Prescriber Checkup
The Doctors and Drugs in Medicare Part D
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CECILIO HERNANDEZ LATORRE MD
CALLE NISPERO #78 URB LADERAS DE SAN JUAN
San juan | Puerto Rico | 00926
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At A Glance: This Prescriber in 2015
Self-Reported Primary Specialty
Rank: 114 out of 1539
Rank: 143 out of 1539
How Does This Prescriber Compare to Peers?
In the same specialty and state. Caveats »
this specialty
in Puerto Rico lower than average
Antipsychotics
27% of this provider’s 380 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 4%.
Antibiotics
51% of this provider’s 397 patients filled at least one prescription for an antibiotic drug, compared to an average of 37%.
Risky Drugs for Seniors
19% of this provider’s 380 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.
Opioids
10% of this provider’s 397 patients filled at least one prescription for an opioid, compared to an average of 13%.
Brand Name Drugs
16% of this provider’s prescriptions were for brand-name drugs, compared to an average of 15%.
Prescription Price
$33 was the average price of a prescription from this provider, compared to $37 among peers.
Prescriptions per Patient
34 is the average number of prescriptions (including refills) per patient, compared to an average of 19.
How This Provider’s Patients Compare
Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all patients.
This Provider's History
A comparison of this provider’s prescribing in Part D since 2012. All years may not be shown if there is insufficient data.
Cost of Claims
$314K
2012
$367K
2013
$456K
2014
$442K
2015
Number of Claims
8,920
2012
11,235
2013
13,031
2014
13,500
2015
This Prescriber's Drugs
The table below list this provider’s drugs, the number of prescriptions and how many went to seniors. Drugs are ranked by volume and compared with the rank for all providers in the same specialty and state. The list below includes only those drugs for which this provider wrote 50 or more prescriptions.
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An opioid drug. More » Prescription opioids (painkillers) can help alleviate certain kinds of pain in the short term but carry serious health risks.
An antibiotic drug. More » Used to treat bacterial infections but are often prescribed incorrectly to treat viral infections, such as chest colds or the flu.
An antipsychotic drug. More » Antipsychotics are frequently given to dementia patients, though it increases their risk of death.
A risky drug for seniors. More » The American Geriatrics Society has said this drug is "potentially dangerous" for seniors and might be inappropriate.
This provider is among the top 10 prescribers of this drug in the country.
This provider’s prescriptions for this drug were for more days than those of peers. More » Because of this, his or her prescription count may be lower.
This provider’s prescriptions for this drug were for fewer days than those of peers. More » Because of this, his or her prescription count may be higher.
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This Drug's Rank
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|---|---|---|---|---|---|---|
| Drug Name | Total Prescriptions Filled with Refills |
Prescriptions to 65+ |
Patients Receiving this Drug | Category | For this Prescriber | For this Prescriber's Peers |
|
LEVOTHYROXINE SODIUM
Levothyroxine, a thyroid ho... + Levothyroxine, a thyroid hormone, is used to treat hypothyroidism, a condition where the thyroid gland does not produce enough thyroid hormone. Source: National Library of Medicine |
663
prescriptions, 5% of all prescriptions |
652
prescriptions. |
98
patients, 25% of all patients |
1 | 9 | |
|
SIMVASTATIN
Treats high cholesterol and... + Treats high cholesterol and triglyceride levels in the blood. Source: National Library of Medicine |
656
prescriptions, 5% of all prescriptions |
639
prescriptions. |
98
patients, 25% of all patients |
2 | 1 | |
|
SERTRALINE HCL
Sertraline is used to treat... + Sertraline is used to treat depression, obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over), panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks), posttraumatic stress disorder (disturbing psychological symptoms that develop after a frightening experience), and social anxiety disorder (extreme fear of interacting with others or performing in front of others that interferes with normal life). Source: National Library of Medicine |
586
prescriptions, 4% of all prescriptions |
581
prescriptions. |
85
patients, 21% of all patients |
3 | 38 | |
|
QUETIAPINE FUMARATE
Quetiapine is used to treat... + Quetiapine is used to treat the symptoms of schizophrenia (a mental illness that causes disturbed or unusual thinking, loss of interest in life, and strong or inappropriate emotions). Source: National Library of Medicine |
473
prescriptions, 4% of all prescriptions |
473
prescriptions. |
54
patients, 14% of all patients |
P | 4 | 58 |
|
PANTOPRAZOLE SODIUM
Pantoprazole is used to tre... + Pantoprazole is used to treat gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and possible injury of the esophagus (the tube between the throat and stomach). Source: National Library of Medicine |
451
prescriptions, 3% of all prescriptions |
436
prescriptions. |
69
patients, 17% of all patients |
5 | 25 | |
|
DONEPEZIL HCL
Donepezil is used to treat ... + Donepezil is used to treat dementia (a brain disorder that affects the ability to remember, think clearly, communicate, and perform daily activities and may cause changes in mood and personality) associated with Alzheimer's disease (AD; a brain disease that slowly destroys the memory and the ability to think, learn, communicate and handle daily activities). Source: National Library of Medicine |
434
prescriptions, 3% of all prescriptions |
434
prescriptions. |
61
patients, 15% of all patients |
6 | 35 | |
|
LOSARTAN POTASSIUM
Losartan is used alone or i... + Losartan is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine |
373
prescriptions, 3% of all prescriptions |
355
prescriptions. |
63
patients, 16% of all patients |
7 | 7 | |
|
RANITIDINE HCL
Ranitidine is used to treat... + Ranitidine is used to treat ulcers; gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and injury of the food pipe (esophagus); and conditions where the stomach produces too much acid, such as Zollinger-Ellison syndrome. Source: National Library of Medicine |
327
prescriptions, 2% of all prescriptions |
304
prescriptions. |
66
patients, 17% of all patients |
8 | 4 | |
|
CLONAZEPAM
Treats seizures, panic diso... + Treats seizures, panic disorder, and anxiety. Source: National Library of Medicine |
304
prescriptions, 2% of all prescriptions |
288
prescriptions. |
53
patients, 13% of all patients |
9 | 18 | |
|
METFORMIN HCL
Metformin is used alone or ... + Metformin is used alone or with other medications, including insulin, to treat type 2 diabetes (condition in which the body does not use insulin normally and, therefore, cannot control the amount of sugar in the blood). Source: National Library of Medicine |
301
prescriptions, 2% of all prescriptions |
296
prescriptions. |
53
patients, 13% of all patients |
10 | 2 | |
|
CLOPIDOGREL
Helps prevent stroke, heart... + Helps prevent stroke, heart attack, and other heart problems. Source: National Library of Medicine |
291
prescriptions, 2% of all prescriptions |
291
prescriptions. |
41
patients, 10% of all patients |
11 | 21 | |
|
GABAPENTIN
Treats certain types of sei... + Treats certain types of seizures. Source: National Library of Medicine |
285
prescriptions, 2% of all prescriptions |
266
prescriptions. |
46
patients, 12% of all patients |
12 | 3 | |
|
ALPRAZOLAM
Treats anxiety, panic disor... + Treats anxiety, panic disorder, insomnia (trouble sleeping), and anxiety caused by depression. Source: National Library of Medicine |
276
prescriptions, 2% of all prescriptions |
259
prescriptions. |
41
patients, 10% of all patients |
13 | 28 | |
|
LORAZEPAM
Treats anxiety, anxiety wit... + Treats anxiety, anxiety with depression, and insomnia (trouble sleeping). Source: National Library of Medicine |
268
prescriptions, 2% of all prescriptions |
263
prescriptions. |
39
patients, 10% of all patients |
14 | 50 | |
|
AMLODIPINE BESYLATE
Amlodipine is used alone or... + Amlodipine is used alone or in combination with other medications to treat high blood pressure and chest pain (angina). Source: National Library of Medicine |
249
prescriptions, 2% of all prescriptions |
227
prescriptions. |
42
patients, 11% of all patients |
15 | 10 | |
|
CLOTRIMAZOLE-BETAMETHASONE
This combination medication... + This combination medication is used to treat a variety of inflamed fungal skin infections such as ringworm, athlete's foot, and jock itch. Source: National Library of Medicine |
220
prescriptions, 2% of all prescriptions |
205
prescriptions. |
86
patients, 22% of all patients |
16 | 39 | |
|
FUROSEMIDE
Treats fluid retention (ede... + Treats fluid retention (edema) and high blood pressure (hypertension). Source: National Library of Medicine |
211
prescriptions, 2% of all prescriptions |
211
prescriptions. |
34
patients, 9% of all patients |
17 | 19 | |
|
RISPERIDONE
Treats schizophrenia and ce... + Treats schizophrenia and certain problems caused by bipolar disorder. Source: National Library of Medicine |
205
prescriptions, 2% of all prescriptions |
205
prescriptions. |
40
patients, 10% of all patients |
P | 18 | 72 |
|
OMEPRAZOLE
Treats heartburn, stomach u... + Treats heartburn, stomach ulcers, gastroesophageal reflux disease (GERD), and conditions that cause your stomach to make too much acid, such as Zollinger-Ellison syndrome, endocrine tumors, and systemic mastocytosis. Source: National Library of Medicine |
190
prescriptions, 1% of all prescriptions |
185
prescriptions. |
35
patients, 9% of all patients |
19 | 5 | |
|
ENALAPRIL MALEATE
Enalapril is used alone or ... + Enalapril is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine |
188
prescriptions, 1% of all prescriptions |
188
prescriptions. |
33
patients, 8% of all patients |
20 | 6 | |
|
DICLOFENAC POTASSIUM
Diclofenac is a nonsteroida... + Diclofenac is a nonsteroidal anti-inflammatory drug (NSAID) used to treat mild-to-moderate pain, and helps to relieve symptoms of arthritis (eg, osteoarthritis or rheumatoid arthritis), such as inflammation, swelling, stiffness, and joint pain. Source: National Library of Medicine |
186
prescriptions, 1% of all prescriptions |
172
prescriptions. |
62
patients, 16% of all patients |
21 | 23 | |
|
TEMAZEPAM
Treats insomnia (trouble sl... + Treats insomnia (trouble sleeping). Source: National Library of Medicine |
175
prescriptions, 1% of all prescriptions |
162
prescriptions. |
34
patients, 9% of all patients |
22 | 31 | |
|
METOPROLOL TARTRATE
Metoprolol is used alone or... + Metoprolol is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine |
162
prescriptions, 1% of all prescriptions |
157
prescriptions. |
26
patients, 7% of all patients |
23 | 22 | |
|
HYDROCHLOROTHIAZIDE
Used alone or together with... + Used alone or together with other medicines to treat high blood pressure and fluid retention (edema). Source: National Library of Medicine |
142
prescriptions, 1% of all prescriptions |
142
prescriptions. |
22
patients, 6% of all patients |
24 | 17 | |
|
ATENOLOL
Treats high blood pressure ... + Treats high blood pressure and angina (chest pain). Source: National Library of Medicine |
139
prescriptions, 1% of all prescriptions |
134
prescriptions. |
22
patients, 6% of all patients |
25 | 16 | |
|
ATORVASTATIN CALCIUM
Treats high cholesterol and... + Treats high cholesterol and triglyceride levels. Source: National Library of Medicine |
137
prescriptions, 1% of all prescriptions |
132
prescriptions. |
30
patients, 8% of all patients |
26 | 8 | |
|
SYNTHROID
Treats hypothyroidism. + Treats hypothyroidism. Source: National Library of Medicine |
135
prescriptions, 1% of all prescriptions |
130
prescriptions. |
31
patients, 8% of all patients |
27 | 11 | |
|
NAMENDA
Treats dementia (memory los... + Treats dementia (memory loss and mental changes) that is a sign of Alzheimer's disease. Source: National Library of Medicine |
128
prescriptions, 1% of all prescriptions |
128
prescriptions. |
32
patients, 8% of all patients |
28 | 102 | |
|
MEGESTROL ACETATE
Megestrol tablets treat bre... + Megestrol tablets treat breast and uterine cancer. Source: National Library of Medicine |
124
prescriptions, 1% of all prescriptions |
124
prescriptions. |
26
patients, 7% of all patients |
R | 29 | 226 |
|
METOPROLOL SUCCINATE
Metoprolol is used alone or... + Metoprolol is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine |
109
prescriptions, 1% of all prescriptions |
104
prescriptions. |
20
patients, 5% of all patients |
30 | 33 | |
|
PREDNISONE
Treats inflammation (swelli... + Treats inflammation (swelling), severe allergies, complications of chronic illnesses, and other medical problems. Source: National Library of Medicine |
109
prescriptions, 1% of all prescriptions |
104
prescriptions. |
51
patients, 13% of all patients |
30 | 59 | |
|
LISINOPRIL
Treats high blood pressure ... + Treats high blood pressure and heart failure. Source: National Library of Medicine |
103
prescriptions, 1% of all prescriptions |
91
prescriptions. |
14
patients, 4% of all patients |
32 | 14 | |
|
PENTOXIFYLLINE
Treats problems from poor b... + Treats problems from poor blood circulation by improving the flow of blood through blood vessels. Source: National Library of Medicine |
102
prescriptions, 1% of all prescriptions |
97
prescriptions. |
14
patients, 4% of all patients |
33 | 43 | |
|
ISOSORBIDE MONONITRATE ER
Isosorbide mononitrate is u... + Isosorbide mononitrate is used to prevent angina (chest pain) caused by coronary artery disease (heart disease). Source: National Library of Medicine |
101
prescriptions, 1% of all prescriptions |
101
prescriptions. |
19
patients, 5% of all patients |
34 | 40 | |
|
LOSARTAN-HYDROCHLOROTHIAZIDE
This drug is used to treat ... + This drug is used to treat high blood pressure. Source: National Library of Medicine |
96
prescriptions, 1% of all prescriptions |
96
prescriptions. |
13
patients, 3% of all patients |
35 | 12 | |
|
LEVETIRACETAM
Used to help control certai... + Used to help control certain types of seizures caused by epilepsy. Source: National Library of Medicine |
96
prescriptions, 1% of all prescriptions |
83
prescriptions. |
12
patients, 3% of all patients |
35 | 127 | |
|
GLIMEPIRIDE
Treats type 2 diabetes. Use... + Treats type 2 diabetes. Source: National Library of Medicine |
93
prescriptions, 1% of all prescriptions |
88
prescriptions. |
17
patients, 4% of all patients |
37 | 20 | |
|
WARFARIN SODIUM
Warfarin is used to prevent... + Warfarin is used to prevent blood clots from forming or growing larger in your blood and blood vessels. Source: National Library of Medicine |
90
prescriptions, 1% of all prescriptions |
90
prescriptions. |
15
patients, 4% of all patients |
38 | 88 | |
|
TAMSULOSIN HCL
Tamsulosin is used in men t... + Tamsulosin is used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia or BPH) which include difficulty urinating (hesitation, dribbling, weak stream, and incomplete bladder emptying), painful urination, and urinary frequency and urgency. Source: National Library of Medicine |
87
prescriptions, 1% of all prescriptions |
87
prescriptions. |
15
patients, 4% of all patients |
39 | 29 | |
|
SILVER SULFADIAZINE
Treats skin infections in p... + Treats skin infections in patients with severe burns. Source: National Library of Medicine |
85
prescriptions, 1% of all prescriptions |
85
prescriptions. |
46
patients, 12% of all patients |
40 | 112 | |
|
MONTELUKAST SODIUM
Montelukast is used to prev... + Montelukast is used to prevent wheezing, difficulty breathing, chest tightness, and coughing caused by asthma. Source: National Library of Medicine |
84
prescriptions, 1% of all prescriptions |
72
prescriptions. |
17
patients, 4% of all patients |
41 | 26 | |
|
MEMANTINE HCL
Treats moderate to severe ... + Treats moderate to severe Alzheimer's disease. Source: National Library of Medicine |
82
prescriptions, 1% of all prescriptions |
82
prescriptions. |
22
patients, 6% of all patients |
42 | 153 | |
|
MECLIZINE HCL
Meclizine is used to preven... + Meclizine is used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness. Source: National Library of Medicine |
78
prescriptions, 1% of all prescriptions |
73
prescriptions. |
20
patients, 5% of all patients |
43 | 48 | |
|
FAMOTIDINE*
Treats ulcers, gastroesopha... + Treats ulcers, gastroesophageal reflux disease (GERD), and conditions that cause the stomach to produce too much stomach acid. Source: National Library of Medicine |
77
prescriptions, 1% of all prescriptions |
77
prescriptions. |
14
patients, 4% of all patients |
44 | 41 | |
|
GLIPIZIDE
Used with diet and exercise... + Used with diet and exercise to help control blood sugar in patients with type 2 diabetes. Source: National Library of Medicine |
75
prescriptions, 1% of all prescriptions |
75
prescriptions. |
12
patients, 3% of all patients |
45 | 13 | |
|
ALENDRONATE SODIUM
Alendronate is used to trea... + Alendronate is used to treat and prevent osteoporosis (a condition in which the bones become thin and weak and break easily) in women who have undergone menopause (''change of life,'' end of menstrual periods) and to treat osteoporosis in men. Source: National Library of Medicine |
71
prescriptions, 1% of all prescriptions |
66
prescriptions. |
<11 | 46 | 15 | |
|
TRAMADOL HCL-ACETAMINOPHEN
Treats short-term, medium t... + Treats short-term, medium to medium-severe pain. Source: National Library of Medicine |
71
prescriptions, 1% of all prescriptions |
66
prescriptions. |
27
patients, 7% of all patients |
O | 46 | 60 |
|
GEMFIBROZIL
Lowers high triglyceride an... + Lowers high triglyceride and cholesterol levels. Source: National Library of Medicine |
68
prescriptions, 1% of all prescriptions |
57
prescriptions. |
11
patients, 3% of all patients |
48 | 51 | |
|
OLANZAPINE
Treats psychotic mental dis... + Treats psychotic mental disorders, such as schizophrenia or bipolar disorder (manic-depressive illness). Source: National Library of Medicine |
64
prescriptions, 0% of all prescriptions |
59
prescriptions. |
11
patients, 3% of all patients |
P | 49 | 215 |
|
PAROXETINE HCL
Paroxetine tablets, suspens... + Paroxetine tablets, suspension (liquid), and extended-release (long-acting) tablets are used to treat depression, panic disorder (sudden, unexpected attacks of extreme fear and worry about these attacks), and social anxiety disorder (extreme fear of interacting with others or performing in front of others that interferes with normal life). Source: National Library of Medicine |
63
prescriptions, 0% of all prescriptions |
58
prescriptions. |
<11 | 50 | 70 | |
|
CARVEDILOL
Treats high blood pressure ... + Treats high blood pressure and congestive heart failure (CHF). Source: National Library of Medicine |
62
prescriptions, 0% of all prescriptions |
57
prescriptions. |
16
patients, 4% of all patients |
51 | 32 | |
|
LEVOFLOXACIN
Levofloxacin is used to tre... + Levofloxacin is used to treat certain infections such as pneumonia, chronic bronchitis and sinus, urinary tract, kidney, prostate (a male reproductive gland), and skin infections. Source: National Library of Medicine |
60
prescriptions, 0% of all prescriptions |
55
prescriptions. |
51
patients, 13% of all patients |
A | 52 | 68 |
|
LANTUS
Treats diabetes mellitus. I... + Treats diabetes mellitus. Source: National Library of Medicine |
58
prescriptions, 0% of all prescriptions |
53
prescriptions. |
13
patients, 3% of all patients |
53 | 30 | |
|
LACTULOSE
Treats constipation. Also t... + Treats constipation. Source: National Library of Medicine |
57
prescriptions, 0% of all prescriptions |
52
prescriptions. |
18
patients, 5% of all patients |
54 | 135 | |
|
DOXAZOSIN MESYLATE
Doxazosin (Cardura, Cardura... + Doxazosin (Cardura, Cardura XL) is used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia or BPH), which include difficulty urinating (hesitation, dribbling, weak stream, and incomplete bladder emptying), painful urination, and urinary frequency and urgency. Source: National Library of Medicine |
56
prescriptions, 0% of all prescriptions |
56
prescriptions. |
<11 | 55 | 42 | |
|
NEOMYCIN-POLYMYXIN-DEXAMETH
Dexamethasone reduces the i... + Dexamethasone reduces the irritation, redness, burning, and swelling of eye caused by chemicals, heat, radiation, infection, allergy, or foreign bodies in the eye. Source: National Library of Medicine |
55
prescriptions, 0% of all prescriptions |
55
prescriptions. |
36
patients, 9% of all patients |
56 | 253 | |
|
TRAZODONE HCL
Trazodone is used to treat ... + Trazodone is used to treat depression. Source: National Library of Medicine |
54
prescriptions, 0% of all prescriptions |
54
prescriptions. |
<11 | 57 | 74 | |
|
CEFUROXIME
Treats infections caused by... + Treats infections caused by bacteria. Source: National Library of Medicine |
53
prescriptions, 0% of all prescriptions |
48
prescriptions. |
49
patients, 12% of all patients |
A | 58 | 214 |
|
AZITHROMYCIN
Treats infections caused by... + Treats infections caused by certain bacteria. Source: National Library of Medicine |
52
prescriptions, 0% of all prescriptions |
47
prescriptions. |
46
patients, 12% of all patients |
A | 59 | 37 |
|
CLONIDINE HCL
Clonidine is used alone or ... + Clonidine is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine |
51
prescriptions, 0% of all prescriptions |
51
prescriptions. |
<11 | 60 | 82 | |
About This Data
Prescribing data from Medicare’s prescription drug benefit, known as Part D, was compiled and released by the Centers for Medicare and Medicaid Services, the federal agency that oversees the program. The data for 2015 includes more than 1.4 billion prescriptions written by nearly 1.4 million doctors, nurses and other providers. This database lists about 447,000 of those providers who wrote 50 or more prescriptions for at least one drug that year. More than three-fourths of these prescriptions went to patients 65 and older; the rest were for disabled patients. Methodology »
Incorrect Info?
If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected].
Caveats
- No comparisons are shown if there are fewer than 20 prescribers in the state share this specialty.
- Comparisons do not take into account the medical conditions of patients. Medications for certain conditions do not have generic alternatives, so patients would receive more expensive brand name drugs.
- This provider's address and specialty information was last updated on July 8, 2007.
- Comparisons are based on each provider’s current address, not necessarily where he or she worked during the time period covered in this database.
- In rare circumstances, providers' prescription tallies may be inflated. Sometimes providers are credited with prescriptions written by colleagues (this happens in long-term care facilities) or are victims of fraud involving theft of their provider number.