Services
Virtual urgent care in Puerto Rico
Our virtual urgent care in Puerto Rico is a 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. If needed, she gives you a lab order for a lab near you. In an emergency, call 911.
Is it an emergency? Call 911.

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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Urgent care in Puerto Rico, 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.
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.
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| Hours and time | We do not publish a wait time. Request a visit online 24/7 — we confirm your time by email or text. | 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 | US$79 visit · US$49 follow-up · US$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.
How we treat urgent problems by video
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
Request a visit online 24/7 — we confirm your time by email or text.
Request your visit and pay by card.
You are charged when you request it, with a full refund if the visit can't take place.
We confirm your time and 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 US$79 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.
Video visit
Doctor visit
US$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 visit can’t take place
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.
- [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. We do not prescribe controlled substances.
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 virtual urgent care
Book a visit and choose Doctor visit (US$79). 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. We do not prescribe controlled substances.
You must be physically in Puerto Rico during the visit (visitors, tourists and cruise passengers are welcome).
In an emergency, call 911.
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?
Are you open now?
Need to see the doctor?
US$79Doctor visit
- You’re charged when you request the visit.
- Full refund if the visit can’t take place
Request a visit online 24/7 — we confirm your time by email or text.
Doctor visit: US$79 — BookAbout 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: 2026-10-02
Sources (10)
- 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)
