Areas
See a Doctor on Vieques by Video, and the Reopened Hospital
If you need a doctor on Vieques, Hospital Susana Centeno, rebuilt after Hurricane María, was inaugurated on September 26, 2026, and El Vocero reports its emergency room runs 24 hours. In an emergency, call 911. For a cold, fever, UTI or refill, Dr. Diana Nieves Castro, MD, sees patients of all ages by video at their rental or home, as long as 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:
- Chest pain, trouble breathing or stroke signs
- As a fever breaks: belly pain, repeated vomiting, nose or gum bleeding, or extreme tiredness
- Bleeding, severe pain or fever during pregnancy
- Someone rescued from the water who will not stop coughing or is confused
Help lines
Hospital Susana Centeno has reopened: what we could confirm
Vieques had 8,249 residents in the 2020 Census. Its hospital, Susana Centeno, closed in 2017 after damage from Hurricane María, and a temporary CDT (diagnostic and treatment center) ran for years. The rebuilt Centro de Salud de Vieques, Hospital Susana Centeno was inaugurated on Saturday, September 26, 2026, after an $85.5 million investment, per El Nuevo Día and El Vocero. Primera Hora reports its first ER patient was seen the Friday before, at 11:57 p.m.
Per those sources, the hospital has an emergency room (El Vocero says it runs 24 hours), outpatient clinics, dialysis and infusion (the dialysis unit started in October 2025), behavioral health, diagnostic services, and an FAA-certified helipad for transferring patients who need more complex care. The health secretary told El Vocero that the Department of Health's field-medicine division runs the ER and that talks are under way with the operator that won the CDT bid.
We could not confirm the hospital's phone number, whether it has a pharmacy, how many beds it has, or which specialists see patients. Ask your host and note the number before you need it.
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.
Emergency room on Vieques: 911 and the hospital
Chest pain, trouble breathing, stroke signs, a severe allergic reaction, a near-drowning or a serious injury: call 911 without stopping to work out what is open. The island's ER is at Hospital Susana Centeno. We could not verify how a transfer to the main island is decided; what we do know is that the hospital has a helipad for that purpose. On the Ceiba side, the nearest verified hospital ER is Caribbean Medical Center in Fajardo, about 5 miles from the dock in a straight line, open 24 hours per its site: see Fajardo and Ceiba.
Is there a 24-hour pharmacy on Vieques?
Not one we could confirm. In May 2025, Primera Hora reported that the Department of Health gave Farmacia del Rey a provisional special authorization so residents could get medication without leaving the island, and it also mentioned the in-house pharmacy at the HealthProMed clinic. We could not confirm whether either still operates today, or their hours. Bring enough daily medication for your whole stay.
Once across: Farmacia Caridad Fajardo, 9 Calle Igualdad, 787-863-1880, has a pharmacy counter open Mon–Fri 7 a.m.–8 p.m., Sat 9 a.m.–7 p.m. and Sun 10 a.m.–5 p.m. The nearest 24-hour counters the Walgreens locator returns are 101 Carr 1, Caguas (787-744-2905) and 2505 Carr 841, Guaynabo (787-287-0528); both close 1:30–2 a.m. If you run out of a medicine you already take, the doctor can evaluate you by video for a refill.
Sick at night on Vieques: what to do
At night Vieques has its ER, but no pharmacy with confirmed late hours. Work through it in this order:
- Is it an emergency? Call 911 or go to the ER at Hospital Susana Centeno.
- Fever with belly pain, repeated vomiting or bleeding after a few days of dengue? That means the ER tonight.
- Run out of a daily medication? Ask your host first thing in the morning where to get it; do not count on a counter being open overnight.
- Not an emergency? Request a visit online 24/7 — we confirm your time by email or text. See virtual urgent care.
Doctor on Vieques 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.
Crossing to the main island: ferry to Ceiba, or a small plane
The Vieques ferry crosses to Ceiba, not Fajardo, and takes 1 hour, per Puerto Rico Ferry (opens in a new tab). The Vieques terminal is on Calle Morropo; the Ceiba terminal is at Marina Dr. Roosevelt Roads. Arrive an hour early; boarding closes 10 minutes before departure. All ticket sales are final, with no refunds; you can transfer a ticket up to twice, at least an hour ahead. Residents must show photo ID. Times are in the official itinerary for August 1 to November 30, 2026.
By air, the Ports Authority lists Antonio Rivera Rodríguez Airport (VQS) for commercial and charter passenger flights. Per Wikipedia (a secondary source), Cape Air flies to Culebra, San Juan, St. Croix and St. Thomas, and Vieques Air Link to Ceiba, Culebra and Isla Grande. If the ferry is cancelled and it is not an emergency, the doctor can see you by video on Vieques while you wait.
Mosquito Bay at night: mosquitoes, dengue and Zika
The Puerto Rico Department of Health's weekly report for week 37 (published September 23, 2026) counts 1 dengue case in Vieques for weeks 1–37 of 2026, and 8 in the Fajardo health region, which covers Ceiba, Culebra, Fajardo, Luquillo, Río Grande and Vieques. Bioluminescent bay tours run at night, when mosquitoes bite: the CDC recommends repellents with DEET, picaridin, oil of lemon eucalyptus (OLE), IR3535 or 2-undecanone, plus long sleeves.
If you are pregnant or planning a pregnancy, the CDC warns that Zika can pass to the baby. Dengue warning signs, which the CDC says tend to appear as the fever goes down, mean the ER; they are in our dengue guide.
Visiting Vieques
Strong sun: the CDC recommends SPF 15 or higher and shade from 10 a.m. to 4 p.m. University of South Florida monitoring reported in August 2026 that sargassum in the region was still above normal; for beach stings, see the jellyfish guide. In hurricane season (June 1 to November 30) bring extra medication. Coming from the mainland? The doctor can see you by video at your rental: see care for visitors and our guide for visitors. Also going to Culebra? Its ER is at the island's CDT.
The facts 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 on Vieques?
Where is the nearest ER on Vieques?
Can a doctor see me at my hotel or home on Vieques?
How much is a doctor visit without insurance on Vieques?
Can I get a prescription online while on Vieques?
Has the new Vieques hospital opened?
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 (19)
- El Nuevo Día (Sept 26, 2026): new Vieques health center inaugurated (Spanish) (opens in a new tab) (accessed 2026-09-30)
- El Vocero (Sept 26, 2026): Vieques opens its health center (Spanish) (opens in a new tab) (accessed 2026-09-30)
- El Vocero (Sept 29, 2026): health secretary on Vieques hospital staffing (Spanish) (opens in a new tab) (accessed 2026-09-30)
- Primera Hora (Sept 29, 2026): the Vieques hospital inauguration (Spanish) (opens in a new tab) (accessed 2026-09-30)
- Primera Hora (May 14, 2025): special authorization for pharmacy services on Vieques (Spanish) (opens in a new tab) (accessed 2026-09-30)
- Wikipedia: Susana Centeno Hospital (closure, temporary CDT; secondary source) (opens in a new tab) (accessed 2026-09-30)
- Wikipedia: Vieques, Puerto Rico (population; secondary source) (opens in a new tab) (accessed 2026-09-30)
- Puerto Rico Ferry: Ceiba–Vieques route (terminals, boarding, ticket policy) (opens in a new tab) (accessed 2026-09-30)
- Puerto Rico Ports Authority: regional airports (Spanish) (opens in a new tab) (accessed 2026-09-30)
- Wikipedia: Antonio Rivera Rodríguez Airport (airlines; secondary source) (opens in a new tab) (accessed 2026-09-30)
- Caribbean Medical Center: 24-hour emergency room, Fajardo (Spanish) (opens in a new tab) (accessed 2026-10-02)
- Farmacias Caridad: store locator (pharmacy hours, Fajardo) (opens in a new tab) (accessed 2026-09-30)
- Walgreens: 24-hour pharmacy counters (searched from Fajardo) (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: travelers' health, Puerto Rico (dengue, Zika, mosquitoes) (opens in a new tab) (accessed 2026-09-30)
- CDC: dengue symptoms and warning signs (opens in a new tab) (accessed 2026-09-30)
- USF Sargassum Watch: August 2026 bulletin (opens in a new tab) (accessed 2026-09-30)
- National Hurricane Center: climatology (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)
