Areas
Doctor Online in Guayama: the ER, Pharmacy Counters and Video Visits
A doctor online in Guayama sees you by video from home: Dr. Diana Nieves Castro, MD, treats adults and children of all ages while they are in Puerto Rico. For emergencies, Guayama has its own adult and pediatric ER at Hospital Menonita Guayama, staffed by emergency physicians 24/7 according to the hospital. The nearest 24-hour pharmacy counter is in Cayey. In an emergency, call 911.
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:
- Dengue with belly pain, vomiting at least 3 times in 24 hours, bleeding from the nose or gums, or feeling extremely tired or restless
- A child with fever who is struggling to breathe or is very limp
- Chest pain, shortness of breath or stroke signs
- A baby under 3 months with a fever
Help lines
Emergency room in Guayama: Hospital Menonita Guayama
In an emergency call 911. Guayama has one hospital in federal data (CMS), and its operator confirms an adult and pediatric ER. None of these ERs is affiliated with us.
Hospital Menonita Guayama, Ave Pedro Albizu Campos, Urb. La Hacienda, Guayama, PR 00785. Phone 787-864-4300. Its website lists an adult and pediatric emergency room with emergency physicians 24/7. It was formerly Hospital Episcopal San Lucas Guayama: the Menonita health system acquired it on September 13, 2017.
Hospital Menonita de Cayey, Route 14 Km 3.1, Bo. Rincón, Cayey. Phone 787-535-1001 per CMS, about 10 miles in a straight line. See the Cayey guide.
Hospital Menonita de Aibonito, Calle José C. Vázquez, Bo. Caonillas, Aibonito. ER per CMS, about 15 miles in a straight line.
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| Hours and time | We do not publish a wait time.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.
Pharmacies in Guayama and the Cayey 24-hour counter
Pharmacy counter hours from the Walgreens locator on October 2, 2026; store hours may differ:
Walgreens, 1 Calle Marginal, Guayama, 787-864-5800. Counter: Mon–Fri 8 a.m.–10 p.m.; Sat 9 a.m.–6 p.m. and Sun 10 a.m.–6 p.m. (closed 1:30–2 p.m. at weekends for a meal break).
Centro de Salud Familiar Dr. Julio Palmieri Ferri pharmacy, Línea Capó, 33 Calle 1, Guayama, 787-839-4150 ext. 345. A federally funded (HRSA) health center pharmacy: 40 hours a week. Call for daily hours.
24-hour counter: Walgreens, 5800 Ave Jesús T. Piñero, Cayey, 787-263-5166, about 10 miles in a straight line. It is one of only five 24-hour pharmacy counters in Puerto Rico and closes 1:30–2 a.m. for a meal break. If the doctor prescribes on a Saturday night, ask us to send the prescription there.
Dengue in Guayama: the second-highest rate on the island
According to the Puerto Rico Department of Health's arboviral surveillance report for week 37 of 2026 (published September 23), Guayama had a dengue incidence of 238.47 cases per 100,000 residents in weeks 1–37, the second-highest in Puerto Rico.
If you have a fever, pain behind the eyes or body aches, the doctor can evaluate you by video and, if needed, give you a lab order. Learn the warning signs in our dengue guide. If they appear (belly pain or tenderness, vomiting at least 3 times in 24 hours, bleeding from the nose or gums, vomiting blood or blood in the stool, or feeling extremely tired or restless, per the CDC), go to the Menonita Guayama ER; do not wait for an appointment.
Doctor online in Guayama: how a video visit works
For a cold, a urinary infection, a rash, blood pressure that needs a check or a refill, you do not have to drive or look for parking. Dr. Diana Nieves Castro, MD, a primary care physician licensed in Puerto Rico with several years of emergency-department experience, evaluates, diagnoses and treats, in English or Spanish. If needed, she gives you a lab order for a lab near you. If appropriate, the doctor prescribes and we send your prescription to your pharmacy in Guayama or the one in Cayey. We do not prescribe controlled substances.
We send you a secure video link; it works on your phone, tablet or computer. Anyone under 21 needs a parent or legal guardian on the video, with ID. Request a visit online 24/7 — we confirm your time by email or text.
- Doctor visit, US$79: new problems, non-emergency urgent care and visits for children.
- Follow-up, US$49: a refill of a medicine you already take.
- Forms, US$35: school, university or job forms.
- Your card is charged when you request the visit (Apple Pay or Google Pay too, if they appear on the payment page), with a full refund if it can't happen. Request a video visit from Guayama.
Community health center in Olimpo
For in-person primary care with fees based on income, Centro de Salud Familiar Dr. Julio Palmieri Ferri runs a site in Guayama. It is not an ER; hours are the weekly hours it reports to HRSA:
CSFP Guayama NAP, Lot #30, Route 179, Caimital sector, Olimpo community, Guayama. Phone 787-839-4150. 63 hours a week.
Beaches, population and neighboring towns
Guayama beaches are in the "Southeast PR" zone of the National Weather Service San Juan daily surf zone forecast, with Arroyo, Maunabo, Patillas and Yabucoa. Check the rip current risk before you go in.
According to the Census, Guayama went from 36,614 residents in April 2020 to 34,386 on July 1, 2024, and 21.9% are 65 or older. If an older relative needs diabetes or blood pressure follow-up, see chronic care. Arroyo and Patillas are in our southeast guide; Salinas is in the south guide.
Verified on 2026-10-02: the addresses, phone numbers and hours on this page (the dengue figure is from the week 37 report). Call before you go, because hours change.
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
Does the Menonita Guayama ER see children?
Is Hospital Episcopal San Lucas in Guayama still open?
Where is the nearest 24-hour pharmacy to Guayama?
Can I see a doctor online in Guayama if I think I have dengue?
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 (9)
- Menonita Health System: Hospital Menonita Guayama (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, 1 Calle Marginal, Guayama: pharmacy hours (opens in a new tab) (accessed 2026-10-02)
- Walgreens, 5800 Ave Jesús T. Piñero, Cayey: 24-hour pharmacy (opens in a new tab) (accessed 2026-10-02)
- HRSA: Health Center Service Delivery Sites (opens in a new tab) (accessed 2026-10-02)
- PR Department of Health: arboviral surveillance, week 37 of 2026 (Spanish) (opens in a new tab) (accessed 2026-09-30)
- CDC: Symptoms of Dengue and Testing (opens in a new tab) (accessed 2026-10-02)
- NWS San Juan: Surf Zone Forecast for Puerto Rico and the U.S. Virgin Islands (opens in a new tab) (accessed 2026-10-02)
- US Census Bureau: municipio population estimates, Vintage 2024 (opens in a new tab) (accessed 2026-10-02)