Areas
Doctor in Arecibo by Video, Plus the Pavía and Susoni ERs Open at Night
For a doctor in Arecibo, start with the town's two 24-hour ERs: Hospital Pavía Arecibo on Route 129, which has a pediatric ER (go there with a child), and Hospital Metropolitano Dr. Susoni on Calle Palma. No pharmacy counter in Arecibo stays open overnight: the Walgreens counters close at 8 p.m. For a cold, fever, UTI or refill, Dr. Diana Nieves Castro, MD, sees patients of all ages by video while they are in Puerto Rico.
Is it an emergency? Call 911.
Video only
We are a telehealth-only service: we have no office or clinic in this area or anywhere else in Puerto Rico. If you need to be seen in person, this guide shows where to go.
Is this an emergency?
This is not an emergency service. Call 911 or go to the nearest emergency room if you have:
- A wound after wading in or cleaning up floodwater that turns red or comes with fever
- Anyone swept away by a swollen river or stream
- As a dengue fever breaks: belly pain, repeated vomiting, or bleeding gums or nose
- A child who is struggling to breathe, hard to wake or cannot keep fluids down: go to Pavía Arecibo
Help lines
Emergency rooms in Arecibo: Pavía Arecibo and Metropolitano Dr. Susoni
In an emergency call 911. The CMS Care Compare hospital database lists two hospitals in Arecibo, both with emergency services and both in the Metro Pavia network. Neither is affiliated with us.
Hospital Pavía Arecibo, Route 129 Km 1.0, Ave San Luis, Arecibo, PR 00613. Phone 787-650-7272. It is on Metro Pavia's adult ER list, which says the ERs are open "las 24 horas del día" (24 hours a day), and on its pediatric ER list. The hospital's own page mentions both an adult and a pediatric ER; the pediatric list gives no hours.
Hospital Metropolitano Dr. Susoni, 55 Calle Palma, Arecibo, PR 00612. Phone 787-650-1030. Its page says it has a 24-hour ER. It is on Metro Pavia's adult ER list but not on the pediatric list, and its page does not say whether it sees children. With a child, go to Pavía Arecibo.
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.
Urgent care in Arecibo: Doctors' Center, 7 a.m. to 11 p.m.
Doctors' Center Hospital – Arecibo, Route 2 Km 80.1, Arecibo Medical Center, 787-650-2600. Its location listing calls it emergency care, but the hours it publishes are Monday to Sunday, 7 a.m.–11 p.m., so it is closed overnight and is not a 24-hour ER. It is not on the CMS hospital list for Arecibo. Call ahead to confirm what it treats.
It is the extended-hours option for a cut or a sprain late in the day. After 11 p.m., or for anything serious, your options are Pavía Arecibo, Susoni or 911; for anything that is not an emergency, the doctor can see you by video. Unsure which you need? Read where to go when you are sick.
Is there a 24-hour pharmacy in Arecibo? No: the last counter closes at 8 p.m.
There is no 24-hour pharmacy counter in Arecibo. Remember that an open store is not an open pharmacy counter. From the Walgreens locator and the Farmacias Caridad directory:
Walgreens, 446 Ave Juan Rosado (SW corner of PR-10), 787-880-0384. Store: daily 7 a.m.–11 p.m. Pharmacy counter: Mon–Fri 8 a.m.–8 p.m., Sat 9 a.m.–6 p.m., Sun 10 a.m.–6 p.m.; closed 1:30–2 p.m. for a meal break.
Walgreens, 580 Ave San Luis (NW corner of PR-129 and Calle Unión), 787-815-0785. Store: daily 7 a.m.–10 p.m. Pharmacy counter: Mon–Fri 8 a.m.–8 p.m., Sat–Sun 9 a.m.–6 p.m.; closed 1:30–2 p.m.
Farmacia Caridad Arecibo, 757 Ave Miramar, 787-880-4240. The store is open 7 a.m.–10 p.m., but the pharmacy counter closes earlier: Mon–Fri 7 a.m.–7 p.m., Sat 10 a.m.–5 p.m., Sun 11 a.m.–5 p.m. Drive-thru available.
For a counter open all night, the Walgreens locator returns, among others, Walgreens, 4699 Route 5, Bayamón (787-799-4699) and Walgreens, 2979 Ave Emilio Fagot, Ponce (787-841-7400); both close 1:30–2 a.m. We do not publish distances: the locator measured from a Ponce ZIP code, not from Arecibo.
Sick at night in Arecibo: what to do after 8 p.m.
The Walgreens pharmacy counters close at 8 p.m. and Doctors' Center at 11 p.m. After that, Arecibo is down to two hospital ERs. Work through it in this order:
- Is it an emergency? Chest pain, shortness of breath, stroke signs, or dengue with belly pain or bleeding: call 911. Pavía Arecibo and Susoni are open 24 hours.
- A very sick child? Go to Pavía Arecibo, which is on Metro Pavia's pediatric ER list. If it is not an emergency, the doctor sees children of all ages: see video visits for children.
- Need a prescription filled tonight? No counter is open inside Arecibo. The nearest all-night counters are in Bayamón and Ponce; call before you set off.
- Something over the counter? The Walgreens store on Ave Juan Rosado is open until 11 p.m., and the Caridad Arecibo store until 10 p.m.
- Not an emergency? Request a visit online 24/7 — we confirm your time by email or text. See virtual urgent care.
Doctor in Arecibo by video: how we care for you
Dr. Diana Nieves Castro, MD, is a primary care physician licensed in Puerto Rico, with several years of emergency-department experience. She sees adults and children of all ages, in English or Spanish. She evaluates, diagnoses and treats; if needed, she gives you a lab order for a lab near you, such as a strep, urine or blood test. If appropriate, the doctor prescribes and we send your prescription to your pharmacy. We do not prescribe controlled substances.
We send you a secure video link; it works on your phone, tablet or computer. You just need to be in Puerto Rico during the visit. Anyone under 21 needs a parent or legal guardian on the video, with ID. Your card is charged when you request the visit, with a full refund if it can't happen, and a doctor's note after the visit is included.
- Doctor visit, US$79: new problems, non-emergency urgent care, primary care, children and visitors.
- Follow-up, US$49: a refill of a medicine you already take, or a review of lab results for existing patients.
- Forms, US$35: school, university or job forms.
Dengue in Arecibo: 6 cases in 2026 and one death in the region
The Puerto Rico Department of Health's weekly report for week 37 (published September 23, 2026, the latest as of September 30) counts 6 dengue cases in Arecibo for weeks 1–37 of 2026, 0.65% of the island's 922 cases. The Arecibo health region, which also includes Barceloneta, Camuy, Hatillo, Manatí, Utuado and other municipios, totals 77 cases. One of 2026's four dengue-associated deaths was in that region: a 22-year-old man, in July; the report does not identify the serotype.
The CDC says warning signs usually start 24 to 48 hours after the fever breaks: belly pain or tenderness, vomiting at least 3 times in 24 hours, bleeding from the nose or gums, blood in vomit or stool, or extreme tiredness or irritability. Any of these means the ER, not a video call. See our dengue guide.
Arecibo up close: the Observatory, PR-22, PR-2 and the Río Grande
Arecibo had 87,754 residents in the 2020 Census. PR-22 (the expressway) passes through the municipio but bypasses downtown; you reach town on PR-2, PR-10 and PR-129. Pavía Arecibo is on PR-129, Doctors' Center on PR-2, and the Ave Juan Rosado Walgreens by PR-10. The Arecibo Observatory, in Barrio Esperanza, belongs to the National Science Foundation: its radio telescope collapsed on December 1, 2020, and in 2023 NSF picked a university consortium to run an education center there, Arecibo C3 (per Wikipedia, a secondary source; we did not confirm visiting hours).
In March 2026 the Puerto Rico Senate approved Resolution 388 to investigate the Río Grande de Arecibo flood-control project, according to Metro Puerto Rico. If you live near the river, keep your medication list and photos of the labels in a waterproof bag and refill before hurricane season; see our guide to medications and hurricanes. West of here is our Aguadilla guide; east, Toa Baja, Levittown and Toa Alta. Addresses, phone numbers and hours on this page were last verified on 2026-09-30.
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
Is there a 24-hour pharmacy in Arecibo?
Where is the nearest ER in Arecibo?
Can a doctor see me at my home or hotel in Arecibo?
How much is a doctor visit without insurance in Arecibo?
Can I get a prescription online and pick it up in Arecibo?
Is Hospital Cayetano Coll y Toste still open?
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: 2026-10-02 · Updated: 2026-10-02
Sources (17)
- Metro Pavia: Hospital Pavía Arecibo (Spanish) (opens in a new tab) (accessed 2026-09-30)
- Hospital Pavía Arecibo: adult and pediatric ERs (Spanish) (opens in a new tab) (accessed 2026-09-30)
- Metro Pavia: Hospital Metropolitano Dr. Susoni (Spanish) (opens in a new tab) (accessed 2026-09-30)
- Metro Pavia: 24/7 adult emergency rooms (Spanish) (opens in a new tab) (accessed 2026-09-30)
- Metro Pavia: pediatric emergency rooms (Spanish) (opens in a new tab) (accessed 2026-09-30)
- CMS Care Compare: hospital general information (Arecibo) (opens in a new tab) (accessed 2026-09-30)
- Doctors' Center Hospital: Arecibo location listing (hours, address) (opens in a new tab) (accessed 2026-09-30)
- Walgreens, 446 Ave Juan Rosado, Arecibo: store and pharmacy hours (opens in a new tab) (accessed 2026-09-30)
- Walgreens, 580 Ave San Luis, Arecibo: store and pharmacy hours (opens in a new tab) (accessed 2026-09-30)
- Walgreens: 24-hour pharmacies near Arecibo (opens in a new tab) (accessed 2026-09-30)
- Farmacias Caridad: store locator (floor and pharmacy hours) (opens in a new tab) (accessed 2026-09-30)
- PR Department of Health: arboviral surveillance, week 37 of 2026 (Spanish) (opens in a new tab) (accessed 2026-09-30)
- CDC: dengue symptoms and warning signs (opens in a new tab) (accessed 2026-09-30)
- Metro Puerto Rico: Senate approves investigation of the Río Grande de Arecibo flood-control project (Spanish) (opens in a new tab) (accessed 2026-09-30)
- Wikipedia: Arecibo, Puerto Rico (population, roads; secondary source, Spanish) (opens in a new tab) (accessed 2026-09-30)
- Wikipedia: Arecibo Observatory (collapse, Arecibo C3; secondary source) (opens in a new tab) (accessed 2026-09-30)
- CMS: good faith estimates for uninsured and self-pay patients (opens in a new tab) (accessed 2026-09-30)
