Areas
Doctor Online in San Germán: the ER, Pharmacy Counters and Video Visits
A doctor online in San Germán sees you by video without leaving home: Dr. Diana Nieves Castro, MD, treats adults, children and university students while they are in Puerto Rico. In person, the town's ER is at Hospital de la Concepción, and the pharmacy counters close at night: the nearest 24-hour one is in Ponce. In an emergency, call 911.
Is it an emergency? Call 911.
Pay now, then choose your time right away. Full refund if you cancel 24 hours or more ahead.
See the cancellation policy
You can cancel for a full refund or change the time up to 24 hours before your visit. Within 24 hours you can't cancel and there's no refund. If you don't join in the first 10 minutes, there's no refund.
If you choose a time less than 24 hours away, it can't be cancelled or changed.
If the clinic can't see you, for example because of a technical problem on our side, we refund you in full.
Telehealth 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
- Very high blood sugar with vomiting, intense thirst or confusion
- A fall in an older adult with a head injury or who cannot get up
- A baby under 3 months with a fever
Help lines
Emergency room in San Germán: Hospital de la Concepción
In an emergency call 911. Federal hospital data (CMS) lists one hospital in San Germán, with an ER. We do not publish its hours or whether it sees children, because no official source we read confirms them; call ahead if you can. None of these ERs is affiliated with us.
Hospital de la Concepción, Route 2 Km 173.4, Caín Alto, San Germán, PR 00683. Phone 787-892-1860. ER per CMS. It is also the nearest hospital ER for Cabo Rojo, which has none.
Bella Vista Hospital, Route 349 Km 2.7, Cerro Las Mesas, Mayagüez. Phone 787-652-6045. ER per CMS, about 10 miles in a straight line. The other Mayagüez ERs are in our Mayagüez guide.
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 | 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 San Germán: counter hours
Pharmacy counter hours from the Walgreens locator and the Farmacias Caridad directory on October 2, 2026:
Walgreens, 10 Ave Fenwal, San Germán, 787-892-4406. 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).
Farmacia Caridad Plaza del Oeste, Plaza del Oeste Shopping Center, Ave Castro Pérez, 787-476-1253. Counter: Mon–Fri 8 a.m.–8 p.m., Sat 9 a.m.–6 p.m., Sun 11 a.m.–5 p.m. The shop stays open later than the counter: until 9 p.m. on weekdays.
24-hour counter: Walgreens, 2979 Ave Emilio Fagot, Ponce, 787-841-7400, about 30 miles in a straight line. It is the only 24-hour counter in the south and west. If you take a regular medicine, ask for the refill before it runs out: no San Germán counter is open at night.
Doctor online in San Germán for older adults: refills and chronic care
According to the Census, 28.9% of San Germán's 30,980 residents (July 1, 2024 estimate) are 65 or older; the town had 31,879 in April 2020. For many families, taking a parent to an appointment means losing half a day of work.
By video, the doctor can review blood pressure, blood sugar or cholesterol, adjust treatment if appropriate and give you a lab order for a lab near you. A follow-up visit covers a refill of a medicine you already take (non-controlled) or, for existing patients, a review of lab results the doctor ordered. See chronic care.
Inter students in San Germán: forms and sick visits
Inter American University of Puerto Rico has a San Germán campus with more than 100 years of history, according to its website. If you study there and need a medical form for the university, school and university forms has a published price. The doctor decides after evaluating you, and the service page explains which forms it covers.
If you get sick in student housing with a cold, sore throat, urinary infection or rash, a doctor visit by video has a published price. If you are under 21, a parent or legal guardian is with you, on the same camera, for the whole visit and shows ID. A doctor's note after the visit is included if you need one.
How a video visit from San Germán works
Dr. Diana Nieves Castro, MD, a primary care physician licensed in Puerto Rico with several years of emergency-department experience, evaluates, diagnoses and treats adults and children of all ages, in English or Spanish. If appropriate, the doctor prescribes and we send your prescription to your pharmacy, for example on Ave Fenwal or at Plaza del Oeste. Inter students and longtime residents alike reach our telemedicine in Puerto Rico from San Germán.
We send you a secure video link; it works on your phone, tablet or computer. No driving, no parking. 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 the clinic can’t see you. Video doctor visits 24/7 — book online and choose your time right away. Request a video visit from San Germán.
Lajas and Sabana Grande are in our west guide; Yauco has its own guide. Verified on 2026-10-02: the addresses, phone numbers and hours on this page. Call before you go, because hours change.
Urgent care by video in San Germán
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 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).
In an emergency, call 911.
Frequently asked questions
Where is the emergency room in San Germán?
Is there a pharmacy open at night in San Germán?
How do I get a university medical form by video?
Can I get a refill by video if I live in San Germán?
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: 2026-10-11
Sources (6)
- CMS: Hospital General Information (Puerto Rico) (opens in a new tab) (accessed 2026-10-02)
- Walgreens, 10 Ave Fenwal, San Germán: pharmacy hours (opens in a new tab) (accessed 2026-10-02)
- Walgreens, 2979 Ave Emilio Fagot, Ponce: 24-hour pharmacy (opens in a new tab) (accessed 2026-10-02)
- Farmacias Caridad: store locator (floor and pharmacy hours) (opens in a new tab) (accessed 2026-10-02)
- Inter American University of Puerto Rico, San Germán Campus (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)