Services
Urgent care in Puerto Rico 24/7, by video
Our urgent care in Puerto Rico is a 24/7 video doctor visit for problems that are not emergencies: colds, flu, UTIs, sinus infections, sore throat, pink eye, rashes and diarrhea. Dr. Diana Nieves Castro, a Puerto Rico-licensed physician with emergency-department experience, evaluates, diagnoses and treats you, day, night or weekend. If needed, she gives you a lab order for a lab near you. In an emergency, call 911.
Is it an emergency? Call 911.
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.

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, or trouble breathing
- A drooping face, weakness on one side or trouble speaking
- Swelling of the tongue, lips or throat
- Confusion, fainting or a seizure
- A fever in a baby under 3 months old
- Dengue warning signs: belly pain, repeated vomiting or bleeding
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On this page(10)
Urgent care in Puerto Rico and San Juan, by video
It's urgent care by video for the things that can't wait for an appointment with your regular doctor but aren't emergencies either: a burning sore throat, burning when you pee, a red eye, a fever with a cold, or diarrhea that won't quit.
We see patients anywhere on the island, including San Juan; no walk-in, no address. You join from home, your rental or your hotel, and you must be physically in Puerto Rico during the visit. Visitors and cruise passengers on the island are welcome.
You see Dr. Diana Nieves Castro, MD, a general practice physician with several years of emergency-department experience. That training helps her tell what can be treated at home from what needs in-person care, and she tells you straight. We see adults and children of all ages, in English or Spanish. Her Puerto Rico license (24027) and NPI (1922842756) can be verified from her profile.
Before you leave home
Why a video visit
For anything that isn’t an emergency, compare what each option takes.
| 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.
Urgent care 24/7: nights and weekends
Plenty of urgent problems start after your doctor's office closes: a child's fever at midnight, a UTI on a Sunday, a sore throat you wake up with. That is when a doctor online 24/7 helps most. Need an after-hours doctor in Puerto Rico? Urgent care 24/7 means video visits at any hour, including nights and weekends; only the clinic's posted holiday closures are blocked on the schedule.
Looking for San Juan, Puerto Rico urgent care late at night? Book your visit online, choose your time right away, and the doctor sees you by video. If she prescribes something at night, check for a 24-hour pharmacy near you; in some areas, such as the west coast, pharmacy counters close at night. Not sure whether it is urgent or an emergency? See ER vs urgent care in San Juan.
How does virtual urgent care work?
The doctor asks about your symptoms, when they started and what you've taken. Then she has you show her what matters on camera: your throat with your phone's flashlight, your eye, your skin or your belly. If you have a thermometer, take your temperature before the visit.
She then explains what she thinks is going on and how to take care of it. If appropriate, the doctor prescribes and we send your prescription to your pharmacy. If a test would help confirm the diagnosis, she gives you a lab order. And if you need time off, your doctor's note is included.
Your doctor
Dr. Diana Nieves Castro, MD
General practice physician
Several years of emergency-department experience.
Founding Executive Director of The Health Initiative.
Your urgent care visit in 3 steps
Video doctor visits 24/7 — book online and choose your time right away.
Request your visit and pay by card.
You are charged when you request it, with a full refund if the clinic can’t see you.
You choose your time when you book, and we send your secure video link.
It works on your phone, tablet or computer.
The doctor sees you by video
and tells you what to do: treatment, a prescription sent to your pharmacy, a lab order or, if needed, where to go in person.
Price
Virtual urgent care is a doctor visit, the same price for every age, with no membership and no insurance needed. A doctor's note after your visit is included at no extra charge. You pay the pharmacy for any medicine and the lab for any tests. We don’t bill insurance; on request we give you an itemized receipt (superbill) so you can file a claim yourself. See pricing.
Video visit
Doctor visit
$79
For a new problem, urgent care (non-emergencies), primary care, children, birth control, STIs, skin and acne, and visitors. Includes a doctor's note if you need one.
- You’re charged when you request the visit.
- Full refund if the clinic can’t see you
What virtual urgent care in Puerto Rico can treat
These are the most common problems we see by video. Don't see yours? Request a visit: the doctor will tell you whether it can be handled this way.
- [Colds](route:condition-common-cold) and coughs: a stuffy nose, runny nose, cough, laryngitis (losing your voice) and feeling run-down.
- [Flu](route:condition-flu) and [COVID-19](route:condition-covid-19): fever, body aches and fatigue.
- [Urinary tract infections](route:condition-uti): burning when you pee, needing to go often, and lower belly pain.
- [Sinus infections](route:condition-sinusitis): facial pressure, congestion and thick mucus.
- [Sore throat](route:condition-sore-throat) and possible strep.
- [Pink eye](route:condition-pink-eye): a red, crusty or itchy eye, and a stye on the eyelid.
- [Rashes](route:symptom-skin-rash), hives, insect bites and mild sunburn.
- [Diarrhea and vomiting](route:condition-stomach-bug) and an upset stomach.
- [Ear pain](route:condition-ear-pain-adults), allergies, muscle aches and fever in adults.
- [Nosebleeds](route:symptom-nosebleed) that keep coming back (with no recent fever), from a dry nose, allergies or a cold: the doctor looks for the cause and helps you prevent the next one.
- [Minor burns](route:condition-minor-burns) and [toothache](route:symptom-toothache): the doctor helps with the pain and checks for signs of infection; to fix the tooth, we refer you to a dentist.
Treatment, and when we order a lab test
Many problems can be diagnosed from your symptoms and what the doctor sees on camera. When a test would help decide the treatment, she gives you a lab order for a lab near you. For example:
- Sore throat: a rapid strep test or throat culture, because strep can only be confirmed with a test.
- UTI: a urinalysis or urine culture, especially for young children or when infections keep coming back.
- A fever or diarrhea that isn't improving: blood work or other tests the doctor considers necessary.
Once you have the results, you go over them with her in a follow-up visit. The doctor never promises an antibiotic: antibiotics don't work on viruses, which cause most colds and many sore throats. If appropriate, the doctor prescribes and we send your prescription to your pharmacy.
When to go to the ER instead of a video visit
Virtual urgent care is not for emergencies. For your safety, call 911 or go to the nearest emergency room if you or your child have:
- Chest pain or pressure, or trouble breathing.
- A drooping face, weakness on one side or trouble speaking.
- Swelling of the tongue, lips or throat after a sting, a food or a medicine.
- Confusion, fainting, a seizure or unusual sleepiness.
- A serious injury, a bone that looks broken or bleeding that won't stop.
- Sudden severe belly pain, vomiting that keeps you from holding down fluids, or signs of dehydration.
- A fever in a baby under 3 months old.
- With dengue or suspected dengue: belly pain, repeated vomiting, bleeding gums or nosebleeds, or unusual tiredness or irritability.
Book urgent care in Puerto Rico
Book a visit and choose Doctor visit. For a patient under 21, a parent with patria potestad (parental authority) or a legal guardian must stay on camera for the whole visit.
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.
What the doctor treats
Some of the conditions, symptoms and guides the doctor handles in this service:
- Allergies (allergic rhinitis)
- Boils
- Bronchitis
- Cellulitis and skin infections
- Common cold
- COVID-19
- Cutaneous larva migrans
- Cuts and wounds
- Diarrhea and vomiting in children
- Ear pain in adults
- Ear pain in children
- Fever in adults
- Flu (influenza)
- Gastritis
- Hand, foot and mouth disease
- Headache
- High blood sugar
- Laryngitis (lost voice)
- Pink eye (conjunctivitis)
- Shingles
- Sinus infection (sinusitis)
- Stomach bug and diarrhea
- Stomach pain
- Sunburn
Frequently asked questions
Can I get antibiotics through a video visit?
Do you see kids for urgent care?
Is this the same as a walk-in urgent care center?
Do I need to be in Puerto Rico?
Can I get a note for work?
Is there 24-hour urgent care in Puerto Rico?
Is there urgent care in San Juan, Puerto Rico?
How much does urgent care by video cost?
Are you open now?
Before you pay
Why do I pay before choosing a time?
Can I cancel or change the time?
Do you record the visit?
Need to see the doctor?
$79Doctor visit
- You’re charged when you request the visit.
- Full refund if the clinic can’t see you
Video doctor visits 24/7 — book online and choose your time right away.
Doctor visit: $79 — BookPay 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.
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
Sources (11)
- Urinary Tract Infection Basics (CDC) (opens in a new tab) (accessed 2026-09-30)
- Detecting urinary tract infections in children (AAP, HealthyChildren.org) (opens in a new tab) (accessed 2026-09-30)
- Strep Throat (CDC) (opens in a new tab) (accessed 2026-09-30)
- Sore Throat Basics (CDC) (opens in a new tab) (accessed 2026-09-30)
- Antibiotic use: antibiotics do not work on viruses (CDC) (opens in a new tab) (accessed 2026-09-30)
- Stroke signs and symptoms (CDC) (opens in a new tab) (accessed 2026-09-30)
- Heart attack symptoms (CDC) (opens in a new tab) (accessed 2026-09-30)
- Anaphylaxis (MedlinePlus, NIH) (opens in a new tab) (accessed 2026-09-30)
- Dengue: Symptoms and warning signs (CDC) (opens in a new tab) (accessed 2026-09-30)
- Fever in under 5s: assessment and initial management, NG143 (NICE) (opens in a new tab) (accessed 2026-09-29)
- Nosebleed (MedlinePlus, NIH) (opens in a new tab) (accessed 2026-10-09)
