Skip to main content

Emergency? Call 911

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.

Vieques, Puerto RicoUS$79Doctor visit
Can we help by telehealth?YesWe can help by telehealth.
A sandy beach with palm trees leaning over the sea in Vieques, Puerto Rico

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

Warning signs: when to go to the ER

On this page (8)

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.

Why a video visit
ComparisonVideo visitEmergency roomCDT or doctor’s office
Getting thereFrom home: join from your phone, tablet or computer.Drive and find parking.Drive and find parking.
Waiting roomSkip the waiting room: join from wherever you are in Puerto Rico.Yes, a waiting room.Yes, a waiting room.
Hours and timeWe 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).1,2An in-person visit takes about 2 hours on average, including travel.3
PriceUS$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.
LanguageSpanish or English, with the same doctor.Depends on the place.Depends on the place.
PrescriptionsIf appropriate, the doctor prescribes and we send your prescription to your pharmacy.Yes, if needed.Yes, if needed.
When to go in personIf 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.

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:

  1. Is it an emergency? Call 911 or go to the ER at Hospital Susana Centeno.
  2. Fever with belly pain, repeated vomiting or bleeding after a few days of dengue? That means the ER tonight.
  3. 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.
  4. 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?

Not one we could confirm. In 2025 the Health Department provisionally authorized Farmacia del Rey, and the HealthProMed clinic had an in-house pharmacy; we do not know whether that is still the case or their hours. Bring your medications. The nearest 24-hour counters on the main island are the Walgreens in Caguas and Guaynabo.

Where is the nearest ER on Vieques?

At Hospital Susana Centeno, inaugurated on September 26, 2026; El Vocero reports its ER runs 24 hours. We found no published phone number. In an emergency call 911.

Can a doctor see me at my hotel or home on Vieques?

Yes, by video. The doctor sees you at your hotel, guesthouse or home on Vieques, as long as you are physically in Puerto Rico. We send you a secure video link that works on your phone, tablet or computer. If you need a test, she gives you an order for a lab near you.

How much is a doctor visit without insurance on Vieques?

Each provider sets its own price. Ours: a doctor visit by video is US$79, a follow-up US$49 and forms US$35, charged when you request the visit, with an itemized receipt (superbill) on request. Before paying without insurance elsewhere, ask for a good faith estimate.

Can I get a prescription online while on Vieques?

If appropriate, the doctor prescribes and we send your prescription to your pharmacy. We do not prescribe controlled substances. Before the visit, find out where you can pick it up on the island or after crossing.

Has the new Vieques hospital opened?

Yes. Hospital Susana Centeno was inaugurated on September 26, 2026, nine years after Hurricane María closed it, and Primera Hora reports its ER saw its first patient the night before. It also has dialysis, outpatient clinics and a helipad for transfers.

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