Areas

See a Doctor in San Juan by Video: Río Piedras, Hato Rey, Cupey

Looking for a doctor in San Juan in Río Piedras, Hato Rey, Cupey or Puerto Nuevo? The nearest 24/7 adult ER is Hospital San Francisco in Río Piedras, which also has a pediatric ER. The Walgreens pharmacy counter in Hato Rey is open until 11 p.m.; the 24-hour counter is in Guaynabo. For anything short of an emergency, Dr. Diana Nieves Castro, MD, is a doctor online 24/7 for patients of any age.

San Juan, Puerto Rico (Río Piedras, Hato Rey, Cupey, Puerto Nuevo)$79Doctor visit

Can we help by telehealth?SometimesIt depends on the evaluation.

Is it an emergency? Call 911.

Doctor visit: $79 — Book See prices and what each includes

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 or pressure, shortness of breath or a cold sweat
Facial droop, weakness on one side or slurred speech
High fever with severe belly pain or bleeding (possible severe dengue)
A hard blow to the head, loss of consciousness, or bleeding that will not stop

Call 911

Help lines

Warning signs: when to go to the ER

On this page (9)

A doctor in San Juan for Río Piedras, Hato Rey, Cupey, Puerto Nuevo and Caparra Heights

This page is for San Juan's residential barrios. Hato Rey had 41,881 residents and Cupey 32,833 at the 2020 Census; the whole municipio had 332,454 in 2024, and 26.8% are 65 or older. Plenty of households here get around without a car for every errand: the Tren Urbano stops at Hato Rey (the Golden Mile), Universidad (UPR Río Piedras), Río Piedras, Cupey and Centro Médico, the station for the Centro Médico complex and the UPR Medical Sciences Campus.

If you live in Santurce or Miramar, your page is Santurce and Miramar; if you are staying in the tourist zone, see Condado or Old San Juan; on the Caparra and PR-2 side, Guaynabo; to the east, Carolina; and to the southeast, past Cupey, Trujillo Alto.

Before you leave home

Why a video visit

For anything that isn’t an emergency, compare what each option takes.

Why a video visit
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.

Which ER in San Juan? Adults, children, chest pain, trauma and veterans

In an emergency call 911. We checked each ER on the hospital's own site or in federal hospital data (CMS). None is affiliated with us. At night, the ERs with published 24/7 hours are San Francisco, Metropolitano and San Lucas Metro (adults), the Cardiovascular Center (heart emergencies only) and the VA (veterans).

Adults 24/7 plus a pediatric ER: Hospital San Francisco, 371 Calle José de Diego, Río Piedras, PR 00923. Phone 787-767-5100. On Metro Pavia's 24/7 adult ER list and on its pediatric ER list; the pediatric list does not publish hours.
Adults 24/7 plus a pediatric ER: Hospital Metropolitano, Carr. 21 #1785, Las Lomas, San Juan, PR 00921, the ER for Puerto Nuevo and Caparra Heights. Phone 787-782-9999.
Adults 24/7: Hospital Episcopal San Lucas Metro, Carr. 844 Km 0.5, Cupey, PR 00928, on the former HIMA Cupey site. Phone 787-761-8383. Its site advertises a 24/7 ER but does not say whether it sees children.
Adults and children: Hospital Auxilio Mutuo, Ave. Ponce de León, Stop 37½, Hato Rey. Phone 787-758-2000; adult ER ext. 2656 or 2696, pediatric ER ext. 1312 or 1426. Its directory does not publish hours.
Children only: Hospital Pavía Hato Rey, 435 Ave. Ponce de León, Hato Rey, PR 00917. Pediatric ER 787-641-2323. It is not on Metro Pavia's adult ER list; we could not confirm an adult ER.
Chest pain: Puerto Rico and Caribbean Cardiovascular Center, Ave. Américo Miranda, Centro Médico. Phone 787-754-8500, ext. 1122, 1124, 1143 or 1134. A specialized 24/7 ER for heart emergencies only.
Major trauma: Centro Médico (ASEM), Bo. Monacillos, 787-777-3535. The island's highest-level trauma center.
Veterans: San Juan VA Medical Center, 10 Calle Casia, San Juan, PR 00921, 800-449-8729. Emergency department open 24/7, for veterans.
ER per CMS, hours not published: Hospital Pediátrico Universitario (787-777-3232) and Hospital Universitario de Adultos (787-754-0101), both at Centro Médico, and Hospital del Maestro, 550 Calle Sergio Cuevas Bustamante, Hato Rey (787-758-8383). Call first.

The Municipal Hospital, Hospital del Maestro and Centro Médico: what to know

Federal data still shows an ER at the Hospital Municipal de San Juan in Monacillos, but El Nuevo Día reported in 2017 that it closed after Hurricane Irma, and we found no report of it reopening, so we leave it off. Primera Hora reported in 2025 that Hospital del Maestro owed $11.8 million for electricity and $870,000 for water; CMS still lists its ER, but phone first.

Centro Médico is for a serious crash, a heart attack or a critical case. It is not for a UTI: in 2018 one patient waited 24 hours in its ER (El Nuevo Día), and in 2023 it opened $4 million of new waiting rooms to end corridor waits (Primera Hora).

Centro Médico phone numbers, in Monacillos next to Río Piedras (Tren Urbano: Centro Médico station): ASEM, the trauma center, 787-777-3535; Hospital Universitario de Adultos, 787-754-0101; Hospital Pediátrico Universitario, 787-777-3232; and the Cardiovascular Center, 787-754-8500. These are the numbers from this page's sources. In an emergency, day or night, do not call the hospital: call 911, and the ambulance crew decides which ER to take you to.

24-hour pharmacy in San Juan: the Hato Rey counter closes at 11 p.m.

Only five pharmacy counters in Puerto Rico are open 24 hours, all Walgreens, and none is inside the San Juan municipio. Store hours and pharmacy-counter hours are different things:

Walgreens, 685 Calle César González, Hato Rey, PR 00918, 787-294-1730. Store: 24 hours. Pharmacy counter: daily 7 a.m.–11 p.m., closed 1:30–2 p.m. The latest counter we verified in these neighborhoods.
Farmacia Caridad Ave. Alejandrino, 310 Ave. Lomas Verdes, San Juan, PR 00921, 787-740-7000. Pharmacy counter: Mon–Fri 7 a.m.–10 p.m., Sat 8 a.m.–9 p.m., Sun 9 a.m.–8 p.m.; it lists a drive-thru.
Farmacia Caridad Hato Rey, 374 Ave. Ponce de León, 787-766-7200. Store: until 9 p.m. Pharmacy counter: Mon–Fri 7 a.m.–7 p.m., Sat 9 a.m.–5 p.m., Sun 11 a.m.–5 p.m.
Nearest 24-hour pharmacy counter: Walgreens, 2505 Carr 841, Guaynabo, PR 00969, 787-287-0528, 3.6 miles from Río Piedras (ZIP 00918) per the Walgreens locator. Closed 1:30–2 a.m. for a meal break.

Hours change, so call the counter before heading out at night.

Is there urgent care open at night in Río Piedras, Hato Rey or Cupey?

We could not verify, from a primary source, any urgent care center or CDT in Río Piedras, Hato Rey or Cupey with published hours, so we list none; the municipio runs CDTs, but we could not confirm which are open or when. Doctors' Center Barrazas in Carolina is an urgent care with verified hours, and it closes at 9 p.m. At night, for an emergency, the verified options are the hospital ERs above; for anything that is not an emergency, the doctor sees you through virtual urgent care in San Juan, by video (below).

Sick at night in Río Piedras, Hato Rey or Cupey: a doctor online 24/7 by video

At night you have a doctor online 24/7 by video for anything that is not an emergency: a fever, the flu, a sore throat, UTI symptoms, diarrhea or a rash. For emergencies, the 24/7 adult ERs on this page (San Francisco, Metropolitano and San Lucas Metro) are open 24 hours, every day.

At night the gap in these neighborhoods is usually an open pharmacy counter, not an ER. Work through it in this order:

Is it an emergency? Chest pain, shortness of breath, facial droop or a bad crash: call 911.
A very sick child? San Francisco, Auxilio Mutuo and Pavía Hato Rey have pediatric ERs; call ahead if you can. For minor problems, see video visits for children.
Not an emergency? Video doctor visits 24/7: book a visit online and choose your time right away. If appropriate, the doctor prescribes and we send your telehealth prescription to your pharmacy; if you need it before 11 p.m., pick the Hato Rey Walgreens.
Need a prescription filled before 11 p.m.? The Walgreens counter on Calle César González is open until then every day.
After 11 p.m.? The nearest open counter is Walgreens, 2505 Carr 841, Guaynabo, closed 1:30–2 a.m.

A doctor in San Juan by video: urgent care, primary care and refills for all ages

For anything that is not an emergency, we offer video urgent care in Puerto Rico from home: flu or a cold, a sore throat, UTI symptoms, diarrhea, allergies or a rash. You also get a primary care physician by video, who follows up high blood pressure, type 2 diabetes or cholesterol; see chronic care. Dr. Diana Nieves Castro is a general practice physician with several years of emergency-department experience, and she sees adults and children of all ages, in English or Spanish.

We evaluate, diagnose and treat; if needed, we give you a lab order for a lab near you. If appropriate, the doctor prescribes and we send your prescription to your pharmacy. Patients under 21 have a parent or legal guardian on the video, showing ID.

We send you a secure video link that works on your phone, tablet or computer. We provide telehealth in Puerto Rico with no office in San Juan, so you skip the drive or the Tren Urbano ride, as long as you are physically in Puerto Rico.

What it costs: three prices, no membership

You pay by card through secure checkout; you are charged when you request the visit, with a full refund if the clinic can’t see you. The same price for every age:

Doctor visit: a new problem, urgent care (non-emergencies), primary and chronic care, and children. A doctor's note is included if you need one.
Follow-up visit: a refill of a medicine you already take (non-controlled), or a review of your lab results if you are an existing patient.
School and university forms: the medical form your school or university asks for, when the video evaluation supports it.
If a follow-up or forms visit turns out to need a full visit, the doctor explains why and, with your consent, you pay the difference. Full details on our pricing page.

Dengue in San Juan: 41 cases in 2026

The Puerto Rico Department of Health's weekly report for week 37 (published September 23, 2026) counts 41 dengue cases in the San Juan municipio in weeks 1–37, about 12.3 per 100,000 residents, and 97 in the San Juan health region. One of the island's four dengue-associated deaths this year was in that region: a 90-year-old woman, in February. In older adults, fever with vomiting, belly pain or bleeding means the ER; see our dengue guide.

Addresses, phone numbers and hours on this page were last verified on 2026-09-30.

Urgent care by video in San Juan, Puerto Rico (Río Piedras, Hato Rey, Cupey, Puerto Nuevo)

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

Is there a 24-hour pharmacy in Hato Rey or Río Piedras?

There is a 24-hour store, but no 24-hour pharmacy counter. The Walgreens on Calle César González in Hato Rey keeps the store open around the clock, and its counter runs 7 a.m.–11 p.m. The nearest 24-hour counter is Walgreens, 2505 Carr 841 in Guaynabo, 3.6 miles from Río Piedras per the locator.

Which ER near Río Piedras sees children?

Hospital San Francisco on Calle José de Diego in Río Piedras (787-767-5100) has a 24/7 adult ER and is on Metro Pavia's pediatric ER list. In Hato Rey, Auxilio Mutuo and Pavía Hato Rey also have pediatric ERs. If a child is struggling to breathe or unresponsive, call 911.

Is there a doctor near me in San Juan who can see me at home?

Yes, by video. We are a telehealth service with no local office: the doctor sees you by video at home in Río Piedras, Hato Rey or Cupey, as long as you are in Puerto Rico. She sees adults and children of all ages and offers virtual urgent care for anything that is not an emergency. If you need a hands-on exam, use one of the ERs on this page.

How much is a doctor visit without insurance in San Juan?

Each provider sets its own price. We have three prices and no membership: a doctor visit has a published price, like a follow-up visit (for example, a refill of a non-controlled medicine you already take) and school and university forms. You are charged when you request the visit, with an itemized receipt (superbill) on request. If you will pay without insurance elsewhere, ask for a good faith estimate first. Community health centers charge based on income.

Can I get a prescription online in San Juan?

Yes. If appropriate, the doctor prescribes and we send your prescription to your pharmacy. It depends on what the doctor finds on the video visit. If you need it filled that night, the Walgreens counter in Hato Rey is open until 11 p.m.

What is the phone number for Centro Médico in Río Piedras?

It depends which part of Centro Médico you need: ASEM, the trauma center, 787-777-3535; Hospital Universitario de Adultos, 787-754-0101; Hospital Pediátrico Universitario, 787-777-3232; the Cardiovascular Center, 787-754-8500. In an emergency, do not call the hospital: call 911.

Chest pain in San Juan: where do I go?

Call 911 and do not drive yourself. The Cardiovascular Center at Centro Médico runs a 24/7 ER for heart emergencies only, and the ambulance crew decides whether to take you there or to the nearest ER.

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