Trujillo Alto, PR · Felony conviction relating to controlled substance · Excluded Feb 2003
Pablo Quinones-acevedo Individual Program Crime
Rio Piedras, PR · Conviction of program-related crimes · Excluded Feb 2003
Miguel Perea-vicente Individual Program Crime
Mayaguez, PR · Conviction of program-related crimes · Excluded Feb 2003
Orlando Ortega-ortiz Individual Program Crime
Penuelas, PR · Conviction of program-related crimes · Excluded Feb 2003
Hildred Mattei-franceschini Individual Program Crime
Yaco, PR · Conviction of program-related crimes · Excluded Feb 2003
Arabella Colon-negron Individual Program Crime
Yauco, PR · Conviction of program-related crimes · Excluded Feb 2003
Vilma Del Carmen Lebron-huerta Individual Program Crime
San Juan, PR · Conviction of program-related crimes · Excluded Oct 2002
Gerardo Antonio Garcia Molina Individual Program Crime
Hormigueros, PR · Conviction of program-related crimes · Excluded Sep 2002
Mildred Irizarry-herrera Individual Program Crime
Guaynabo, PR · Conviction of program-related crimes · Excluded Sep 2002
Victor Ortega Individual Program Crime
San Juan, PR · Conviction of program-related crimes · Excluded Jul 2002
Mario Alvarez Individual Program Crime
Juncos, PR · Conviction of program-related crimes · Excluded Jul 2002
Myrna Luz Vigo Sierra Individual Program Crime
Belmont, Mayaguez, PR · Conviction of program-related crimes · Excluded Apr 2002
Jose Antonio Olivari Milan Individual Program Crime
Yauco, PR · Conviction of program-related crimes · Excluded Apr 2002
Luis A De Jesus-miranda Individual Loan Default
San Juan, PR · Default on health education loan or scholarship obligations · Excluded Feb 2002
Hernon Tirado-rivera Individual Program Crime
Bayamon, PR · Conviction of program-related crimes · Excluded Jan 2002
Angel Luis C Acevedo-reyes Individual Loan Default
San Juan, PR · Default on health education loan or scholarship obligations · Excluded Jan 2002
Marta Marti-agosto Individual Program Crime
Bayamon, PR · Conviction of program-related crimes · Excluded Sep 2001
Yolanda Gomez-martinez Individual Program Crime
San Lorenzo, PR · Conviction of program-related crimes · Excluded Sep 2001
Roberto Grana Individual Obstruction
Corozal, PR · Conviction relating to obstruction of an investigation or audit · Excluded May 2001
Hector R Torres-ortiz Individual Loan Default
Carolina, PR · Default on health education loan or scholarship obligations · Excluded Nov 2000
Aelis L Sarieddine Individual Loan Default
Rio Piedras, PR · Default on health education loan or scholarship obligations · Excluded Oct 2000
Lester R Rivera-rigau Individual Loan Default
Cabo Rojo, PR · Default on health education loan or scholarship obligations · Excluded Oct 2000
Edwin R Montalvo Individual Loan Default
San German, PR · Default on health education loan or scholarship obligations · Excluded Oct 2000
Alfredo Rodriguez-machado Individual Program Crime
San Juan, PR · Conviction of program-related crimes · Excluded Mar 2000
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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.