Areas
See a Doctor in Caguas by Video: Dengue, ERs and the 24-Hour Pharmacy
If you need a doctor in Caguas at night, Hospital Pavía Caguas runs a 24/7 ER for adults and children, and the Walgreens on PR-1 has one of the island's five 24-hour pharmacy counters. Caguas also has more dengue cases than any other municipio in 2026. For a cold, fever 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:
- As a dengue fever breaks: belly pain, repeated vomiting, or bleeding gums or nose
- A child with fever who is very limp, irritable or hard to wake
- Chest pain, shortness of breath or stroke signs
- Wounds or fever after wading through floodwater
Help lines
Emergency rooms in Caguas: Pavía Caguas (formerly HIMA) and Menonita Caguas
In an emergency call 911. These are the two hospital ERs we verified in Caguas. Neither is affiliated with us.
Hospital Pavía Caguas (formerly HIMA San Pablo Caguas): 100 Ave Luis Muñoz Marín, Caguas. Metro Pavia completed the purchase on December 20, 2023, per Metro Puerto Rico. Its page says the ER is available 24 hours a day, seven days a week, for adults and children, with free parking for the first 24 hours. Phone unconfirmed: the hospital page gives 787-653-3434 and both Metro Pavia ER lists give 787-656-3434; if one does not answer, try the other.
Hospital Menonita Caguas: PR-172, Caguas, PR 00726. Phone 787-653-0550. Its page says it has separate adult and pediatric ERs and has operated since 2011; it does not say they are open 24 hours. In June 2024, Noticel reported a family's complaint: their 91-year-old relative was left in a hallway with more than 40 patients waiting and waited about 48 hours for a neurologist.
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 Caguas: Salus at Plaza del Carmen closes at 9 p.m.
Salus Urgent Care Caguas, Plaza del Carmen Mall, Suite 24, 787-286-6060. Open Monday to Sunday, 7 a.m.–9 p.m. It is an urgent care center, not a hospital ER, and it is closed overnight. Salus has another center at Cayey Shopping Center with the same phone and hours.
We could not verify any other urgent care center or CDT in Caguas with late hours, so we list none. If you are unsure whether you need urgent care, an ER or a video visit, read where to go when you are sick. For anything that is not an emergency, the doctor can see you by video.
Is there a 24-hour pharmacy in Caguas? Yes, on PR-1
Caguas has one of only five 24-hour pharmacy counters in Puerto Rico, all Walgreens (the others are in Guaynabo, Bayamón, Cayey and Ponce; see doctor in Ponce). Remember that an open store is not an open pharmacy counter. From the Walgreens locator and the Farmacias Caridad directory:
Walgreens, 101 Carr 1, NW corner of PR-1 and PR-32, Caguas, PR 00725, 787-744-2905. Store and pharmacy counter: 24 hours; the counter closes 1:30–2 a.m. for a meal break.
Walgreens, 221 Calle Gautier Benítez, 787-704-6500: store open until midnight; pharmacy counter opens 8 a.m.
Walgreens, 200 Grand Blvd Los Prados (787-744-2347) and 500 Carr 1 (787-286-8242): store opens 7 a.m., pharmacy counter 8 a.m.
Farmacia Caridad Plaza del Carmen, 787-743-1273: counter Mon–Sat 7 a.m.–9 p.m., Sun 9 a.m.–8 p.m.
Farmacia Caridad Ave Degetau, 191 Calle Gautier Benítez, 787-703-3081: the shop floor stays open until 10 p.m., but the pharmacy counter closes at 8 p.m. on weekdays and 6 p.m. on weekends. Drive-thru and delivery available.
If PR-1 does not work for you, the next 24-hour counters are Cayey (5800 Ave Jesús T. Piñero, 787-263-5166), 10.3 miles away, and Guaynabo (2505 Carr 841), 10.5 miles, per the locator (not drive times). This counter also serves Humacao and Trujillo Alto and Canóvanas.
Sick at night in Caguas: what to do after 9 p.m.
Once Salus closes at 9 p.m., Caguas is down to two hospital ERs and one pharmacy counter open all night. 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. The Pavía Caguas ER is open 24 hours.
- A very sick child? Pavía Caguas is on Metro Pavia's pediatric ER list, and Menonita Caguas has a separate pediatric ER (hours not published). For anything that is not an emergency, the doctor sees children of all ages by video: see video visits for children.
- Need a prescription filled tonight? The Walgreens counter at 101 Carr 1 is open all night except 1:30–2 a.m. Call 787-744-2905 first.
- Something over the counter? The PR-1 store is open 24 hours and the Calle Gautier Benítez store until midnight.
- Not an emergency? Request a visit online 24/7 — we confirm your time by email or text. See virtual urgent care.
Doctor in Caguas 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, including the 24-hour counter on PR-1. 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 Caguas: 118 cases in 2026, the highest count in Puerto Rico
The Puerto Rico Department of Health's weekly report for week 37 (published September 23, 2026, the latest as of September 30) counts 118 dengue cases in Caguas from January 1 to September 16. That is 12.8% of the island's 922 cases and more than any other municipio. By rate, 94.68 per 100,000 residents, it ranks fifth, behind Arroyo, Guayama, Adjuntas and Salinas. The Caguas health region totals 313 cases, the most of any region, and one of 2026's four dengue deaths was there: a 62-year-old man, in May, with serotype DENV-3. The report does not say why Caguas is so high, and we won't guess.
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. For a fever with body aches and no warning signs, the doctor evaluates you by video and, if needed, gives you a lab order. See our dengue guide.
Caguas up close: the Turabo Valley, PR-52 and flooding
Caguas is the island's fifth most populous municipio (127,244 residents in the 2020 Census). PR-52 links it to San Juan to the north and to Cayey and Ponce to the south, and PR-1, PR-30 and PR-172 cross the valley. Its malls are Plaza del Carmen, Plaza Centro and Las Catalinas; downtown is the Plaza de Recreo Santiago R. Palmer, and on the edge of town the Jardín Botánico y Cultural William Miranda Marín (per Wikipedia, a secondary source).
During Hurricane María in 2017, a Caguas rain gauge recorded 37.90 inches, the highest total on the island, according to the National Hurricane Center's report. If you live in a flood-prone area, keep your regular medications and a written prescription list up high in a waterproof bag, and refill before a storm. See medications and hurricanes. 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 Caguas?
Where is the nearest ER in Caguas?
Can a doctor see me at home in Caguas?
How much is a doctor visit without insurance in Caguas?
Can I get a prescription online and pick it up in Caguas at night?
Is HIMA Caguas 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: 2026-09-30 · Updated: 2026-10-02
Sources (16)
- Metro Pavia: Hospital Pavía Caguas (opens in a new tab) (accessed 2026-09-30)
- Metro Pavia: adult 24/7 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)
- Metro Puerto Rico (Dec 21, 2023): HIMA Caguas becomes Hospital Pavía Caguas (Spanish) (opens in a new tab) (accessed 2026-09-30)
- Menonita Health System: Hospital Menonita Caguas (opens in a new tab) (accessed 2026-09-30)
- Noticel (June 9, 2024): complaint at Hospital Menonita Caguas (Spanish) (opens in a new tab) (accessed 2026-09-30)
- Salus: urgent care centers (Spanish) (opens in a new tab) (accessed 2026-09-30)
- Walgreens, 101 Carr 1, Caguas: store and pharmacy hours (opens in a new tab) (accessed 2026-09-30)
- Walgreens: pharmacies in Caguas (opens in a new tab) (accessed 2026-09-30)
- Walgreens: 24-hour pharmacies near Caguas (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)
- National Hurricane Center: Hurricane María report (AL152017) (opens in a new tab) (accessed 2026-09-30)
- Wikipedia: Caguas, Puerto Rico (roads, malls; 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)
