Doctor online in Puerto Rico 24/7, by video

It's a real doctor's visit, over video. The doctor sees and hears you, asks follow-up questions and has you show her what matters on camera, like your throat, an irritated eye or a rash. We send you a secure video link; it works on your phone, tablet or computer, from your home, your hotel or wherever you are on the island.

You always see Dr. Diana Nieves Castro, MD, a general practice physician licensed in Puerto Rico. Her years in emergency departments mean she knows what can be handled at home and when you need to be seen in person, and she tells you plainly. By the end of the visit you know what's going on, what to do next and, when needed, you have your prescription, lab order or doctor's note. If you need a doctor in Puerto Rico, whether you live here, just moved to the island or are visiting, she can be that doctor, by video.

Book online and choose your time right away. For more detail, see how telehealth works.

We evaluate, diagnose and treat; if needed, we give you a lab order for a lab near you. Our services:

• Virtual urgent care: colds, flu, UTIs, sinus infections, sore throat, pink eye, rashes, diarrhea and other non-emergencies.
• Primary care: new concerns, prevention and check-ins with the same doctor.
• Chronic care for high blood pressure, diabetes, cholesterol and thyroid conditions.
• Kids of all ages, always with a parent or legal guardian on camera.
• Prescription refills for non-controlled medicines you already take, even if another doctor prescribed them.
• Follow-up visits to go over your lab results.
• Lab orders for blood work, urine tests, strep tests and more, at a lab near you.
• A doctor's note for work or school, included after your visit.
• School and university forms.
• Evaluation and treatment for weight loss, with lab orders and follow-up.
• Online mental health care: evaluation and treatment for anxiety, depression and insomnia.
• Birth control, including emergency contraception.
• STI testing and treatment, with testing by lab order.
• HIV PrEP and doxy-PEP, with the lab tests the CDC calls for.
• Skin and acne care.
• Care for visitors, including cruise passengers.

These are the most common reasons people book. Don't see yours? Request a visit anyway: the doctor will tell you whether video is right for it.

• Colds, coughs, flu and COVID-19.
• Sore throat, sinus infections and ear pain.
• Urinary tract infections.
• Pink eye, allergies and rashes.
• Diarrhea, vomiting and an upset stomach.
• High blood pressure, diabetes, cholesterol and thyroid conditions.
• Men's sexual health, such as erectile dysfunction.
• Medicines you ran out of or left at home.

Treatment depends on what the doctor finds when she evaluates you. If appropriate, the doctor prescribes and we send your prescription to your pharmacy. No visit guarantees a particular medicine: many colds and sore throats are viral, and antibiotics don't work on viruses. See how online prescriptions work.

When a test would help decide, the doctor gives you a lab order for a lab near you, such as a urine test, a strep test or blood work. You then go over the results with her in a follow-up visit.

A video visit fits most of the problems listed above: things that are not an emergency but that you would rather not wait on. If the doctor sees that you need a physical exam or a test that only happens in person, she tells you clearly and explains what kind of care to look for and how soon.

To decide before you book, read telehealth vs in-person visits. Already booked? See how to prepare for your video visit.

Online visits are not for emergencies. If you have chest pain, trouble breathing, signs of a stroke, a severe allergic reaction or a serious injury, call 911 or go to the nearest emergency room.

Anyone who is physically in Puerto Rico during the visit, whether you live here or are visiting. The doctor is licensed in Puerto Rico, and the law requires the patient to be on the island. No insurance needed.

For a patient under 21, a parent with patria potestad (parental authority) or a legal guardian must stay on camera for the whole visit and show photo ID.

What sets us apart:

• A named doctor whose license you can check. Puerto Rico license 24027 and NPI 1922842756, with links to verify both on her profile.
• Emergency-department experience, so she knows what can be treated at home and what can't.
• Video visits any time, including nights and weekends.
• English or Spanish, whichever you prefer.
• Adults and kids of all ages.
• Clear prices, no membership.
• Private visits: visits are not recorded.
• Run by a nonprofit: The Health Initiative, a U.S. 501(c)(3).

Book a visit and choose Doctor visit for a new problem or urgent care. If you only need a refill of a medicine you already take (non-controlled), choose Follow-up visit.