Online doctor visits in Puerto Rico with a PR-licensed physician

Our online doctor visit in Puerto Rico is a real-time video call with Dr. Diana Nieves Castro, MD, a general practice physician licensed in Puerto Rico. She treats common illnesses and follows up stable chronic conditions for adults and children from 6 months old. It costs US$79 with no insurance needed, and works anywhere on the island, for residents and tourists alike, as long as you are physically in Puerto Rico.

Video visit: US$79 · Pay by card · See the price and what is included

Is this an emergency?

Call 911 or go to the nearest emergency room for chest pain, trouble breathing, weakness or numbness on one side of the body, confusion, bleeding that will not stop, or if you think your life is in danger.

Help lines:

911 — Emergencies
1-800-981-0023 — Línea PAS (mental-health crisis line)
988 — Suicide & Crisis Lifeline
1-800-222-1222 — Poison Help

Warning signs: when to go to the ER

Book a visit

What an online doctor in Puerto Rico can treat

Common problems and follow-up, whenever the doctor judges that video is safe for your situation. If she finds you need an exam, a test or urgent care, she will tell you and point you to the right place.

Common illnesses: urinary tract infections, sinus infections, sore throat, flu, COVID-19, pink eye, allergies, eczema and dermatitis, and a stomach bug without dehydration.
Follow-up of high blood pressure, type 2 diabetes or high cholesterol when they are stable.
Prescription refills for non-controlled maintenance medications.
Lab orders when the doctor considers them appropriate, and review of the results.
A doctor's note for work or school, only after she has evaluated a current illness.

How the video visit works

Request a visit online 24/7 — we confirm your time by email or text. Then:

Request your visit on this site and pay US$79 by card.
We email or text you to confirm the time and send the secure link for the video visit, which runs on SimplePractice.
Before your first visit you sign a written informed consent, as Puerto Rico's telemedicine law requires.
At the start, the doctor confirms you are in Puerto Rico. For a patient under 21, she checks the parent's or guardian's photo ID.
She asks about your symptoms, has you show her anything relevant on camera, and explains what she thinks is going on and what to do.
If appropriate, she may prescribe medication, give you a lab order or a doctor's note, or recommend in-person care.

What you need for the call

On a computer the visit runs in your browser with nothing to download. On a phone or tablet you need the free "Telehealth by SimplePractice" app. The portal can be shown in Spanish on the web; some forms and the app are in English.

Find a private spot with good light and a steady Wi-Fi or data signal. Have your medications and allergies handy, plus a thermometer or blood pressure monitor if you have one. See how a visit works, step by step.

Online doctor in Puerto Rico without insurance: US$79

US$79 per visit, the same for adults and children. You are charged by card through Stripe when you request the visit, and you get a full refund if the visit can't take place. We do not bill insurance, whether it is a Puerto Rico plan, a mainland plan or Medicare; on request we give you an itemized receipt (superbill) to claim from your plan yourself. There is no extra charge for a prescription, lab order or note the doctor decides to give you; the pharmacy and the lab charge separately.

If you are comparing, each provider sets its own price. According to CMS, if you are not using insurance, a provider usually must give you a good faith estimate of expected charges if you ask, or if you schedule at least 3 business days ahead. At community health centers, what you pay depends on your income; see seeing a doctor without insurance. Payment details are on pricing.

Who can use it: residents, tourists and new arrivals

Anyone who is physically in Puerto Rico during the visit. The doctor is licensed in Puerto Rico, and the rule is that the doctor must be licensed where the patient is. So a Puerto Rico resident who is traveling in Florida can't use the service until they are back on the island, and a visitor from New York can use it while they are here.

Tourists, cruise passengers, students, remote workers and people who have just moved to the island are all welcome, with no local insurance needed. Visits are in English or Spanish. If you are on vacation, the guide for visitors and the cruise passenger guide may help.

Online doctor visits for children

We see children from 6 months old, always with a parent or legal guardian on camera. The doctor is not a pediatrician: for children she treats common problems and will tell you when an in-person visit or a pediatric specialist is needed. By video we can't confirm ear infections, run strep tests or do urine tests for young children. Details are on the child doctor visit page.

Can I get a prescription online in Puerto Rico?

If appropriate, the doctor can prescribe medication. We do not prescribe controlled substances.

A prescription is never guaranteed: it depends on what the doctor finds. Many colds and sore throats are viral and don't get better with antibiotics; see antibiotics by telehealth. If you ran out of a regular medication while traveling, see prescription refills and what to do about a lost or forgotten prescription. Check your pharmacy's counter hours before the visit: many stores stay open late, but the pharmacy counter closes earlier.

Is this virtual urgent care?

It covers some of the same everyday problems, but we are not an urgent care center, a CDT or an emergency room. Visits are scheduled: you request one and we confirm the time by email or text. We don't make house or hotel calls. By video we don't offer vaccines, the PVAC-3 (hoja verde), the certificado de salud, school, daycare or sports physicals, or well-child checks; the full list is on what we don't do. If you have chest pain, trouble breathing, signs of a stroke or a serious injury, call 911 instead of booking.

Why video with a Puerto Rico-licensed physician

It happens in real time. The doctor sees and hears you, asks follow-up questions and looks at what matters. There are no questionnaire-only visits and no phone-call visits: every visit is by video.

Her license is checkable. Dr. Diana Nieves Castro, MD, is a general practice physician with several years of emergency-department experience. Her Puerto Rico license and NPI record are linked from her profile; see also how to verify a doctor's license.

It follows Puerto Rico law. Since Ley 8-2025, a doctor licensed in Puerto Rico can practice telemedicine without a separate certification, with the patient's written consent. More in Puerto Rico's telemedicine law.

From the San Juan metro area to Rincón, Ponce and Vieques

The visit isn't tied to one town. You can be at home in San Juan, Guaynabo or Carolina, at a hotel in Isla Verde, Condado or Old San Juan, in Dorado, Rincón, Aguadilla, Mayagüez or Ponce, or out on Vieques or Culebra. You just need to be in Puerto Rico with a connection that can hold a video call.

If the doctor recommends in-person care, she will tell you what kind of place to look for. See also where to go when you are sick in Puerto Rico.

Before you book

You must be physically in Puerto Rico during the visit (visitors and tourists are welcome).
We see patients from 6 months old. Patients under 21: a parent or legal guardian must be on camera for the whole visit.
Real-time video only; we do not do phone-call visits.
We do not prescribe controlled substances.

What we don't do by telehealth

Frequently asked questions

Can I get a prescription online in Puerto Rico?: If appropriate, the doctor can prescribe medication. We do not prescribe controlled substances. Whether you get one depends on what the doctor finds on the video visit, and there is no extra charge: it is part of the US$79 visit. You pay for the medication at the pharmacy.
How much is a doctor visit without insurance in Puerto Rico?: Each provider sets its own price. Ours is US$79 by video, charged when you request it, with no insurance needed and an itemized receipt (superbill) on request. If you pay without insurance elsewhere, you can ask for a good faith estimate before the appointment. Community health centers charge based on income.
Is there virtual urgent care in San Juan?: We offer scheduled video visits with a Puerto Rico-licensed doctor for patients anywhere on the island, San Juan included. We are not an urgent care center or an ER: for an emergency, call 911.
Can I use it if I'm visiting Puerto Rico?: Yes, as long as you are physically in Puerto Rico during the visit. Visits are available in English and Spanish, and you pay by card, so no local insurance is needed.
Can the doctor see me if I'm in Florida or another state?: No. The doctor is licensed in Puerto Rico, so you must be physically in Puerto Rico during the visit.
Can I do the visit by phone instead of video?: No. Every visit is a video call. You can use a computer, with nothing to download, or a phone or tablet with the free "Telehealth by SimplePractice" app.