Areas
See a Doctor in San Juan by Video: Río Piedras, Hato Rey, Cupey
Looking for a doctor in San Juan in Río Piedras, Hato Rey, Cupey or Puerto Nuevo? The nearest 24/7 adult ER is Hospital San Francisco in Río Piedras, which also has a pediatric ER. The Walgreens pharmacy counter in Hato Rey is open until 11 p.m.; the 24-hour counter is in Guaynabo. For anything short of an emergency, Dr. Diana Nieves Castro, MD, sees patients of any age by video.
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:
- Chest pain or pressure, shortness of breath or a cold sweat
- Facial droop, weakness on one side or slurred speech
- High fever with severe belly pain or bleeding (possible severe dengue)
- A hard blow to the head, loss of consciousness, or bleeding that will not stop
Help lines
A doctor in San Juan for Río Piedras, Hato Rey, Cupey, Puerto Nuevo and Caparra Heights
This page is for San Juan's residential barrios. Hato Rey had 41,881 residents and Cupey 32,833 at the 2020 Census; the whole municipio had 332,454 in 2024, and 26.8% are 65 or older. Plenty of households here get around without a car for every errand: the Tren Urbano stops at Hato Rey (the Golden Mile), Universidad (UPR Río Piedras), Río Piedras, Cupey and Centro Médico, the station for the Centro Médico complex and the UPR Medical Sciences Campus.
If you live in Santurce or Miramar, your page is Santurce and Miramar; on the Caparra and PR-2 side, Guaynabo; to the east, Carolina; and to the southeast, past Cupey, Trujillo Alto.
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| Hours and time | We do not publish a wait time.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.
Which ER in San Juan? Adults, children, chest pain, trauma and veterans
In an emergency call 911. We checked each ER on the hospital's own site or in federal hospital data (CMS). None is affiliated with us.
Adults 24/7 plus a pediatric ER: Hospital San Francisco, 371 Calle José de Diego, Río Piedras, PR 00923. Phone 787-767-5100. On Metro Pavia's 24/7 adult ER list and on its pediatric ER list; the pediatric list does not publish hours.
Adults 24/7 plus a pediatric ER: Hospital Metropolitano, Carr. 21 #1785, Las Lomas, San Juan, PR 00921, the ER for Puerto Nuevo and Caparra Heights. Phone 787-782-9999.
Adults 24/7: Hospital Episcopal San Lucas Metro, Carr. 844 Km 0.5, Cupey, PR 00928, on the former HIMA Cupey site. Phone 787-761-8383. Its site advertises a 24/7 ER but does not say whether it sees children.
Adults and children: Hospital Auxilio Mutuo, Ave. Ponce de León, Stop 37½, Hato Rey. Phone 787-758-2000; adult ER ext. 2656 or 2696, pediatric ER ext. 1312 or 1426. Its directory does not publish hours.
Children only: Hospital Pavía Hato Rey, 435 Ave. Ponce de León, Hato Rey, PR 00917. Pediatric ER 787-641-2323. It is not on Metro Pavia's adult ER list; we could not confirm an adult ER.
Chest pain: Puerto Rico and Caribbean Cardiovascular Center, Ave. Américo Miranda, Centro Médico. Phone 787-754-8500, ext. 1122, 1124, 1143 or 1134. A specialized 24/7 ER for heart emergencies only.
Major trauma: Centro Médico (ASEM), Bo. Monacillos, 787-777-3535. The island's highest-level trauma center.
Veterans: San Juan VA Medical Center, 10 Calle Casia, San Juan, PR 00921, 800-449-8729. Emergency department open 24/7, for veterans.
ER per CMS, hours not published: Hospital Pediátrico Universitario (787-777-3232) and Hospital Universitario de Adultos (787-754-0101), both at Centro Médico, and Hospital del Maestro, 550 Calle Sergio Cuevas Bustamante, Hato Rey (787-758-8383). Call first.
The Municipal Hospital, Hospital del Maestro and Centro Médico: what to know
Federal data still shows an ER at the Hospital Municipal de San Juan in Monacillos, but El Nuevo Día reported in 2017 that it closed after Hurricane Irma, and we found no report of it reopening, so we leave it off. Primera Hora reported in 2025 that Hospital del Maestro owed US$11.8 million for electricity and US$870,000 for water; CMS still lists its ER, but phone first.
Centro Médico is for a serious crash, a heart attack or a critical case. It is not for a UTI: in 2018 one patient waited 24 hours in its ER (El Nuevo Día), and in 2023 it opened US$4 million of new waiting rooms to end corridor waits (Primera Hora).
24-hour pharmacy in San Juan: the Hato Rey counter closes at 11 p.m.
Only five pharmacy counters in Puerto Rico are open 24 hours, all Walgreens, and none is inside the San Juan municipio. Store hours and pharmacy-counter hours are different things:
Walgreens, 685 Calle César González, Hato Rey, PR 00918, 787-294-1730. Store: 24 hours. Pharmacy counter: daily 7 a.m.–11 p.m., closed 1:30–2 p.m. The latest counter we verified in these neighborhoods.
Farmacia Caridad Ave. Alejandrino, 310 Ave. Lomas Verdes, San Juan, PR 00921, 787-740-7000. Pharmacy counter: Mon–Fri 7 a.m.–10 p.m., Sat 8 a.m.–9 p.m., Sun 9 a.m.–8 p.m.; it lists a drive-thru.
Farmacia Caridad Hato Rey, 374 Ave. Ponce de León, 787-766-7200. Store: until 9 p.m. Pharmacy counter: Mon–Fri 7 a.m.–7 p.m., Sat 9 a.m.–5 p.m., Sun 11 a.m.–5 p.m.
Nearest 24-hour pharmacy counter: Walgreens, 2505 Carr 841, Guaynabo, PR 00969, 787-287-0528, 3.6 miles from Río Piedras (ZIP 00918) per the Walgreens locator. Closed 1:30–2 a.m. for a meal break.
Hours change, so call the counter before heading out at night.
Is there urgent care open at night in Río Piedras, Hato Rey or Cupey?
We could not verify, from a primary source, any urgent care center or CDT in Río Piedras, Hato Rey or Cupey with published hours, so we list none; the municipio runs CDTs, but we could not confirm which are open or when. Doctors' Center Barrazas in Carolina is an urgent care with verified hours, and it closes at 9 p.m. At night, the verified options are the hospital ERs above; for anything that is not an emergency, we offer virtual urgent care (below).
Sick at night in Río Piedras, Hato Rey or Cupey
At night the gap in these neighborhoods is usually an open pharmacy counter, not an ER. Work through it in this order:
- Is it an emergency? Chest pain, shortness of breath, facial droop or a bad crash: call 911. San Francisco, Metropolitano and San Lucas Metro see adults 24 hours.
- A very sick child? San Francisco, Auxilio Mutuo and Pavía Hato Rey have pediatric ERs; call ahead if you can. For minor problems, see video visits for children.
- Need a prescription filled before 11 p.m.? The Walgreens counter on Calle César González is open until then every day.
- After 11 p.m.? The nearest open counter is Walgreens, 2505 Carr 841, Guaynabo, closed 1:30–2 a.m.
- Can it wait until morning? Request a visit online 24/7 — we confirm your time by email or text. If the doctor prescribes something, we send your prescription to your pharmacy.
A doctor in San Juan by video: urgent care, primary care and refills for all ages
For anything that is not an emergency, we offer video urgent care in Puerto Rico from home: flu or a cold, a sore throat, UTI symptoms, diarrhea, allergies or a rash. We also provide primary care and follow up high blood pressure, type 2 diabetes or cholesterol; see chronic care. Dr. Diana Nieves Castro is a general practice physician with several years of emergency-department experience, and she sees adults and children of all ages, in English or Spanish.
We evaluate, diagnose and treat; if needed, we give you a lab order for a lab near you. If appropriate, the doctor prescribes and we send your prescription to your pharmacy. We do not prescribe controlled substances. Patients under 21 have a parent or legal guardian on the video, showing ID.
We send you a secure video link that works on your phone, tablet or computer. We provide telehealth in Puerto Rico with no office in San Juan, so you skip the drive or the Tren Urbano ride, as long as you are physically in Puerto Rico.
What it costs: three prices, no membership
You pay by card through secure checkout; you are charged when you request the visit, with a full refund if the visit can't happen. The same price for every age:
- Doctor visit, US$79: a new problem, urgent care (non-emergencies), primary and chronic care, and children. A doctor's note is included if you need one.
- Follow-up visit, US$49: a refill of a medicine you already take (non-controlled), or a review of your lab results if you are an existing patient.
- School and work forms, US$35: school, university or job forms.
- If a US$49 or US$35 visit turns out to need a full visit, the doctor explains why and, with your consent, you pay the difference. Full details on our pricing page.
Dengue in San Juan: 41 cases in 2026
The Puerto Rico Department of Health's weekly report for week 37 (published September 23, 2026) counts 41 dengue cases in the San Juan municipio in weeks 1–37, about 12.3 per 100,000 residents, and 97 in the San Juan health region. One of the island's four dengue-associated deaths this year was in that region: a 90-year-old woman, in February. In older adults, fever with vomiting, belly pain or bleeding means the ER; see our dengue guide.
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 Hato Rey or Río Piedras?
Which ER near Río Piedras sees children?
Can a doctor see me at home in San Juan?
How much is a doctor visit without insurance in San Juan?
Can I get a prescription online in San Juan?
Chest pain in San Juan: where do I go?
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 (22)
- 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)
- Hospital Episcopal San Lucas Metro (opens in a new tab) (accessed 2026-09-30)
- Hospital Auxilio Mutuo: directory (opens in a new tab) (accessed 2026-09-30)
- PR and Caribbean Cardiovascular Center: specialized ER (Spanish) (opens in a new tab) (accessed 2026-09-30)
- ASEM: Centro Médico location (Spanish) (opens in a new tab) (accessed 2026-09-30)
- VA Caribbean Healthcare: San Juan VA Medical Center (opens in a new tab) (accessed 2026-09-30)
- CMS: Hospital General Information (emergency services yes/no) (opens in a new tab) (accessed 2026-09-30)
- El Nuevo Día: calls to reopen the San Juan Municipal Hospital ER (Spanish) (opens in a new tab) (accessed 2026-09-30)
- El Nuevo Día: a 24-hour wait in the Centro Médico ER (Spanish) (opens in a new tab) (accessed 2026-09-30)
- Primera Hora: new Centro Médico waiting rooms (Spanish) (opens in a new tab) (accessed 2026-09-30)
- Primera Hora: Hospital del Maestro utility debts (Spanish) (opens in a new tab) (accessed 2026-09-30)
- Walgreens, 685 Calle César González: store and pharmacy hours (opens in a new tab) (accessed 2026-09-30)
- Walgreens: 24-hour pharmacies near San Juan (opens in a new tab) (accessed 2026-09-30)
- Walgreens: 24-hour stores near Río Piedras (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)
- Doctors' Center Barrazas urgent care (location record) (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)
- U.S. Census Bureau: municipio population estimates, 2020–2024 (opens in a new tab) (accessed 2026-09-30)
- Wikipedia: Hato Rey and Cupey (2020 Census; secondary source) (opens in a new tab) (accessed 2026-09-30)
- Wikipedia: Tren Urbano stations (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)
