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STD Testing in Espino, PR: Free, Same-Day & Confidential

In Espino, the Puerto Rico locale of Añasco Municipio has 23% fewer cases of syphilis than the US average. If you're considering testing in Espino, Puerto Rico, whether after a possible exposure or for routine care, you can weigh different options. Public clinics keep costs down, private labs prioritize speed, and at-home kits trade a visit to the clinic for convenience. See the options below.

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  • Clinics, labs & at-home kits compared
  • Free & low-cost options included
  • Backed by CDC, CMS & Census data
  • Editorially reviewed

Available testing centers

STD testing near Espino, PR

3 testing options are listed for Espino, PR. The nearest, Estancia Corazon, is about 5.5 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.

Closest to you 5.5 miles

Estancia Corazon

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Estancia Corazon in Mayaguez tests for HIV, syphilis, and TB on a walk-in basis with no appointment needed, and every test, counseling session, and prevention service comes at no charge to anyone who walks through the door.

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Every Service Carries a Zero Balance

All services at Estancia Corazon are provided at no fee, which means the cost question is settled before anyone arrives: nothing changes based on income, insurance, or how many services are used in a single visit.

Spanish Is the Working Language Here

Spanish is the language of every interaction at Estancia Corazon, so counseling, risk conversations, and PrEP education land with the precision they require. Nothing gets compressed or softened in translation.

PrEP Available Without a Separate Provider

Estancia Corazon prescribes PrEP directly, which serves anyone who wants consistent HIV prevention but doesn't have a primary care provider managing it. The medication and the clinical relationship that sustains it are both available here.

PrEP
Address
Edificio Casa De Salud, 4 Piso Mayaguez, PR 00680
Opening hours
  • Monday 8:00 AM – 5:00 PM
  • Tuesday 8:00 AM – 5:00 PM
  • Wednesday 8:00 AM – 5:00 PM
  • Thursday 8:00 AM – 5:00 PM
  • Friday 8:00 AM – 5:00 PM
  • Saturday Closed
  • Sunday Closed
Website
Community health center 6.1 miles

MEDX Medical Experience By Migrant Litoral Clinic

Where these reviews come from

Review sources

  • Google20
  • EasySTD3
Rated 4 out of 5 from 23 reviews

MEDX Medical Experience By Migrant Litoral Clinic in Mayaguez extends federally qualified health center sliding-scale fees to cash-paying patients, those between providers, and anyone without coverage. STI screening here covers syphilis, gonorrhea, and chlamydia, with costs adjusted to income so financial barriers don't determine who gets tested.

Sliding-scale
Address
183 Ave Dunscombe, Mayaguez, PR 00682
Website
Community health center 6.2 miles

Migrant Health Center Western Region

Where these reviews come from

Review sources

  • Google20
  • EasySTD3
Rated 4.2 out of 5 from 23 reviews

Migrant Health Center Western Region in Mayagüez tests for HIV, syphilis, gonorrhea, chlamydia, herpes, and hepatitis A, B, and C on a sliding-scale fee with a no-fee option: walk-ins welcome, same-visit treatment for bacterial infections, and every service carries no charge at its floor.

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Zero-Cost Care Across Every Service Line

Whether you are paying cash, managing a chronic condition like HIV without a regular provider, or simply need the medication in hand the same day, the no-fee floor here covers testing, treatment, PrEP, and counseling alike. No service sits outside that threshold.

ASL and Spanish Are Clinical Languages Here

Walk-in STI clinics routinely lack staff fluency in American Sign Language, leaving Deaf patients to navigate care through improvised workarounds. At Migrant Health Center Western Region in Mayagüez, ASL and Spanish are both working clinical languages. Conversations happen directly between patient and provider.

PrEP Prescribed and Monitored On-Site

PrEP here means a prescribing provider, the required HIV and kidney-function monitoring, and uninsured coverage built into the fee structure. The full clinical cycle, not just a starter dose. PEP is similarly managed on-site, with medication access and adherence counseling handled by the same team.

Tests & treats Sliding-scale PrEP
Address
191William Dunscombe Avenue, Mayagüez, PR 00680
Opening hours
  • Monday 7:30 AM – 4:00 PM
  • Tuesday 7:30 AM – 4:00 PM
  • Wednesday 7:30 AM – 4:00 PM
  • Thursday 7:30 AM – 4:00 PM
  • Friday 7:30 AM – 4:00 PM
  • Saturday Closed
  • Sunday Closed
Website

Free tool · not a clinic

When can I test? Exposure-window calculator

Testing too soon can miss an infection. Enter the date of possible exposure to see the earliest a test can reliably detect each STI.

Detection windows for every 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.

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What matters most to you?

What will it cost? Estimate your STD test

Typical out-of-pocket ranges by option, actual cost depends on which tests you need.

  • Public / community clinic

    Free HIV testing is common

    $0–$25

  • Private lab (self-pay)

    Never billed to insurance

    $24–$200

  • At-home kit

    Mailed to your door, private

    From $49

  • Doctor / urgent care

    Often $0 preventive with insurance

    $0–$50 copay

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Privacy & discretion
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Staff & comfort
Value for cost

Every other option

More ways to get tested in Espino, PR

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

At-home STD testing in Espino, PR

The nearest testing center is about 6 miles away; if you'd rather skip the trip, an at-home kit ships to Espino, 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.

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 Espino, PR

Beyond the public testing sites above, these federally certified (CLIA) labs serve Añasco 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.

  • Centro DE Diagnostico y Tratamiento DE Anasco

    Road 402, Km 1,Hm 8, Barrio Marias, Anasco, PR 00610

    CMS-certified lab

    • STD testing
    Call Directions

  • Laboratorio Clinico Anasco

    Calle Daguey #58, Anasco, PR 00610

    CMS-certified lab

    • STD testing
    Call Directions

  • Laboratorio Clinico Castillo

    65 De Infanteria # 42, Anasco, PR 00610

    CMS-certified lab

    • STD testing
    Call Directions

Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Espino. 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 Espino, PR who may help arrange STD testing

Beyond dedicated clinics, 243 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Espino. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 12 offer telehealth.

  • Jose Martinez, MD

    Family medicine · Bo Tres Hermanos, Anasco

    Directions

  • Miguel Hernandez Ramirez, MD

    Internal medicine · Carretera 404 Km, Anasco

    Call Directions

  • Gilberto Rodriguez, MD

    General practice · 0 5 Carr 401 Km Bo Playa, Anasco

    Call Directions

  • Carlos Esteves Velez, MD

    Infectious disease · 1204 Calle Bartolo Rivera, Mayaguez

    Directions

  • Victor Martinez Aponte, MD

    Internal medicine · 3044 Calle Ramon Power, Mayaguez

    Directions

  • Diana Nieves Castro, MD

    General practice · 10 Calle Bosque, Mayaguez

    Directions

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 Espino, PR

No pharmacy near Espino, 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.

  • Walmart Pharmacy 3.9 mi
    Rx pickupAt-home STI kitsHPV & Hep B vaccinesCondoms / EC
    Directions

  • Farmacia de Diego

    5.2 mi
    Rx pickupCondoms / EC
    Directions

  • Mayaguez Center Drug Store

    5.3 mi
    Rx pickupCondoms / EC
    Directions

  • Mayaguez Pharmacy

    5.3 mi
    Rx pickupCondoms / EC
    Directions

  • Farmacia la Candelaria

    5.3 mi
    Rx pickupCondoms / EC
    Directions

  • Farmacia la Salud

    5.4 mi
    Rx pickupCondoms / EC
    Directions

Showing the 6 closest pharmacies to Espino, PR.

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 Espino, 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.

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 Añasco Municipio: the local picture

How reported STI rates in Añasco Municipio, the municipio that includes Espino, compare with Puerto Rico and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~16% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.

#75 of 78 Puerto Rico counties for chlamydia, a higher rate than 4% of the state

Reported STD rates per 100,000, Añasco Municipio vs Puerto Rico vs U.S.

Añasco Municipio Puerto Rico U.S. ▲▼ = Añasco Municipio vs the state average
Infection Añasco Municipio Puerto Rico United States
Chlamydia
60.4 15 cases ▼ 63%
162.1 492.2
Gonorrhea
8.1 2 cases ▼ 78%
37 179.5
Syphilis (P&S)
12.1 3 cases ▼ 11%
13.6 15.8
Syphilis (early)
4 1 cases ▼ 80%
19.6 16
Syphilis (late/unknown)
4 1 cases ▼ 74%
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 Añasco Municipio over time (per 100,000)

Chlamydia ▼ 16% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
0 50 100 2020202120222023

Between 2020 and 2023 in Añasco Municipio, chlamydia has fallen from 82 to 60.4 per 100,000 (26%), gonorrhea has risen from 7.8 to 8.1 per 100,000 (4%), and P&S syphilis has risen from 7.8 to 12.1 per 100,000 (55%).

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 Espino, 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 Añasco Municipio.

Local HIV snapshot

HIV in Añasco Municipio (2023)

People living with HIV
349 / 100k
PrEP users / 100k
49

Añasco Municipio HIV care continuum (2022)

Añasco Municipio recorded 0 new HIV diagnoses per 100,000 (2022), against 13.5 statewide and 13.7 nationally. Among Añasco Municipio residents living with HIV, 78.9% are in care · 71.1% 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.

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 Añasco Municipio tests for syphilis.

Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).

Reviewed & Fact-Checked · Updated

Reviewed by EasySTD Editorial Team (opens in a new tab)

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 → (opens in a new tab)

16 Sources

Local resources & officials

Data & references

Local context

About Espino, PR

In Espino, the daily commute can be a challenge, especially for those who need to visit a testing site. A working week might start with a drive down the highway out of town, and the nearest clinic is a drive away, making it hard to fit in a testing visit. For many residents, the pressure to balance work and family life is already high, with households of three or more being the norm.

The cost of living in Espino can be steep, with many households struggling to make ends meet. The presence of high-income earners, however, suggests that some residents are doing okay financially. Despite this, the high cost of rent or mortgage payments, combined with the need to balance work and family responsibilities, can be a significant burden.

For young adults in their late teens and twenties, living in Espino can be particularly challenging when it comes to getting tested for STIs. The lack of testing options in the area means that residents have to make significant sacrifices in their daily lives to access care, from juggling work and family responsibilities to finding time and transportation to get to a testing site. In a community where residents already face a high cost of living and limited access to testing options, the need for convenient and low-friction screening is more pressing than ever.

Getting there

How residents reach STD testing in Espino, PR

Walkability 3.6 / 20 · Least walkable

At 3.6/20 on the EPA walkability index, day-to-day errands in Espino 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.

Map of 3 STD & STI testing locations in Espino, Puerto Rico, EasySTD

Espino sits in Añasco Municipio, ZIP 610. Local context that shapes where residents test:

Local landmarks

  • La Curena
  • Cerro Dagüey
  • Cerro Gordo
  • Cerro Pelao
  • Cerro Pichón

Neighborhoods & communities

  • Espino, La Josefa
  • Carreras
  • Ovejas
  • Casey Abajo
  • Añasco
  • Río Cañas
  • Flamboyanes
  • Sagrado Corazón de Jesús

Major routes

  • PR-2 (Avenida Eugenio María de Hostos)

Reference

STD testing in Espino, PR: screening, costs & privacy

Everything to know before you test in Añasco 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 when

CDC screening schedule + each infection's detection window

Who should get tested, and how often

Based on current CDC screening recommendations.

GroupTestsHow 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 an Espino-area provider.

InfectionEarliest reliable testSample
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
Browse all STD & STI guides

What each STD test costs

Medicare 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 Espino 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.

TestReference priceCPT / 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 Rico

Minor 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.

Learn more about confidential STD testing in Puerto Rico

Source: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.

Good to Know

STD testing FAQs for Espino, PR

Answers to the questions people ask most before getting tested.

How many places can I test near Espino, PR?

There are 3 options within a 30-mile drive.

Does insurance cover STD testing near Espino, PR?

Usually yes, it can be billed to insurance, or paid out of pocket at a flat rate.

Is there free HIV testing near Espino, PR?

Yes, free HIV testing is available at public clinics in the area.

What's included in a full panel near Espino, PR?

A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.

How common is chlamydia in Añasco Municipio?

Añasco Municipio reported ~60 chlamydia cases per 100,000 in 2023, below the Puerto Rico average.

Can I get PrEP near Espino, PR?

Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.

Can someone under 18 get tested in Puerto Rico without a parent?

In Puerto Rico, people under 18 can consent to confidential STD testing and treatment on their own.

Is there an at-home STD test for Espino, PR?

At-home kits mail to 610: self-collect, send to the lab, results in ~2–5 days.

What's the difference between PrEP and PEP?

PrEP is taken before exposure to prevent HIV; PEP is emergency medicine started within 72 hours after a possible exposure.

How is HPV tested near Espino, PR?

For people with a cervix, HPV is screened via Pap/HPV testing; no standard screening test exists for men.

Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.