Syphilis in Toa Baja Municipio is about 58% higher than the US average. Whether you have symptoms or just want peace of mind in San Jose, Puerto Rico, you can visit a clinic and get immediate advice, or order an at-home kit and test on your own. The options listed below show these trade-offs.
Available testing centers
3 testing options are listed for San Jose, PR. The nearest, Centro de Salud Integral Toa Alta 1, is about 1.0 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.
A safety-net federally qualified health center about 1 mile from San Jose. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Tests offered
Fees & payment
Centro de Salud Integral en Toa Alta S.E. serving Toa Alta, carries federally qualified health center standing. The designation that anchors its income-based sliding-scale fees for STI screening. Syphilis, gonorrhea, and chlamydia testing are available without requiring an appointment, with costs adjusted to what patients can actually pay.
Tests offered
Fees & payment
Salud Integral En la Montaña in Toa Alta tests for gonorrhea, chlamydia, syphilis, and HIV on a sliding-scale fee adjusted to income, with Medicare and insurance also accepted. Bacterial STIs are treated the same visit; an appointment is required.
Plenty of clinics accommodate Spanish speakers through add-on workarounds that still center English as the default. At Salud Integral en la Montaña, Spanish is the language the clinic actually runs in: counseling, HIV testing conversations, medication adherence education, and treatment planning all happen in it natively.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified May 2026 · Source: CDC NPIN
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 1 mile away; if you'd rather skip the trip, an at-home kit ships to San Jose, 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 range: couples & full panels
$79 & 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 Toa Baja 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.
Lizzie Graham Jr 1 Seccion # 7, Toa Baja, PR 00949
CMS-certified lab
Carr Pr- 867, Esquina 866 Parcela 59-B, Sabana Seca, PR 00952
CMS-certified lab
Carr, Pr -2, Km 18, Hm 9, Comunidad Macun, Toa Baja, PR 00949
CMS-certified lab
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near San Jose. 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, 918 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of San Jose. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 59 offer telehealth.
Carlos Perez Semidei, MD
General practice · 1 Calle Villa Amparo, Toa Alta
Melitsa Aguilar, MD
Family medicine · 571 Camino Flamenco, Dorado
Luis Ramos Fernandez, MD
General practice · 100 Ave Norfe, Toa Alta
Germariliz Diaz Martinez, MD
Family medicine · Urb Jardines De Toa Alta Edificio Rio, Toa Alta
Javier Tirado Manzano, MD
Internal medicine · 316 Calle Mendez Vigo, Dorado
William Ruiz Vale, MD
OB-GYN · 349 Calle Mendez Vigo, Dorado
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 San Jose, 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.
0.7 mi Farmacia San Jose 1
1.1 miFarmacia el Amal # 76
2.7 miFarmacias Plaza 15
3.8 miFarmacia el Amal # 73
3.9 miFarmacia Caridad
3.9 miShowing the 6 closest pharmacies to San Jose, 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 San Jose, 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.
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
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
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 Toa Baja Municipio, the municipio that includes San Jose, compare with Puerto Rico and U.S. averages, based on the most recent 2023 surveillance data.
#23 of 78 Puerto Rico counties for chlamydia, a higher rate than 71% of the state
| Infection | Toa Baja Municipio | Puerto Rico | United States |
|---|---|---|---|
| Chlamydia | 179.4 129 cases ▲ 11% | 162.1 | 492.2 |
| Gonorrhea | 47.3 34 cases ▲ 28% | 37 | 179.5 |
| Syphilis (P&S) | 25 18 cases ▲ 84% | 13.6 | 15.8 |
| Syphilis (early) | 29.2 21 cases ▲ 49% | 19.6 | 16 |
| Syphilis (late/unknown) | 29.2 21 cases ▲ 87% | 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 Toa Baja Municipio, chlamydia has risen from 90.3 to 179.4 per 100,000 (99%), gonorrhea has risen from 13.3 to 47.3 per 100,000 (256%), and P&S syphilis has risen from 10.6 to 25 per 100,000 (136%).
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 Toa Baja Municipio.
Local HIV snapshot
Toa Baja Municipio HIV care continuum (2023)
Toa Baja Municipio recorded 14 new HIV diagnoses per 100,000 (2023), against 13.5 statewide and 13.7 nationally. Among Toa Baja Municipio residents living with HIV, 63.2% are in care · 56.3% 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 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 Toa Baja Municipio tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
In Toa Baja Municipio, the county's high STI rates, reflected in San Jose's residents, are met with a harsh reality: many face the daunting task of navigating the long drive to the nearest clinic, a 45-minute journey that can be a significant barrier for those with limited transportation options. The cost of living, with a typical rent of $442 per month, also puts a strain on already tight budgets, making it difficult for young adults to prioritize healthcare.
For those living in San Jose, the divide between homeownership and renting is stark, with 74.4% of residents owning their homes. However, this also means that many renters, particularly those in the under-35 crowd, may find themselves without access to affordable healthcare options, including STI testing. The rural spread of Toa Baja Municipio and the limited public transportation options exacerbate this issue, making it difficult for young adults to access the healthcare they need.
Given the constraints of San Jose's rural surroundings and limited public transportation, the options listed on this page – a drive from San Jose to the nearest clinic – offer a tangible solution to this challenge. By providing convenient access to STI testing, residents of San Jose and Toa Baja Municipio can take control of their health and well-being, addressing the high STI rates in their community and promoting a healthier, more connected community.
Getting there
At 5.39/20 on the EPA walkability index, day-to-day errands in San Jose 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.
San Jose sits in Toa Baja Municipio, ZIP 949. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside San Jose? 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 Toa Baja 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 a San Jose-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 San Jose 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.
Yes, several local labs offer same-day walk-in testing; best to call first.
Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.
Public clinics serve people without insurance, often on a sliding scale.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Toa Baja Municipio reported ~179 chlamydia cases per 100,000 in 2023, above the Puerto Rico average.
At-home kits mail to 949: self-collect, send to the lab, results in ~2–5 days.
In Puerto Rico, people under 18 can consent to confidential STD testing and treatment on their own.
Untreated chlamydia can lead to pelvic inflammatory disease and fertility problems, caught early, it's cured with antibiotics.
Get treated, notify partners, pause sex until cleared, and follow up, the infection is manageable.
Often, yes, especially throat and rectal infections, which is why site-specific testing matters.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.