Guides

Health guides for Puerto Rico

These health guides for Puerto Rico explain paperwork and decisions: what the telemedicine law says, how to get the certificado de salud and other medical certificates, how to see a doctor without insurance, the warning signs of dengue, what to do about a jellyfish sting, and how to get care as a visitor. Each guide cites official sources.

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Guides

Puerto Rico telemedicine law
Telemedicine law in Puerto Rico in plain English: Law 168-2018, Law 8-2025, written consent, and why you must be on the island. Doctor visits: US$79.
Puerto Rico health certificate
Where to get a health certificate in Puerto Rico, what it costs and which tests it needs (TB and syphilis). We give you the lab order by video for US$35.
Antibiotics by telehealth
Can telehealth prescribe antibiotics in Puerto Rico? Yes, when appropriate: video exam, prescription sent to your pharmacy, lab order if needed. US$79.
Medical certificates in Puerto Rico
Doctor's notes, US$35 school and work forms, the certificado de salud, DTOP and PVAC-3. What we do by video.
Doctor without insurance
How to see a doctor without insurance in Puerto Rico: community health centers, CDTs, ERs, Medicaid, and US$79 video doctor visits with no membership.
Dengue warning signs
Dengue in Puerto Rico: symptoms, warning signs that mean the ER, and what to take. No warning signs? See a doctor by video, with a lab order if needed. US$79.
Verify a doctor's license
Puerto Rico medical license lookup: search the Health Department's official system step by step, with the link. Free to use. Our visits: US$79.
Sick on vacation in Puerto Rico
Sick on vacation in Puerto Rico? See a PR-licensed doctor by video from your hotel for US$79. Plus the ER hotels use, late pharmacies and dengue.
ER vs urgent care vs video visit
ER vs urgent care in San Juan: when to choose the ER, a CDT or urgent care, or our virtual urgent care, a US$79 doctor visit. Verified Puerto Rico ERs.
Driver's license medical certificate
Puerto Rico's driver's license medical certificate (DTOP-DIS-260): what it checks, where to get it, and the school and work forms we do by video for US$35.
Medications and hurricanes
Medications for a hurricane in Puerto Rico: your list, insulin without a fridge, and refills by video before the storm. Follow-up visit US$49.
Prepare your child for a video visit
How to prepare your child for a video visit in Puerto Rico: what to have ready, fever checks, what to show on camera. Kids of all ages, US$79 doctor visit.
School health requirements in Puerto Rico
What Puerto Rico schools ask for: the PVAC-3 vaccine certificate and who issues it, the oral exam certificate, and school medical forms by video for US$35.
US insurance and Medicare in Puerto Rico
Does Medicare work in Puerto Rico? Yes: it counts as the US. What to ask your mainland plan, and our US$79 self-pay video visits with no membership.
Lost or forgotten prescription
Lost prescription or forgot your meds in Puerto Rico? A US$49 video refill visit, and we send your prescription to your pharmacy. No controlled substances.
Cruise passenger doctor, San Juan
Cruise passenger sick in San Juan? Ship clinic, the ER, or a US$79 video visit while your ship is in Puerto Rico: how to choose, plus seasickness tips.
Jellyfish sting
Jellyfish or man o' war sting in Puerto Rico: first aid from MedlinePlus, warning signs, and urgent care by video for US$79 when it isn't an emergency.
How to read your lab results
How to read lab results: reference ranges, CBC, A1C and cholesterol explained. In Puerto Rico, our doctor can go over results with you by video from US$49.
TB skin test (PPD)
TB skin test in Puerto Rico: who places it, when it is read, fasting and how long it is valid for the health certificate. Lab order by video for US$35.
PVAC-3 vaccination certificate
PVAC-3 in Puerto Rico: what the "hoja verde" vaccine certificate is, who issues it and how to get it. School medical forms by video cost US$35.
Chikungunya
Chikungunya in Puerto Rico: symptoms, how it differs from dengue and what to take. A licensed doctor sees you by video and orders a lab test if needed. US$79.
Zika and pregnancy
Zika in Puerto Rico and pregnancy: what the CDC advises, testing and prevention. Not pregnant, with fever or rash? See a doctor by video for US$79.
Leptospirosis
Leptospirosis in Puerto Rico after floods or river swims: symptoms, when to be seen in person and prevention. Questions without symptoms? Video visit, US$79.
Sargassum health effects
Sargassum health effects in Puerto Rico: the gases rotting seaweed releases, who is most at risk, and when to get help. Asthma flaring? Video visit, US$79.
Heat exhaustion and heat stroke
Heat exhaustion vs heat stroke in Puerto Rico: how to tell them apart, first aid and when to call 911. Mild symptoms? See a doctor by video, US$79.
Saharan dust and asthma
Saharan dust in Puerto Rico: when it arrives, how it affects asthma and allergies, and what to do at each air quality level. See a doctor by video, US$79.
Animal bites and rabies
Animal bite in Puerto Rico from a mongoose, dog or cat: wash it, then get seen in person today for rabies and tetanus. Video follow-up afterward, US$79.
Health after a hurricane
Health after a hurricane in Puerto Rico: carbon monoxide, wounds, water, mold and leptospirosis. Problems that aren’t emergencies? Video visit, US$79.
Sea urchin sting
Sea urchin sting in Puerto Rico: vinegar soaks, hot water, and when spines must come out in person. Video doctor visit US$79, tourists welcome.
Bringing medication to Puerto Rico
TSA rules, insulin in the heat, and what to do if you forget a medicine. Refill by video US$49 while in Puerto Rico.
Doctor's note for travel insurance
Doctor's note for travel insurance or a flight change if you get sick in Puerto Rico: what it says, what it doesn't, and a superbill. Visit US$79.
24-hour pharmacies in Puerto Rico
24 hour pharmacy Puerto Rico: 5 verified pharmacy counters stay open overnight, all Walgreens. Addresses and phones. Video doctor visit US$79.
HIV testing
HIV test in Puerto Rico: a lab order by video, window periods and free testing options. A discreet US$79 doctor visit with a licensed physician.
Hepatitis testing
Hepatitis B and C testing in Puerto Rico: who should get tested according to the CDC and how to get a lab order by video. US$79 doctor visit.
Ciguatera fish poisoning
Ciguatera in Puerto Rico: symptoms after eating reef fish, when to go to the ER and how to prevent it. Video doctor visit in Puerto Rico, US$79.
Boil water advisory
Boil water advisory Puerto Rico: how to boil water, formula, brushing teeth and ice, and when to see a doctor. Video doctor visit in Puerto Rico, US$79.
Mold exposure and health
Mold exposure symptoms at home: who is at higher risk, how to control damp, and safe cleanup. Video doctor visit in Puerto Rico, US$79, all ages.

Paperwork and document guides

They explain Puerto Rico documents and laws: the health certificate, medical certificates for school or a driver's license, the telemedicine law, how to verify a doctor's license, and how to see a doctor without insurance.

Clinical guides: when and where to get care

They help you decide what to do: dengue warning signs, ER vs urgent care in San Juan, antibiotics, medications for a hurricane and jellyfish stings.

Guides for visitors

If you get sick on vacation or on a cruise, start with sick on vacation in Puerto Rico. While you are on the island, we see you by video.