STD Testing in Cacao, PR: Free, Same-Day & Confidential
In Quebradillas Municipio, reported chlamydia runs about 84% lower than the US average. If you’ve had a recent risk or simply test on a regular schedule in Cacao, Puerto Rico, you can weigh public clinics against private labs. Or consider at-home kits.
3 testing options are listed for Cacao, PR. The nearest, CISS-Quebradillas Site, is about 1.7 miles away. Compare 3 community and public clinics, private labs, and at-home kits below.
How to read these listings
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.
Community health center 1.7 miles
CISS-Quebradillas Site
3.6(27)?
Review sources
Google24
EasySTD3
Rated 3.6 out of 5 from 27 reviews
CISS-Quebradillas Site, in Quebradillas, anchors its STI care in federal FQHC funding that ties fees to household income. Meaning cost scales down as need rises. Walk-in screening covers syphilis, gonorrhea, and chlamydia, with no one turned away because of an inability to pay.
Centros Integrados de Servicios de Salud in Quebradillas takes walk-ins for gonorrhea, syphilis, chlamydia, and HIV testing, with STI treatment available the same visit; fees follow a sliding scale and the clinic accepts Medicaid, Medicare, and private insurance.
Read full overviewShow less
Spanish Is the Working Language of Every Appointment
Every provider at Centros Integrados de Servicios de Salud conducts consultations, documents histories, and delivers diagnoses and treatment instructions in Spanish. Not through a relay, but as the clinic's primary operational language from check-in through discharge.
Listing verified Oct 2025 · Source: CDC NPIN + HRSA
Highest rated 3.6 miles
Migrant Health Center Western Region
5.0(10)?
Review sources
Google9
EasySTD1
Rated 5 out of 5 from 10 reviews
Migrant Health Center Western Region in Isabela covers gonorrhea, chlamydia, syphilis, and HIV testing, with same-visit treatment for any bacterial infection confirmed on-site. Fees follow a sliding scale, and Medicare, Medicaid, and private insurance are all accepted. Appointments are required.
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Spanish Is the Clinical Language Here
When a diagnosis requires follow-up questions, medication instructions, or a frank conversation about treatment, language gaps cost people accuracy, and sometimes the treatment itself. At Migrant Health Center Western Region, Spanish is the operating language of care, so nothing clinical gets lost between what a provider says and what a patient understands.
Tests & treatsSliding-scale
Address
Carr # 2 Km 113.0, Sector La Curva Local 2831 Isabela, PR 00662
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.
The nearest testing center is about 2 miles away, if you'd rather skip the trip, an at-home kit ships to Cacao, 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 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
Quest Diagnostics
$79 & up
Panel:
8-infection panel incl. chlamydia, gonorrhea, HIV, syphilis, hepatitis & herpes: single tests too
Sample:
Quest Mobile: a phlebotomist collects your sample at home
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
Other CLIA-certified labs near Cacao, PR
Beyond the public testing sites above, these federally certified (CLIA) labs serve Quebradillas 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.
Laboratorio Clinico Centro Integrado DE
Calle Rafols, Esquina Del Carmen #116, Quebradillas, PR 00678
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Cacao. 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
Clinicians near Cacao, PR who may help arrange STD testing
Beyond dedicated clinics, 251 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Cacao. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 12 offer telehealth.
IC
Israel Cordero-Valle, MD
Internal medicine · 63 Calle San Carlos, Quebradillas
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
Pharmacies near Cacao, PR
Compare the pharmacies closest to Cacao, PR. Contact a location directly to confirm pharmacy-counter hours, services, prices, and product availability before visiting.
Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.
Prevention & treatment
PrEP, prevention & online treatment
Testing is one step. For residents of Cacao, 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.
PrEP & DoxyPEP
Mistr
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
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
STDs & HIV in Quebradillas Municipio: the local picture
How reported STI rates in Quebradillas Municipio, the municipio that includes Cacao, compare with Puerto Rico and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~34% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#70
#70 of 78 Puerto Rico counties for chlamydia, a higher rate than 10% of the state
Reported STD rates per 100,000, Quebradillas Municipio vs Puerto Rico vs U.S.
Quebradillas MunicipioPuerto RicoU.S.▲▼ = Quebradillas Municipio vs the state average
Infection
Quebradillas Municipio
Puerto Rico
United States
Chlamydia
77.418 cases▼ 52%
162.1
492.2
Gonorrhea
8.62 cases▼ 77%
37
179.5
Syphilis (P&S)
—
13.6
15.8
Syphilis (early)
8.62 cases▼ 56%
19.6
16
Syphilis (late/unknown)
12.93 cases▼ 17%
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.
Reported STD rates in Quebradillas Municipio over time (per 100,000)
Chlamydia ▼ 33% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
Between 2020 and 2023 in Quebradillas Municipio, chlamydia has risen from 42.3 to 77.4 per 100,000 (83%), gonorrhea has fallen from 17 to 8.6 per 100,000 (49%), and P&S syphilis has risen from 4.2 to 4.3 per 100,000 (2%).
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
What shapes testing access in and around Cacao, PR
Medically Underserved Area
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 Quebradillas Municipio.
Local HIV snapshot
HIV in Quebradillas Municipio (2023)
People living with HIV
299 / 100k
PrEP users / 100k
48
Quebradillas Municipio HIV care continuum (2023)
Among Quebradillas Municipio residents living with HIV, 73.3% are in care · 63.3% 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 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.
Pregnant or planning to be?Congenital syphilis is the fastest-rising STI: what to test, and when
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 Quebradillas Municipio tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Compiled and checked by EasySTD's editorial team against CDC and public-health sources. This is educational information, not a substitute for advice from a licensed clinician. Our editorial guidelines →
Cacao, a rural community in Quebradillas Municipio, faces significant challenges in providing access to STI testing for its young residents. The county's high STI rate, as evident from the data, translates to a daunting reality for those living in the area. The typical rent of $445 per month for a modest home can be a significant burden for many, especially considering the average household size of 3.67. Those in need of STI testing may find themselves forced to take time off work to travel to the nearest clinic, a drive that can take several hours out of their busy schedules.
With only a handful of testing options listed on this page, residents of Cacao are left to navigate the complexities of accessing care. The county's rural spread and limited public transportation options exacerbate this issue, making it difficult for young adults to prioritize their health. Those who do not have access to flexible work arrangements or a supportive family network may find themselves struggling to balance their responsibilities and seek medical attention.
In a community where the cost of living can be overwhelming, convenient and low-friction STI testing is crucial for young adults still forming relationships. By providing easy access to testing, residents of Cacao can take control of their health and reduce the risk of STI transmission.
Getting there
How residents reach STD testing in Cacao, PR
Walkability3.6 / 20 · Least walkable
At 3.6/20 on the EPA walkability index, day-to-day errands in Cacao 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.
Cacao sits in Quebradillas Municipio, ZIP 678. Local context that shapes where residents test:
Local landmarks
Túnel de Guajataca
Monte de la Luz
El Centro
Cerro Alto
Cerro de la Bandera
Neighborhoods & communities
La Chiva
Parcelas Talas Terranova
San Antonio
Poncito
Llanadas
San Antonio de la Tuna
Quebradillas
Coto
Major routes
PR-2 (Carretera Militar)
PR-113 (Avenida Noel Estrada)
Nearby cities & towns
STD testing near Cacao, PR
Just outside Cacao? These nearby communities have their own testing guides: clinics, at-home kits, and free screening close to home.
STD testing in Cacao, PR: screening, costs & privacy
Everything to know before you test in Quebradillas 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.
Who should test, and whenCDC screening schedule + each infection's detection window
Who should get tested, and how often
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
When to test: STD detection windows
Testing too early can return a false negative, confirm timing with a Cacao-area provider.
What each STD test costsMedicare reference prices per lab test, a benchmark before you pay out of pocket
These are the federal Medicare reference prices for processing each lab test. Public clinics and the community health centers serving Cacao 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.
Confidentiality & consent in Puerto RicoMinor consent and partner treatment (EPT) under state law, plus how to test privately
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).
Can a minor consent on their own?
In Puerto Rico, public health clinics provide confidential STI testing and treatment; ask the clinic directly about consent requirements for minors.
Can my partner be treated too? (EPT)
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.
