Areas
Doctor Online in Fajardo and Ceiba, Puerto Rico: ER, Pharmacies and the Ferry
Looking for a doctor online in Fajardo, Puerto Rico, or Ceiba? Dr. Diana Nieves Castro, MD, sees patients of all ages by video at home, at your hotel or before you board the ferry. For an emergency, the verified ER is Caribbean Medical Center in Fajardo, open 24 hours for children, adults and older adults. No pharmacy counter in the area is open overnight.
Is it an emergency? Call 911.
Video only
We are a telehealth-only service: we have no office or clinic in this area or anywhere else in Puerto Rico. If you need to be seen in person, this guide shows where to go.
Is this an emergency?
This is not an emergency service. Call 911 or go to the nearest emergency room if you have:
- Chest pain, shortness of breath or weakness on one side of the body
- Seasickness with vomiting that will not stop, signs of dehydration or confusion
- Someone pulled from the water who is coughing hard or struggling to breathe
- A baby under 3 months with a fever
Help lines
Doctor online in Fajardo, Puerto Rico: when video makes sense
Fajardo has a 24-hour ER, and it is also the one Ceiba, Luquillo and ferry passengers from Culebra or Vieques rely on. For an emergency, go there or call 911. For a bad cold, a UTI, a rash, a refill or a form, a video visit saves you the trip: no driving or parking, you skip the waiting room, and the price is clear before you book.
The doctor evaluates and treats you and, if appropriate, prescribes; we send your prescription to the pharmacy you choose in Fajardo, such as the Walgreens on Calle Marginal, the latest-closing counter in town. If you need a test, she gives you an order for a lab near you. Book a video visit from Fajardo, US$79.
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| Hours and time | We do not publish a wait time. Request a visit online 24/7 — we confirm your time by email or text. | 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 | US$79 visit · US$49 follow-up · US$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.
Emergency room in Fajardo: Caribbean Medical Center
In an emergency call 911. None of these places is part of our service.
Caribbean Medical Center, Ave. Osvaldo Molina #151, Fajardo, PR 00738. Phone 787-801-0081 or 1-833-262-0081. Its website says the ER is open "365 days a year, 24 hours a day" and treats pediatric, adult and geriatric patients.
Centro Médico del Noreste, 404 Ave. General Valero, Fajardo (the former HIMA Fajardo). Federal hospital data (CMS) lists emergency services. Its operator, Caribbean Medical Center, gives 787-936-7600 or 787-801-0081 ext. 1300 for this hospital; CMS lists a different number (787-863-0505). The operator's page does not mention an ER or its hours, so we have not confirmed hours: call first if it is not serious.
Outside town, the next hospital ER in CMS data is Ryder Memorial in Humacao, about 16 miles in a straight line from Fajardo and about 14 from Ceiba.
Pharmacies in Fajardo: counter hours
For a prescription, what matters is the pharmacy counter, not the store. Hours as published by each pharmacy on October 2, 2026 (holidays may differ):
Walgreens, 4203 Calle Marginal, Fajardo, 787-860-1603. Counter: Mon–Fri 8 a.m.–10 p.m.; Sat–Sun 9 a.m.–9 p.m. (closed 1:30–2 p.m. on weekends). The store is open 6 a.m.–midnight.
Walgreens, 100 Calle 12, Fajardo, 787-863-1475. Counter: Mon–Sat 9 a.m.–6 p.m.; closed Sunday.
Farmacia Caridad Fajardo, 9 Calle Igualdad, 787-863-1880. Counter: Mon–Fri 7 a.m.–8 p.m., Sat 9 a.m.–7 p.m., Sun 10 a.m.–5 p.m.
Nearest 24-hour counter: Walgreens, 101 Carr 1, Caguas, 787-744-2905, about 26 miles in a straight line. It is one of Puerto Rico's five 24-hour counters and closes 1:30–2 a.m. See our 24-hour pharmacy guide.
Doctor online in Ceiba: the ferry town
Ceiba has 10,783 residents (Census, 2024), and 27.5% are 65 or older, a larger share than Fajardo's 24.6%. It has no hospital and no Walgreens. Here is what there is:
- Nearest ER: Caribbean Medical Center in Fajardo, about 5 miles in a straight line from central Ceiba.
- Health center in town: Clínica Familiar de Ceiba, 673 Calle Escolástico López, 787-876-2042, run by Concilio de Salud Integral de Loíza. Federal HRSA data lists 42.5 operating hours a week; it is a health center, not an ER.
- Nearest pharmacy: Walgreens, 100 Calle 12, Fajardo, about 2 miles in a straight line (closed Sunday). On Sunday evening, the area's option is the Calle Marginal Walgreens, until 9 p.m.
- Nearest 24-hour counter: Caguas, about 25 miles in a straight line.
Before the Culebra or Vieques ferry: seasickness
Ferries to Culebra and Vieques leave from Ceiba, according to Puerto Rico Ferry. If you get seasick, here is what the CDC advises:
- Motion-sickness medicine works best taken before you set out, not once you feel sick. Some take from half an hour to several hours to work, and the patch takes 6 to 8 hours.
- Sit away from the bow, where the boat moves most, and watch the horizon.
- Don't read or look at your phone during the crossing, and avoid alcohol and smoking.
- For children, try these measures first; the patch is not used in children.
If you get seasick easily or travel with a child, you can talk to the doctor by video the day before. She evaluates you and, if appropriate, prescribes, and we send the prescription to your pharmacy in Fajardo. Read more about seasickness and care for visitors.
How a video visit works from Fajardo or Ceiba
Dr. Diana Nieves Castro, MD, is a general practice physician licensed in Puerto Rico, with several years of emergency-department experience. She sees adults and children of all ages, in English or Spanish; anyone under 21 needs a parent or legal guardian on the video, with photo ID. We send you a secure video link that works on your phone, tablet or computer. You just need to be in Puerto Rico during the visit.
Request a visit online 24/7 — we confirm your time by email or text. You pay when you request it, by card, or Apple Pay or Google Pay if they appear on the payment page, with a full refund if the visit can't happen.
- Doctor visit, US$79: new problems and non-emergency urgent care, for residents and visitors.
- Follow-up, US$49: a refill of a medicine you already take.
- Forms, US$35: school, university or job forms.
How this page was verified
Verified on October 2, 2026: the Caribbean Medical Center ER on its official site; Centro Médico del Noreste in CMS data and on its operator's page; pharmacy counters on each Walgreens page and the Farmacias Caridad locator; the Ceiba clinic in HRSA data; population from the Census Bureau. Distances are straight lines, not drive times. We re-check these facts every quarter. For neighboring towns, see Río Grande, Luquillo and Loíza and all areas.
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. We do not prescribe controlled substances.
You must be physically in Puerto Rico during the visit (visitors, tourists and cruise passengers are welcome).
In an emergency, call 911.
Frequently asked questions
Which ER in Fajardo is open 24 hours?
Where is the nearest ER to Ceiba?
Can I see a doctor by video before taking the ferry from Ceiba?
Which pharmacy in Fajardo stays open latest?
How much is a doctor visit without insurance in Fajardo?
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: 2026-10-02 · Updated: 2026-10-02
Sources (12)
- Caribbean Medical Center: emergency room (Spanish) (opens in a new tab) (accessed 2026-10-02)
- Caribbean Medical Center: phone directory (Spanish) (opens in a new tab) (accessed 2026-10-02)
- Caribbean Medical Center: Centro Médico del Noreste (Spanish) (opens in a new tab) (accessed 2026-10-02)
- CMS: Hospital General Information (Puerto Rico) (opens in a new tab) (accessed 2026-10-02)
- Walgreens, 4203 Calle Marginal, Fajardo: hours (opens in a new tab) (accessed 2026-10-02)
- Walgreens, 100 Calle 12, Fajardo: hours (opens in a new tab) (accessed 2026-10-02)
- Walgreens, 101 Carr 1, Caguas: 24-hour pharmacy (opens in a new tab) (accessed 2026-10-02)
- Farmacias Caridad: store locator (opens in a new tab) (accessed 2026-10-02)
- HRSA: health center service delivery sites (Clínica Familiar de Ceiba) (opens in a new tab) (accessed 2026-10-02)
- U.S. Census Bureau: municipio population estimates, 2020–2024 (opens in a new tab) (accessed 2026-10-02)
- Puerto Rico Ferry: Ceiba to Culebra and Vieques (opens in a new tab) (accessed 2026-10-02)
- CDC Yellow Book: motion sickness (opens in a new tab) (accessed 2026-10-02)