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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.

$79Doctor visitChildren and adults of all ages

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.

Hands holding a smartphone

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

Warning signs: when to go to the ER

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.

Why a video visit
ComparisonVideo visitEmergency roomCDT or doctor’s office
Getting thereFrom home: join from your phone, tablet or computer.Drive and find parking.Drive and find parking.
Waiting roomSkip the waiting room: join from wherever you are in Puerto Rico.Yes, a waiting room.Yes, a waiting room.
Hours and timeEvery 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).1,2An 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.
LanguageSpanish or English, with the same doctor.Depends on the place.Depends on the place.
PrescriptionsIf appropriate, the doctor prescribes and we send your prescription to your pharmacy.Yes, if needed.Yes, if needed.
When to go in personIf 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.

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.

Meet the doctor

Your urgent care visit in 3 steps

Video doctor visits 24/7 — book online and choose your time right away.

  1. 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.

  2. You choose your time when you book, and we send your secure video link.

    It works on your phone, tablet or computer.

  3. 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:

Frequently asked questions

Can I get antibiotics through a video visit?

If appropriate, the doctor prescribes and we send your prescription to your pharmacy. It depends on what she finds: many colds and sore throats are viral, and antibiotics won't help them. If an infection needs confirming, she gives you a lab order.

Do you see kids for urgent care?

Yes, children of all ages, with a parent with parental authority or a legal guardian on camera for the whole visit. A baby under 3 months with a fever should go to the ER.

Is this the same as a walk-in urgent care center?

We treat many of the same non-emergency problems, but by video and by appointment. If the doctor sees you need an in-person exam, she tells you where to go and how soon.

Do I need to be in Puerto Rico?

Yes. The doctor is licensed in Puerto Rico, so you must be physically on the island during the visit. Visitors are welcome.

Can I get a note for work?

If the doctor considers it appropriate, your doctor's note, dated the day of the visit, is included at no extra charge.

Is there 24-hour urgent care in Puerto Rico?

Yes, by video: our urgent care 24/7 covers problems that are not emergencies, such as a cold, a fever without warning signs, a UTI or a sore throat. You book a visit online, choose your time right away, and the doctor sees you by video. For an emergency, hospital ERs are open 24 hours, every day: call 911.

Is there urgent care in San Juan, Puerto Rico?

Yes. We see patients in San Juan and anywhere else on the island by video, with no walk-in and no address to drive to. For stitches, an X-ray or a sprain, a CDT or walk-in urgent-care center is the right place; see where to go when you're sick.

How much does urgent care by video cost?

It is a doctor visit, with the same published price for every age and no membership; see pricing. You pay by card when you request it, with a full refund if the clinic can’t see you. Any medicine and lab tests are paid separately, at the pharmacy and the lab.

Are you open now?

Every day, any time (Puerto Rico time). Video doctor visits 24/7 — book online and choose your time right away. If you have a warning sign, don't wait: call 911 or see when to go to the ER.

Before you pay

Why do I pay before choosing a time?

That is how booking works: you pay first and choose your time right after, in the same process, from the times the doctor has open. Before paying you see the price and the cancellation policy.

Can I cancel or change the time?

You can cancel your visit for a full refund, or change the time at no cost up to 2 times, if you do it 24 hours or more before it starts. Within 24 hours you can no longer cancel or change the time, and there is no refund: the doctor has that time reserved for you and your consent is signed. If you don't join in the first 10 minutes of the visit, it counts as a no-show and there is no refund. If the clinic can't see you (the doctor is not available, there is a technical problem on our side, or we can't complete a required check), we refund you in full. If the clinic moves your visit, you can cancel it for a full refund even if it is less than 24 hours away.

Do you record the visit?

No. We do not record the video or audio of visits.

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 — Book

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.