Across Puerto Rico's 938 cities and towns, testing options vary. Compare confidential, low-cost, and free clinics, labs, at-home kits, and costs, with statewide STI rates alongside.
Available testing centers
228 public & community clinics serve Puerto Rico. Below are 12 testing centers from Puerto Rico's largest cities. Open any city for its full local list.
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.
Review sources
A safety-net clinic in San Juan, PR (Federally Qualified Health Center). Sliding-scale STD testing and care are typical at sites like this, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
Review sources
A safety-net clinic in Bayamon, PR (Federally Qualified Health Center). Sliding-scale STD testing and care are typical at sites like this, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
Review sources
A free or low-cost STD-testing option in Carolina, PR.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Oct 2025 · Source: CDC NPIN
Review sources
A free or low-cost STD-testing option in Ponce, PR, run as a Federally Qualified Health Center with sliding-scale fees.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN + HRSA
Review sources
A safety-net clinic in Caguas, PR (Federally Qualified Health Center). Sliding-scale STD testing and care are typical at sites like this, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
Review sources
A free or low-cost STD-testing option in Mayaguez, PR, run as a Federally Qualified Health Center with sliding-scale fees.
Languages
English, Spanish
Tests offered
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN + HRSA
Review sources
A safety-net clinic in Trujillo Alto, PR (Federally Qualified Health Center). Sliding-scale STD testing and care are typical at sites like this, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
Review sources
A safety-net clinic in Arecibo, PR (Federally Qualified Health Center). Sliding-scale STD testing and care are typical at sites like this, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
Review sources
A safety-net clinic in Guayama, PR (Federally Qualified Health Center). Sliding-scale STD testing and care are typical at sites like this, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
Review sources
A safety-net clinic in Humacao, PR (Federally Qualified Health Center). Sliding-scale STD testing and care are typical at sites like this, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
Review sources
A safety-net clinic in Candelaria, PR (Federally Qualified Health Center). Sliding-scale STD testing and care are typical at sites like this, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
Review sources
A safety-net clinic in Cayey, PR (Federally Qualified Health Center). Sliding-scale STD testing and care are typical at sites like this, call ahead to confirm the exact panel and pricing.
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 |
|---|
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. Widen the distance or clear the service-type filter.
Test from home
if you'd rather skip the trip, an at-home kit ships to Puerto Rico, 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
$79 & up
Best value: single tests
$49 & up
Best range: couples & full panels
$79 & 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 operate across Puerto Rico, 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.
1502 Prof Augusto Rodriguez
Certificate of AccreditationAccredited · Joint CommissionCLIA #40D0658245
Carr Pr-14 Km 80 Hm 5 Parque Industrial Pueblo
Certificate of AccreditationAccredited · Joint CommissionCLIA #40D2281472
Ave Ponce De Leon Pda 37
Certificate of AccreditationAccredited · Joint CommissionCLIA #40D0658283
Riefkhol Street 99
Certificate of AccreditationAccredited · Joint CommissionCLIA #40D1011813
Luis Munoz Marin Ave Carretera 138
Certificate of AccreditationAccredited · Joint CommissionCLIA #40D1010006
Edif Jesus T Pinero Ave Fernandez Juncos
Certificate of AccreditationAccredited · Joint CommissionCLIA #40D2100689
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records, filtered to active labs certified for moderate-to-high-complexity testing, the level chlamydia/gonorrhea NAAT and syphilis serology require, across Puerto Rico. Any star rating is the CMS Hospital Compare overall rating where the lab is a rated hospital. Inclusion is not an endorsement and doesn't confirm a facility offers STD testing, always call to verify.
Prevention & treatment
Testing is one step. For residents of Puerto Rico, 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.
Online treatment
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
PrEP & DoxyPEP
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
PrEP & DoxyPEP
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
Online treatment
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
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 across Puerto Rico compare with the United States, using the most recent CDC surveillance data. Data for all 78 counties feeds the county and city pages linked below. About 6.6% of Puerto Rico adults are uninsured, a key reason the free and low-cost testing options below matter.
An estimated ~26% of Puerto Rico residents are aged 15–34 (ACS): the age group with the highest reported chlamydia and gonorrhea rates nationally, which is why testing access across the state matters.
| Infection | Puerto Rico | United States |
|---|---|---|
| Chlamydia | 162.1 5,195 cases ▼ 67% | 492.2 |
| Gonorrhea | 37 1,187 cases ▼ 79% | 179.5 |
| Syphilis (P&S) | 13.6 437 cases ▼ 14% | 15.8 |
| Syphilis (early) | 19.6 627 cases ▲ 23% | 16 |
| Syphilis (late/unknown) | 15.6 501 cases ▼ 47% | 29.5 |
Rates per 100,000 population, latest year. Source: CDC NCHHSTP AtlasPlus (all-ages basis). Bars are scaled to the highest rate shown; the badge is each Puerto Rico rate versus the U.S. average.
Between 2020 and 2023 in Puerto Rico, chlamydia has risen from 121.6 to 162.1 per 100,000 (33%), gonorrhea has risen from 11.9 to 37 per 100,000 (211%), and P&S syphilis has risen from 8.4 to 13.6 per 100,000 (62%).
The 2020 dip reflects reduced pandemic-era screening, not lower transmission. Source: CDC NCHHSTP AtlasPlus.
Community health context
Lower insurance coverage and a thin clinic-to-population ratio raise the value of free public clinics and confidential at-home testing across Puerto Rico (pop. 3,205,691). Sources: U.S. Census ACS (uninsured), HRSA & CDC NPIN (clinics), NPPES & OpenStreetMap (pharmacies), CDC/ATSDR SVI.
Statewide HIV snapshot
Puerto Rico HIV care continuum (2023)
Puerto Rico reports 13.5 new HIV diagnoses per 100,000, below the U.S. rate of 13.7. The rate has risen29% since 2020. Among Puerto Rico residents living with HIV, 91.3% know their status · 71% are linked to care · 62.8% are in care · 55.6% are virally suppressed. On prevention, 8.2% of those who could benefit from PrEP are taking it (below the 31.3% national average). Early, routine testing is what moves these numbers: it is the entry point to PrEP, treatment, and viral suppression.
Source: CDC NCHHSTP AtlasPlus. The CDC recommends everyone aged 13–64 test for HIV at least once, every clinic and lab listed above offers HIV testing.
Also screened
Comprehensive panels also screen for hepatitis B and C, both sexually transmissible. Per 100,000, Puerto Rico vs U.S.
Congenital syphilis in Puerto Rico
Congenital syphilis, passed from parent to baby in pregnancy, is the fastest-rising STI in the country. Puerto Rico reported 27 cases in 2023, up from 5 in 2020. Nationally, cases climbed from 2,163 (2020) to 3,882 (2023). It is almost entirely preventable with a syphilis test at the first prenatal visit.
Source: CDC NCHHSTP AtlasPlus, 2023.
Puerto Rico reported a chlamydia rate of 162.1 per 100,000 in its most recent surveillance year, 67% below the U.S. average of 492.2. Gonorrhea ran 37 per 100,000, and primary-and-secondary syphilis 13.6.
Statewide chlamydia has risen 33% since 2020. The 2020 dip in the trend reflects reduced pandemic-era screening, not lower transmission, and because most STDs are silent, reported counts understate true spread.
Testing reaches every corner of Puerto Rico: 228 public and community health clinics test free or on a sliding scale, private walk-in labs return results in 1–2 days, and at-home kits ship to every ZIP code, with the densest options around San Juan, Bayamon, and Carolina.
About 6.6% of Puerto Rico adults are uninsured and 41.3% live below the poverty line, so cost is the most common reason testing gets delayed. Free public-clinic testing, sliding-scale community health centers, and self-pay private labs that never bill insurance keep screening within reach, weigh them on price, privacy, and turnaround using the comparison above.
About 26% of Puerto Rico residents are aged 15–34. The CDC estimates people aged 15–24 account for roughly half of all new STIs nationwide despite being a small share of the population, so screening guidance is age-aware.
Sexually active women under 25, and anyone with new or multiple partners, should test for chlamydia and gonorrhea every year; everyone aged 13–64 should test for HIV at least once; and pregnant residents are screened early in pregnancy. Because most STDs cause no symptoms, testing on the CDC's schedule, not only when something feels wrong, is the reliable way to catch an infection before it spreads.
Testing is one pillar; prevention is the other. Puerto Rico county and city health departments distribute free condoms, offer HIV counseling, and provide hepatitis A/B and HPV vaccination that heads off several of the infections screened for here, while PrEP and DoxyPEP sharply cut HIV and bacterial-STI risk.
If a result is positive, treatment is close to home: chlamydia, gonorrhea, syphilis, and trichomoniasis are curable with antibiotics, while HIV and herpes are managed with ongoing care. Public health departments treat on site and most private labs include a clinician consult, start with a free or low-cost Puerto Rico clinic above, or an at-home kit for private, mail-in screening.
Medically Reviewed & Fact-Checked · Updated
Reviewed by EasySTD Editorial Team
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 →
Data & references
Local context
STD and HIV testing is available across all 78 Puerto Rico municipios, and you have options at every price point. 228 public and community health clinics test free or on a sliding scale, private walk-in labs return results in 1–2 days, and at-home kits ship anywhere in Puerto Rico. Puerto Rico's reported chlamydia rate of 162.1 per 100,000 (2023) runs 67% below the U.
S. average, so routine screening matters here regardless of where the headline number sits. With about 6.6% of Puerto Rico adults uninsured, the free and low-cost options below matter, cost is the most common reason testing gets put off.
Free & low-cost testing in all 78 counties · at-home kits ship statewide
Largest metros
Where most Puerto Rico testing demand concentrates, each has its own local guide.
Puerto Rico snapshot
State-level Census (ACS) figures that shape testing demand and access. Median age and income are population-weighted estimates.
Getting there
The interstates and highways that connect Puerto Rico's testing sites, most clinics and labs sit on or near one of these corridors.
Reference
Everything to know before you test in Puerto Rico: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Puerto Rico law.
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 a Puerto Rico-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 Puerto Rico 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.
Browse by city
Choose your city for the local picture: nearby clinics, lab prices, county STI rates, and at-home kits shipped to your door. We cover all 938 Puerto Rico cities and towns; the largest are below.
Plan your test
A few quick steps to line up the right test, know what it costs, and understand your privacy rights before you go.
Answer a few questions to match your exposure and symptoms to the right screening panel.
OpenEach infection has its own detection window; test too early and a result can miss it.
OpenReference prices for clinics, labs, and at-home kits so you know before you pay.
OpenMinor consent, partner treatment, and how to keep results off your record.
OpenSymptoms, tests, and treatment for each infection, in plain language.
OpenThe full walk-through, from choosing a site to reading your results.
OpenGood to Know
Answers to the questions Puerto Rico residents ask most before getting tested, from privacy and cost to timing and at-home options.
Puerto Rico's STD rates track close to the national picture, reporting about 162 cases per 100,000 (67% below the U.S. average). Reported counts understate the true total because most infections are silent, which is why routine screening matters statewide.
Since 2020, gonorrhea is up about 211%, syphilis is up about 62%, chlamydia is up about 33% in Puerto Rico. Syphilis, including congenital syphilis passed to newborns, is the fastest-growing STI nationally, so prenatal and routine screening are a priority here too.
Puerto Rico reports about 13.5 new HIV diagnoses per 100,000 residents a year, a rate that has risen in recent years. About 55.6% of residents living with HIV are virally suppressed, undetectable means the virus can't be sexually transmitted (U=U). PrEP and free HIV testing are available across the state.
Puerto Rico reported about 162 chlamydia cases per 100,000 (2023), 67% below the U.S. average of 492. It is the most commonly reported STD here, and often silent, so under-25s and anyone with new partners should screen yearly.
Congenital syphilis, when syphilis passes from parent to baby in pregnancy, is the fastest-rising STI crisis in the U.S. (about 3,882 U.S. cases in 2023), and it is almost entirely preventable with a simple blood test early in pregnancy. Puerto Rico recommends syphilis screening at the first prenatal visit, so testing while pregnant, or before, matters here.
In Puerto Rico, public health clinics provide confidential STI testing and treatment; ask the clinic directly about consent requirements for minors.
If you use health insurance, an Explanation of Benefits (EOB) may be mailed to the policyholder, which could be a parent or spouse. Under HIPAA (45 CFR 164.522) you can ask your insurer in writing to send communications to you confidentially. To leave no insurance trail at all, use a self-pay private lab, an at-home test kit, or a public health clinic, none of these bill your insurance.
Anonymous HIV testing is available at some sites in Puerto Rico; elsewhere testing is confidential (name-based) but still protected. Public health clinics and at-home kits also let you test without involving insurance or your regular doctor.
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.
Puerto Rico's 228 public and community health clinics, county and city health departments, FQHCs, and Title X family-planning sites, test for free or on a sliding scale statewide, which matters where about 6.6% of adults are uninsured. Pick your city below for the specific clinics nearest you.
Free or sliding-scale at Puerto Rico's public clinics and FQHCs (Medicaid accepted); at-home kits run about $50–$150 for a full panel; private walk-in labs charge per test. No one is turned away for inability to pay at public health clinics.
PrEP, a daily pill that prevents HIV, is available across Puerto Rico through health departments, FQHCs, and many primary-care and telehealth providers, often free or low-cost via insurance, Medicaid, or manufacturer assistance programs. Alongside testing and treatment, it's central to the state's HIV response. Any Puerto Rico clinic can start you, or you can begin through a telehealth service.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.