The Health Initiative · Nonprofit organization
Telehealth in Puerto Rico 24/7: see a PR-licensed doctor by video
For anything that isn’t an emergency, see the doctor by video from home: no driving, no parking, and you skip the waiting room.
Puerto Rico ER visits: a median of 4 h 52 min from arrival to departure (US: 2 h 42 min; CMS, Oct 2024–Sep 2025). Compare the optionsFor problems that are not emergencies. In an emergency, call 911.
- Doctor licensed in Puerto Rico (24027) Verify (opens in a new tab)
- In Spanish or English
- Price shown before you pay
- Full refund if the clinic can’t see you
- Secure card payment (may include Apple Pay or Google Pay)
- Children and adults of all ages
Telehealth in Puerto Rico 24/7 with a PR-licensed doctor: we see kids of all ages and adults by video, nights and weekends included, in English or Spanish. A doctor visit has a published price, with no insurance needed and no membership. If appropriate, the doctor prescribes and we send your prescription to your pharmacy. You just need to be in Puerto Rico during the visit.
- $79Doctor visit
- $49Follow-up visit
- $35School and university forms
Every day, any time (Puerto Rico time). Video doctor visits 24/7 — book online and choose your time right away.
Before you leave home
Why a video visit
For anything that isn’t an emergency, compare what each option takes.
| Comparison | Video visit | Emergency room | CDT or doctor’s office |
|---|---|---|---|
| Getting there | From home: join from your phone, tablet or computer. | Drive and find parking. | Drive and find parking. |
| Waiting room | Skip the waiting room: join from wherever you are in Puerto Rico. | Yes, a waiting room. | Yes, a waiting room. |
| Hours and time | Every day, any time (Puerto Rico time). Video doctor visits 24/7 — book online and choose your time right away. | In Puerto Rico, a median of 4 h 52 min from arrival to departure for patients sent home (US: 2 h 42 min; Oct 2024–Sep 2025).1,2 | An in-person visit takes about 2 hours on average, including travel.3 |
| Price | $79 visit · $49 follow-up · $35 forms. You see it before you pay; no insurance needed. | Depends on your insurance and on what is done. | Depends on your insurance and on what is done. |
| Language | Spanish or English, with the same doctor. | Depends on the place. | Depends on the place. |
| Prescriptions | If appropriate, the doctor prescribes and we send your prescription to your pharmacy. | Yes, if needed. | Yes, if needed. |
| When to go in person | If the doctor needs to examine you in person or run a test, she tells you and guides you. | In an emergency: chest pain, trouble breathing, weakness on one side or bleeding that won’t stop. Call 911. | If you need stitches, an X-ray or a test on the spot. |
For problems that are not emergencies. In an emergency, call 911.
Table sources
- 1. CMS Care Compare, “Timely and Effective Care – State”, measure OP-18b: median time in the emergency department, arrival to departure, for patients sent home (opens in a new tab), data for Oct 2024–Sep 2025 (accessed 2026-10-02)
- 2. CMS Care Compare, “Timely and Effective Care – National”, measure OP-18b (US figure) (opens in a new tab), data for Oct 2024–Sep 2025 (accessed 2026-10-02)
- 3. Ray KN et al., “Opportunity costs of ambulatory medical care in the United States,” Am J Manag Care 2015;21(8):567-74 (US data, 2003–2010) (opens in a new tab) (accessed 2026-10-02)
We found no published source for what a patient pays at an ER or a CDT in Puerto Rico, so we give no figure.
Urgent care by video
For urgent problems that are not emergencies, the doctor evaluates you by video from wherever you are in Puerto Rico, without driving or looking for parking. If appropriate, she prescribes and we send the prescription to your pharmacy, or she gives you a lab order.
The doctor can see you by video for:
- Fever in adults and children without warning signs
- Sore throat, sinus infections and colds
- Urinary tract infections
- Rashes, bites and sunburn
- Vomiting and diarrhea without severe dehydration
- Ear pain and pink eye
- Mild sprains (if you need an X-ray, we refer you)
Call 911 or go to the emergency room for:
- Chest pain or pressure
- Trouble breathing or bluish lips
- Face drooping, weakness on one side or trouble speaking
- Bleeding that will not stop, a deep wound or a hard blow to the head
- Fainting, confusion or seizures
- A baby under 3 months with a fever
- Thoughts of harming yourself: call or text 988
For problems that are not emergencies. In an emergency, call 911.
When to go to the ER: full guide · Video, CDT or ER?
How it works
Telehealth in Puerto Rico in 3 steps
From request to prescription, this is how it works. More in how telehealth works.
Choose your visit type and pay online.
A visit with an online doctor in Puerto Rico, a follow-up visit or school forms. Video doctor visits 24/7 — book online and choose your time right away.
We send you a secure video link.
It works on your phone, tablet or computer, from home, work or your hotel.
Talk to the doctor by video.
She evaluates, diagnoses and treats. If appropriate, she prescribes and we send your prescription to your pharmacy; if needed, she gives you a lab order for a lab near you. Your doctor's note is included.
Before you start
- You must be in Puerto Rico during the visit. Visitors are welcome too.
- Patients under 21: a parent with patria potestad (parental authority) or a legal guardian signs the written consent, stays on camera for the whole visit and shows photo ID on camera. Visits are not recorded.
Services
What can telehealth help with?
We evaluate, diagnose and treat; if needed, we give you a lab order for a lab near you, for example for a strep test or a urine, blood or STI test. We offer urgent care by video for anything that is not an emergency, telehealth for kids of all ages with a parent or guardian on camera, skin and acne care and much more; see all the conditions we treat. Not sure what it is? Browse by symptom, read our health guides or check the warning signs of dengue. We also offer online mental health care for anxiety, depression and insomnia, HIV PrEP with its lab tests, and help to quit smoking. For men’s health we evaluate low testosterone, erectile dysfunction and hair loss; the doctor decides whether a treatment is right for you.
Doctor visit
$79See all 14 services
Follow-up visit
$49School and university forms
$35Certificates and notes
Looking for a certificate or a doctor’s note?
Who will see you?
Dr. Diana Nieves Castro, MD, a general practice physician licensed to practice medicine in Puerto Rico, with several years of emergency-department experience. That experience is what matters in a video visit: knowing what can be treated at home and when you need the ER. She sees adults and children of all ages, in English or Spanish.
- Puerto Rico license 24027 and NPI 1922842756, which you can verify in official sources from the doctor's profile.
- Run by a nonprofit: The Health Initiative, a U.S. 501(c)(3) nonprofit organization (EIN 93-2197573), which receives the payments. The doctor is also its Founding Executive Director. More in about us. The Health Initiative also runs an in-person wellness retreat in Puerto Rico.
- Published prices, no insurance needed, no membership and no hidden fees.
Your doctor
Dr. Diana Nieves Castro, MD
General practice physician
Several years of emergency-department experience.
Founding Executive Director of The Health Initiative.
Pricing
Clear prices, no insurance and no membership
There are three visit types, each the same price for every age. A doctor visit is for a new problem, urgent care, children, a weight loss or low testosterone evaluation and most everything else. A follow-up visit is for a refill of a non-controlled medicine you already take (for example, your blood pressure or weight loss medicine) or a review of your lab results. The forms visit covers school or university forms and a medical certificate of an illness or condition the doctor evaluated.
You pay by card when you request the visit. If a follow-up or forms visit turns out to need a full doctor visit, the doctor explains why and, only with your consent, you pay the difference. A doctor's note is included, and if the clinic can’t see you you get a full refund. We do not bill insurance; if you need a doctor without insurance in Puerto Rico, here you pay only for your visit. See pricing.
- Not sure which? Choose this one
Doctor visit
$79
What’s included
For a new problem, urgent care (non-emergencies), primary care, children, birth control, STIs, skin and acne, and visitors. Includes a doctor's note if you need one.
Follow-up visit
$49
What’s included
A refill of a medicine you already take (non-controlled) and a review of lab results from a previous visit.
School and university forms
$35
What’s included
School or university forms, and a medical certificate of an illness or condition the doctor evaluated, if her evaluation supports it. Does not include forms that need a vision exam, such as the DTOP driver's license form.
Areas
Where do we see patients?
Anywhere in Puerto Rico, by video. You must be physically in Puerto Rico during the visit; if you are visiting the island, we see you too. We have no office: we are a telemedicine-only service. If you need to be seen in person, our area guides show the nearest ER and pharmacy.
24/7 telehealth in Puerto Rico: video visits nights and weekends
A child's fever at midnight, a UTI on a Sunday or a cold that gets worse after work won't wait until Monday. That's why the doctor does video visits at any hour: days, nights and weekends. Every day, any time (Puerto Rico time).
Request a visit online 24/7 and choose your time right away. The clinic closes for the whole day on some holidays. It is the same online doctor visit as always, with the same Puerto Rico-licensed doctor, who evaluates, diagnoses and treats you. For colds, flu, sore throat, UTIs or a rash, see urgent care by video.
An emergency should not wait for a visit: for chest pain, trouble breathing or signs of a stroke, call 911.
Most read
The health pages people in Puerto Rico look up most.
- What to do about boils and when one needs draining.
- Cutaneous larva migrans: the itchy red line after walking barefoot on sand.
- The health certificate in Puerto Rico: requirements, tests and where to get it in person.
- A doctor's note and an online medical certificate, after your video visit.
- Where to find 24-hour pharmacies in Puerto Rico.
- Laryngitis: a hoarse or lost voice, and when to see a doctor.
- Ear pain in children: earaches in babies and kids.
- Swollen legs: common causes and warning signs.
- What to do about a nosebleed and when it needs care.
Telehealth or in-person visit
Telehealth fits what is not an emergency: a new problem, a refill, a doctor's note or a form. If the doctor sees that you need a physical exam or a test that only happens in person, she tells you clearly and explains what kind of care to look for and how soon. To decide before you book, read telehealth vs in-person visits; for your first visit, see how to prepare.
Is this an emergency?
Call 911 or go to the nearest emergency room for chest pain, trouble breathing, weakness or numbness on one side of the body, confusion, bleeding that will not stop, or if you think your life is in danger.
Help lines
The only things we don't do by video
We don't handle emergencies by video. For chest pain, trouble breathing, weakness on one side of the body, or a baby under 3 months with a fever, call 911 or go to the ER. See when to go to the ER.
How we care for you
We evaluate, diagnose and treat; if needed, we give you a lab order for a lab near you.
We see adults and children of all ages. Patients under 21: a parent with patria potestad (parental authority) or a legal guardian is on camera for the whole visit and shows photo ID.
Real-time video visit. We send you a secure video link. It works on your phone, tablet or computer.
If appropriate, the doctor prescribes and we send your prescription to your pharmacy.
You must be physically in Puerto Rico during the visit (visitors, tourists and cruise passengers are welcome).
FAQ
Frequently asked questions
Can I get a doctor's note or a medical certificate through telehealth?
Is there an online doctor in Puerto Rico?
Where can I find telehealth services in Puerto Rico?
Is there 24/7 telehealth in Puerto Rico?
Do I need insurance to use this telehealth service?
Does the price include medicines and lab tests?
Is the visit private?
Do you see babies and children?
Which pharmacy do you send my prescription to?
Can the visit be in Spanish?
When is telehealth enough, and when should I go in person?
Do I have to be in Puerto Rico?
The Health Initiative
Need to see the doctor?
- Full refund if the clinic can’t see you
- No insurance needed
- From your phone, tablet or computer
- Visits are not recorded
About this page
Author: The Health Initiative
Medical care provided by Dr. Diana Nieves Castro, MD (PR license 24027)
Disclosure: Founding Executive Director of The Health Initiative
Published: 2026-09-30 · Updated: 2026-10-11
Sources (3)
- NPI record for Dr. Diana Nieves Castro (NPPES, CMS) (opens in a new tab) (accessed 2026-09-29)
- Puerto Rico medical license lookup (Department of Health) (opens in a new tab) (accessed 2026-09-29)
- Puerto Rico Telemedicine and Telehealth Act, Ley 168-2018 (LexJuris, Spanish) (opens in a new tab) (accessed 2026-09-29)