Humacao reported syphilis rates are about 27% higher than the national average. Whether getting tested before starting a new relationship in Anton Ruiz, Puerto Rico, or as part of ongoing care, clinics may bill insurance or offer sliding-scale fees, while many private labs let you pay a flat self-pay price. Compare your options for testing below.
Available testing centers
3 testing options are listed for Anton Ruiz, PR. The nearest, Cossma Naguabo, is about 2.4 miles away. Compare 3 community and public clinics, private labs, and at-home kits below.
Listings tagged Community health center are federally funded health centers and rural clinics that treat everyone regardless of insurance or ability to pay: required to bill on a sliding fee scale and provide confidential care, and in many states minors may consent to their own STI testing. A Title X tag flags centers funded for confidential family-planning services; confirm current participation when you call.
Source: CMS FQHC & Rural Health Clinic enrollment files (data.cms.gov), refreshed quarterly. Title X status reflects the latest OPA grantee list.
Cossma Naguabo, in Río Blanco, welcomes walk-in patients for STI screening without requiring an appointment. Federal qualification underpins its sliding-scale fee structure, making syphilis, gonorrhea, and chlamydia testing available to patients across all income levels in a single visit.
Tests offered
Fees & payment
Cossma, serving Humacao, carries federally qualified health center standing. A designation that ties STI screening fees directly to each patient's income. Appointments are required for syphilis, gonorrhea, chlamydia, and HIV testing, with costs scaled to what individuals can realistically pay.
Languages
English, Spanish
Tests offered
Serves
Fees & payment
Listing verified Jul 2025 · Source: CDC NPIN
Cossma las Piedras, in Las Piedras, anchors its STI care in a sliding-scale fee structure tied to income. No one is turned away for inability to pay. Federal qualification backs that commitment, with screening for syphilis, gonorrhea, and chlamydia available without an appointment.
Tests offered
Fees & payment
Free tool · not a clinic
Testing too soon can miss an infection. Enter the date of possible exposure to see the earliest a test can reliably detect each STI.
| Infection | Earliest reliable test | Conclusive after |
|---|---|---|
| Chlamydia | 7 days after exposure | 14 days after exposure |
| Gonorrhea | 7 days after exposure | 14 days after exposure |
| Trichomoniasis | 7 days after exposure | 28 days after exposure |
| HIV (NAT / RNA) | 10 days after exposure | 33 days after exposure |
| HIV (4th-gen Ag/Ab) | 18 days after exposure | 45 days after exposure |
| HIV (antibody) | 21 days after exposure | 84 days after exposure |
| Syphilis | 21 days after exposure | 42 days after exposure |
| Hepatitis B | 21 days after exposure | 42 days after exposure |
| Hepatitis C | 56 days after exposure | 77 days after exposure |
| Herpes (HSV) | 28 days after exposure | 112 days after exposure |
Guidance only, confirm timing with a clinician. A negative result before the conclusive date may need a repeat test.
Typical out-of-pocket ranges by option, actual cost depends on which tests you need.
Public / community clinic
Free HIV testing is common
Private lab (self-pay)
Never billed to insurance
At-home kit
Mailed to your door, private
Doctor / urgent care
Often $0 preventive with insurance
No centers match those filters. Clear the service-type filter or the opening-hours filters to see every center.
Every other option
Beyond the dedicated testing centers above: at-home kits by mail, hospital labs certified for STI testing, local clinicians who can order a panel during a regular visit, pharmacies for self-test kits and prescriptions, and online PrEP & treatment.
Test from home
The nearest testing center is about 2 miles away; if you'd rather skip the trip, an at-home kit ships to Anton Ruiz, you collect the sample privately, and mail it back to a CLIA-certified lab. Results come online in days, with a clinician available if anything is positive. Same labs as a clinic, no waiting room, and you can read how accurate at-home STD tests are before you order.
Want a free option first? The CDC-supported TakeMeHome (opens in a new tab) program mails free at-home HIV self-test kits, and, in many areas, free STI kits, to your door, with no insurance or payment needed. The paid kits below add broader panels and faster turnaround.
In-home collection
$79 & up
Best for simplicity & support
$89 & up
Best value: single tests
$49 & up
Every kit uses CLIA-certified labs. At-home testing is for screening; a reactive result should be confirmed and treated by a clinician. Prices and panels shown are illustrative and change often, confirm current details on the provider's site.
Also in the area
Beyond the public testing sites above, these federally certified (CLIA) labs serve Humacao Municipio, each lab's town is shown on its card below. Many test through a doctor's order or by appointment rather than walk-in, so call ahead to confirm STD/STI testing and availability before visiting.
104 East Font Martello Street, Humacao, PR 00791
CMS-certified lab
Boulevard Plaza Office Center, Oficina Num 3-A, Humacao, PR 00791
CMS-certified lab Accredited · Joint Commission
Font Martelo 255, Humacao, PR 00791
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Anton Ruiz. A CLIA certificate records only that a laboratory is federally certified — it does not confirm the site performs STD testing, nor its hours, price or access. Inclusion is not an endorsement; always call to verify.
Local clinicians
Beyond dedicated clinics, 835 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Anton Ruiz. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 57 offer telehealth.
Lesbia Zenon Garcia, MD
Family medicine · Hc 15 Box, Humacao
Carlos Lazu Arroyo, MD
OB-GYN · Hospital Ryder, Humacao
Miguel Sosa, MD
Urology · Suite, Humacao
Agripino Lugo Velazquez, MD
Infectious disease · Ulises Martinez Street North, Humacao
Luis Alvarez Lugo, MD
Infectious disease · Urb San Antonio A-2 Cantera, Humacao
Juan Villavicencio Melo, MD
Internal medicine · Ave Font Martelo, Humacao
These are registry-listed clinicians, not dedicated STD-testing clinics. CMS records do not independently verify current licensure, testing services, availability, price, or new-patient status. Confirm each detail before booking. Source: CMS Doctors & Clinicians.
Nearby pharmacies
No pharmacy near Anton Ruiz, PR publishes an STD-related service or holds a current CLIA testing certificate, so these are simply the closest. Contact a location directly to confirm counter hours, services, prices, and availability before visiting.
PMC Marketing
2.4 mi
2.4 mi 
2.6 mi Farmacia Real
2.7 miFarmacia Hima San Pablo Humacao
2.9 miFarmacia San Jose
2.9 miShowing the 6 closest pharmacies to Anton Ruiz, PR.
Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.
Prevention & treatment
Testing is one step. For residents of Anton Ruiz, telehealth covers the rest: HIV-prevention medication (PrEP) and DoxyPEP to lower future risk, and discreet online treatment if a result comes back positive. All prescribed by licensed U.S. clinicians.
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
Pricing varies by insurance and changes often, confirm on the provider's site. These services are not a substitute for emergency care.
STD stats & rates
How reported STI rates in Humacao Municipio, the municipio that includes Anton Ruiz, compare with Puerto Rico and U.S. averages, based on the most recent 2023 surveillance data.
#11 of 78 Puerto Rico counties for chlamydia, a higher rate than 86% of the state
| Infection | Humacao Municipio | Puerto Rico | United States |
|---|---|---|---|
| Chlamydia | 203.2 101 cases ▲ 25% | 162.1 | 492.2 |
| Gonorrhea | 30.2 15 cases ▼ 18% | 37 | 179.5 |
| Syphilis (P&S) | 20.1 10 cases ▲ 48% | 13.6 | 15.8 |
| Syphilis (early) | 26.2 13 cases ▲ 34% | 19.6 | 16 |
| Syphilis (late/unknown) | 32.2 16 cases ▲ 106% | 15.6 | 29.5 |
Rates per 100,000 population, 2023. Source: CDC NCHHSTP AtlasPlus (county, state & U.S., all-ages basis). Population figures: U.S. Census Bureau ACS. These figures are the latest available surveillance estimates. Bars are scaled to the highest rate shown.
Reading these numbers: reported case rates only count infections that were actually tested for and diagnosed, so they track local screening effort as much as true spread: a higher rate can reflect more testing, a lower one less. Either way, most STIs cause no symptoms, so treat the figures above as context rather than a verdict, and test on the CDC's schedule regardless of how your area looks.
Between 2020 and 2023 in Humacao Municipio, chlamydia has risen from 80.6 to 203.2 per 100,000 (152%), gonorrhea has risen from 9.8 to 30.2 per 100,000 (208%), and P&S syphilis has risen from 3.9 to 20.1 per 100,000 (415%).
The 2020 dip reflects reduced pandemic-era screening, not lower transmission. Source: CDC NCHHSTP AtlasPlus (county, state & U.S., all-ages basis).
Community health context
Sources: CDC PLACES (ZIP), County Health Rankings, CDC/ATSDR SVI, HRSA HPSA, HRSA MUA/P, Neighborhood Atlas ADI. Lower insurance coverage, fewer routine checkups, and a thin primary-care ratio all raise the value of low-cost public clinics and at-home testing in Humacao Municipio.
Local HIV snapshot
Humacao Municipio HIV care continuum (2023)
Humacao Municipio recorded 11.2 new HIV diagnoses per 100,000 (2023), against 13.5 statewide and 13.7 nationally. Among Humacao Municipio residents living with HIV, 65.5% are in care · 56.8% are virally suppressed. Early, routine testing is what moves these numbers: it is the entry point to PrEP, treatment, and viral suppression.
Sources: AIDSVu (Emory/Gilead) · CDC AtlasPlus · CDC NCHHSTP AtlasPlus (county care continuum). The CDC recommends everyone aged 13–64 test for HIV at least once: every lab and clinic listed above offers HIV testing, and free rapid HIV testing is available at a local health department.
Congenital syphilis, passed from parent to baby in pregnancy, is the fastest-rising STI in the country. U.S. cases climbed from 2,163 in 2020 to 3,882 in 2023. It is almost entirely preventable: the CDC recommends a syphilis test at the first prenatal visit, and every clinic and lab listed for Humacao Municipio tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Despite the county's relatively low labor-force participation rate, the majority of Anton Ruiz's residents have secured steady jobs, with nearly four out of ten people employed. 5% of Anton Ruiz's residents do so, leaving 33% to navigate the challenges of renting. 66 individuals underscores the close-knit nature of Anton Ruiz's communities.
However, the high cost of housing – with typical rents reaching $445 per month – may force some families to prioritize other expenses over healthcare. The drive to the nearest clinic can be a significant one, adding to the practical challenges of accessing essential services. In this context, convenient and low-friction STD testing becomes even more crucial for young adults, who are just beginning to form relationships and navigate the complexities of intimacy.
Getting there
At 3.77/20 on the EPA walkability index, day-to-day errands in Anton Ruiz generally mean driving: plan on a car or rideshare to reach a clinic, and check each listing's hours and phone before you go.
Source: EPA National Walkability Index 2021.
Anton Ruiz sits in Humacao Municipio, ZIP 791. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Anton Ruiz? These nearby communities have their own testing guides: clinics, at-home kits, and free screening close to home.
Reference
Everything to know before you test in Humacao Municipio: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Puerto Rico law. If you have symptoms right now, our confidential symptom checker maps them to the tests worth considering.
Based on current CDC screening recommendations.
| Group | Tests | How often |
|---|---|---|
| Everyone aged 13–64 | HIV | At least once |
| Sexually active women under 25 | Chlamydia, gonorrhea | Every year |
| Women 25+ with new or multiple partners | Chlamydia, gonorrhea | Every year |
| Pregnant people | HIV, syphilis, hepatitis B & C, chlamydia | Early in pregnancy |
| Gay & bisexual men (MSM) | Chlamydia, gonorrhea, syphilis, HIV | Every 3–6 months |
| Anyone who shares injection equipment | HIV, hepatitis B & C | At least yearly |
| All adults at least once | Hepatitis C | At least once |
Testing too early can return a false negative, confirm timing with an Anton Ruiz-area provider.
| Infection | Earliest reliable test | Sample |
|---|---|---|
| Chlamydia | 1–2 weeks | Urine or swab |
| Gonorrhea | 1–2 weeks | Urine or swab |
| Trichomoniasis | 1–4 weeks | Urine or swab |
| HIV (NAT / RNA) | 10–33 days | Blood |
| HIV (4th-gen Ag/Ab) | 18–45 days | Blood |
| HIV (antibody) | 3–12 weeks | Blood / oral |
| Syphilis | 3–6 weeks | Blood |
| Hepatitis B | 3–6 weeks | Blood |
| Hepatitis C | 8–11 weeks | Blood |
| Herpes (HSV) | 4–16 weeks (antibody); swab a sore | Blood / swab |
These are the federal Medicare reference prices for processing each lab test. Public clinics and the community health centers serving Anton Ruiz often test free or on a sliding scale; private labs and at-home kits bundle several tests into one fee. Use this as a per-test benchmark before you pay out of pocket, or see the full guide to STD test costs for insurance, free, and at-home options.
| Test | Reference price | CPT / HCPCS |
|---|---|---|
| Chlamydia (NAAT) | $47.80 | 87491 |
| Gonorrhea (NAAT) | $47.80 | 87591 |
| Trichomoniasis (NAAT) | $47.76 | 87661 |
| HIV-1/2 antigen/antibody | $26.87 | 87389 |
| HIV-1/2 antibody | $22.44 | 86703 |
| Syphilis (RPR/VDRL) | $5.61 | 86592 |
| Syphilis (treponemal antibody) | $17.49 | 86780 |
| Herpes (HSV NAAT) | $47.76 | 87529 |
| Hepatitis B surface antigen | $15.33 | 87340 |
| Hepatitis C antibody | $29.16 | 86803 |
Source: Medicare Clinical Laboratory Fee Schedule, CMS, 2025 rates (data.cms.gov). Reference rate for the lab assay only: a clinic visit, sample collection, or a bundled multi-test panel may cost more. Medicaid and most insurers cover STD screening at no out-of-pocket cost.
Two things that actually depend on Puerto Rico law: who can consent, and whether partners can be treated without their own visit. Everything else about testing privately is the same nationwide (see below).
In Puerto Rico, public health clinics provide confidential STI testing and treatment; ask the clinic directly about consent requirements for minors.
Expedited Partner Therapy (EPT) is potentially allowable in Puerto Rico: it is not expressly authorized, but not prohibited either. Ask your provider whether they will prescribe treatment for a partner without a separate visit.
Keeping a test private works the same in every state. Whether an STD test shows on insurance (the EOB), how to test anonymously, and self-pay options that leave no insurance trail don’t change by location.
Learn more about confidential STD testing in Puerto RicoSource: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.
Good to Know
Answers to the questions people ask most before getting tested.
There are 3 options within a 30-mile drive.
Yes, Medicaid typically covers it, and public clinics are free either way.
Public health clinics nearby provide free testing.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Humacao Municipio reported ~203 chlamydia cases per 100,000 in 2023, above the Puerto Rico average.
Most results are ready in about 1–2 days.
In Puerto Rico, people under 18 can consent to confidential STD testing and treatment on their own.
Your results are part of your HIPAA-protected medical record; you can ask any clinic about its own privacy practices.
No, standard bloodwork doesn't include STIs unless you ask, so request STD testing specifically.
Yes, a syphilis sore can heal while the infection stays and silently progresses, so a blood test is the only way to be sure.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.