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The Health InitiativeTelehealth in Puerto Rico
Book from $35 (Doctor visit, $79)

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The Health Initiative
Book a visit

$79Doctor visitCharged when you request

Services

Telehealth services in Puerto Rico

Our telehealth services in Puerto Rico include virtual urgent care and primary care, visits for children of all ages, prescription refills, lab orders, chronic care, birth control, STI testing and treatment, skin and acne care, medical weight loss, school and university forms, and care for visitors. There are three prices: doctor visit, follow-up visit and forms, with no insurance needed and no membership.

  • $79Doctor visit
  • $49Follow-up visit
  • $35School and university forms
See prices and what each includes
Book a visit

Every day, any time (Puerto Rico time). Video doctor visits 24/7 — book online and choose your time right away.

A mother and her daughter look at a tablet together at home

Services

20
  • Online doctor visit

  • Chronic care

  • Lab orders

  • Doctor's note

  • Online doctor for kids

  • Urgent care by video

  • Primary care doctor online

  • Care for visitors

  • Online prescription

  • English-speaking doctor

  • Birth control

  • STI testing and treatment

  • Skin and acne care

  • Weight loss

  • Mental health telehealth

  • HIV PrEP and doxy-PEP

  • Quit smoking

  • Prescription refills

  • Follow-up visit

School and university forms

$35
More about school and university forms

Which telehealth service to choose

Every service is one of three visit types. If you're not sure which to pick, choose the doctor visit: the doctor will assess your situation in an online doctor visit by video. Details on pricing.

What every service includes

Every service in our telehealth in Puerto Rico works the same way: 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, as with any online prescription. A doctor's note after your visit is included at no extra charge.

Every service, 24/7: video visits nights and weekends

The doctor offers video visits any time, including nights and weekends. Every day, any time (Puerto Rico time). Request a visit online 24/7 and choose your time right away. The clinic closes for the whole day on some holidays. For an emergency, call 911.

If your visit needs more than you booked

If a follow-up or forms visit turns out to need a full doctor visit, the doctor explains why and, only with your consent, you pay the difference. We never charge you anything without telling you first.

Who our telehealth services in Puerto Rico are for

We see you if:

  • You are an adult or a child of any age; each visit type is the same price for every age.
  • If the patient is under 21, a parent with patria potestad (parental authority) or a legal guardian is on camera for the whole visit and shows photo ID.
  • You are physically in Puerto Rico during the visit: residents, tourists and cruise passengers.
  • You want care in English or Spanish, with the same doctor, Dr. Diana Nieves Castro, MD: Puerto Rico license 24027 and NPI 1922842756, which you can verify in official sources.

The only things we don't do

We don't handle emergencies by video. In an emergency call 911 or go to the ER; see when to go to the ER. To see how booking works, read how it works.

Frequently asked questions

Can I use my health insurance?

You pay for each visit by card; we do not bill insurance. On request we give you an itemized receipt (superbill) so you can file a claim yourself; any reimbursement depends on your plan. No insurance? See doctor without insurance in Puerto Rico.

Are medicines and lab tests included?

No. The price covers your visit with the doctor. The lab bills for lab tests and the pharmacy for medicines; what you pay there depends on each place and on your insurance. See pricing.

Which visit do I book for weight loss or low testosterone?

The first evaluation is a doctor visit. If you later go over your lab results with the doctor, or need a refill of a medicine you already take (non-controlled), book a follow-up visit. See weight loss and low testosterone.

When is telehealth enough, and when should I go in person?

Telehealth fits what is not an emergency: a new problem, a refill or a form. If the doctor sees that you need a physical exam or a test that only happens in person, she tells you clearly. See telehealth vs in-person visits. In an emergency, call 911.

Is my visit private?

Yes. You talk with the doctor by video from wherever you like in Puerto Rico, and visits are not recorded. Your record is held by a HIPAA-compliant electronic health record provider. See the privacy notice.

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: 2026-09-30 · Updated: 2026-10-11