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The Health Initiative
Emergency? 911

Book your visit

Dr. Diana Nieves Castro, MD · PR license 24027Dr. Diana Nieves Castro, MD · Puerto Rico–licensed physician (Lic. 24027)

Step 1 of 2 (In progress): Choose your visit

Not sure? Choose the doctor visit.

Best for: a new health problem or a doctor’s note.

Best for: a refill, or results from a previous visit.

Best for: a school or university form.

Already a patient? Book from your portal

See what each visit includes

If you came from a service page, the visit type is already selected. If you're not sure, choose the doctor visit. Each type's price is in the list above.

  • Doctor visit: a new problem, virtual urgent care, primary care, children, birth control, STIs, skin and acne, visitors and chronic care.
  • Follow-up visit: a refill of a medicine you already take (non-controlled), or a review of your lab results from a previous visit with us.
  • School and university forms: the medical form your school or university asks for (when the video evaluation supports it), and a medical certificate of an illness or condition the doctor evaluated.
  • If your follow-up or forms visit turns out to need a full doctor visit, the doctor explains why and, with your consent, you pay the difference. See pricing.

Chest pain, trouble breathing, weakness on one side or bleeding that won’t stop? Don’t book: call 911 or go to the ER.

If it isn’t an emergency, instead of spending hours in an emergency room, talk to the doctor from home.

In Puerto Rico, people who go to the ER and are sent home spend a median of 4 h 52 min there, arrival to departure (Oct 2024–Sep 2025). Source: CMS OP-18b (opens in a new tab)

Step 2 of 2: Confirm and pay

Chest pain, trouble breathing, weakness on one side or bleeding that won’t stop? Don’t book: call 911 or go to the ER.

  • a)The patient (you or the person you are booking for) will be physically in Puerto Rico for the whole visit.
  • b)It is not an emergency, and none of the warning signs above apply. In an emergency, call 911. For thoughts of harming yourself, call or text 988 or Línea PAS 1-800-981-0023.
  • c)If the patient is under 21, a parent with patria potestad (parental authority) or a legal guardian will be on camera for the whole visit and will show photo ID.

Full refund if the clinic can’t see you.

See the full policy

To pay, tick the “I confirm that” box above.

Emergency?911

  • Secure card payment, plus Apple Pay or Google Pay depending on your device.
  • Full refund if the clinic can’t see you.
  • Every day, any time (Puerto Rico time).
  • You choose your time when you register, and we email the confirmation to the address you give on the payment page.
  • Medical care provided by Dr. Diana Nieves Castro, MD (PR license 24027)
  • You’re charged $79 now, when you request the visit. Billed by The Health Initiative, a U.S. 501(c)(3) nonprofit organization.
  • On your card statement, the charge shows as LAC HEALTH* TELEMED PR or similar.
  • Your answer to this box is not sent or saved. The payment page does not ask for any health information.

Questions before you pay? Call +1 (703) 899-3509 or email [email protected]. Please don’t include health information.

If it isn’t an emergency, instead of spending hours in an emergency room, talk to the doctor from home.

In Puerto Rico, people who go to the ER and are sent home spend a median of 4 h 52 min there, arrival to departure (Oct 2024–Sep 2025). Source: CMS OP-18b (opens in a new tab)

What happens after you pay

After you pay:

  1. You complete a short registration right after paying (about 15 minutes). Your time is already held.

  2. You sign your consent online, on your phone or computer. You don't need to print, fill in or send us any document.

  3. We email you the confirmation and a secure link for your video visit. It works on your phone, tablet or computer.

  4. If appropriate, the doctor prescribes and we send your prescription to your pharmacy. If needed, she gives you a lab order for a lab near you. With the doctor visit, your doctor's note is included.

What to have ready

For your registration and your visit, have:

  • Nothing to print: you sign the consent online, on your phone, after you pay.
  • Photo ID. If the patient is under 21, the parent's or guardian's ID, plus the guardianship court order for a legal guardian.
  • A phone, tablet or computer with a camera, in a private, well-lit place with a good connection.
  • The name and address of your pharmacy.
  • A list of the medications you take and, for a child, a recent weight and a thermometer.

Before you pay and book your telehealth visit

The payment page does not ask for any health information. If the clinic can’t see you, we refund you in full. See cancellations and refunds. You have the right to a Good Faith Estimate. Questions? See the FAQ or how it works.

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