STD Testing in San Juan, PR: Free, Same-Day & Confidential
Syphilis cases in San Juan Municipio run about 52% higher than the U.S. average. If you're in San Juan Municipio, Puerto Rico, considering testing before starting a new relationship or as part of ongoing care, you may prefer a clinic that bills insurance or offers a sliding-scale fee, or a private lab's flat self-pay price. We list options below.
8 testing options are listed for San Juan, PR. The nearest, La Casa de Nuestra Gente, is about 0.5 miles away. Compare 8 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.
Location unavailable — enter a ZIP code or city instead.
Community health center 0.5 miles
La Casa de Nuestra Gente
No ratings yet
La Casa de Nuestra Gente in San Juan carries federal community health center designation, which translates directly into income-based sliding-scale fees for STI screening. Walk-in patients can access syphilis, gonorrhea, and chlamydia testing without needing an appointment, with costs adjusted to what they can afford.
Prepven in San Juan brings hepatitis A, B, and C, herpes, gonorrhea, chlamydia, syphilis, and HIV testing together with sliding-scale fees and same-visit bacterial treatment, walk-ins welcome, with all care delivered in Spanish.
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Spanish Is the Clinical Language Here
Spanish is not an accommodation at Prepven, it is the operating language of every clinical encounter, from HIV test counseling through medication adherence education. That means PrEP initiation, hepatitis treatment protocols, and STI counseling are all discussed, explained, and documented in Spanish without switching registers mid-visit.
Ryan White Funding Covers HIV Care End-to-End
Prepven holds Ryan White Program funding, which means it can carry a person from initial HIV testing through ongoing HIV/AIDS medical treatment and medication adherence counseling as a continuous relationship. Not as separate, unconnected episodes. For someone without a regular HIV provider or whose insurance doesn't cover ongoing management, that sustained funding is what keeps care from stalling.
PrEP and PEP Prescribed On-Site, Not Referred Out
Many STI testing sites confirm your status and leave prevention medication to another provider entirely. Prepven prescribes both PrEP for ongoing HIV prevention and PEP for post-exposure management in-house, so the gap between a test result and an active prescription doesn't open up.
Tests & treatsRyan White HIV carePrEP
Address
315 Ave Manuel Domenech, Suite 01 San Juan, PR 00918
Listing verified Mar 2026 · Source: CDC NPIN + HRSA
Community health center 1.0 miles
Puerto Rico Community Network for Clinical Research and Health Advancements
No ratings yet
Puerto Rico Community Network for Clinical Research and Health Advancements in Rio Piedras pairs same-visit treatment for bacterial STIs (gonorrhea, chlamydia, syphilis) with the full panel including hepatitis B, hepatitis C, herpes, and rapid HIV testing, all at no fee, by appointment.
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Every Test, Every Treatment: Zero Cost
The no-fee structure at Puerto Rico Community Network covers the complete scope of care (not just testing but PrEP, PEP, hepatitis B and C treatment, HIV/AIDS medical management, and vaccines) so the cost of a follow-up visit or a medication refill is identical to the cost of walking in the first time: nothing.
Spanish Is the Working Language of Care
Spanish is the language in which Puerto Rico Community Network conducts every clinical conversation (counseling, adherence education, treatment planning) which means nuanced discussions about PrEP dosing or hepatitis C management happen directly, without mediation.
Ryan White Covers HIV Care From Test to Treatment
Ryan White funding positions Puerto Rico Community Network to carry a patient from initial HIV testing through ongoing HIV/AIDS medical treatment and medication adherence counseling: a continuous clinical relationship, particularly valuable for anyone without a regular HIV provider or whose out-of-pocket costs would otherwise make sustained care difficult.
Tests & treatsRyan White HIV carePrEP
Address
1162 Brumbaugh Street, Urbanizacion Garcia Ubarri Rio Piedras, PR 00925
Listing verified Jun 2026 · Source: CDC NPIN + HRSA
Community health center 1.1 miles
Departamento de Salud de Puerto Rico
1.8(114)?Where these reviews come from
Review sources
Google109
EasySTD5
Rated 1.8 out of 5 from 114 reviews
A community safety-net Ryan White HIV care about 1 mile from San Juan. Sliding-scale STD testing and care are typical here, call ahead to confirm the exact panel and pricing.
Ryan White HIV care
Address
1111 Calle Teniente Cesar Luis Gonzalez, San Juan, PR 00927
Listing verified May 2026 · Source: CDC NPIN + HRSA
1.2 miles
ProFamilias
No ratings yet
ProFamilias in San Juan tests for gonorrhea, chlamydia, and HIV, with same-visit treatment for bacterial infections if you test positive, and every service, from the rapid HIV test to the HPV vaccine, runs at no charge. Appointments are required.
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Every Service Runs on Zero-Fee Funding
ProFamilias structures its budget so that no service generates a patient bill: gonorrhea and chlamydia treatment, HPV and hepatitis vaccines, and HIV counseling are all absorbed at the operational level. There is no point-of-care pricing layer to navigate, for any service on the list.
Clinical Staff Work Entirely in Spanish
At ProFamilias, Spanish is the language the clinical team uses to take history, explain test results, and walk through treatment. Not a supplemental accommodation but the default mode of every encounter. Counseling, education, and follow-up instructions are all delivered in Spanish by the staff conducting your care.
Tests & treats
Address
117 Calle Padre Las Casas, Urbanizacion El Vedado San Juan, PR 00918
HealthproMed Caparra Terrace in San Juan meets patients wherever they are in their coverage journey (uninsured, between providers, or paying out of pocket) through federally qualified status that anchors sliding-scale fees to income. STI screening for syphilis, gonorrhea, and chlamydia is available without an appointment.
Iniciativa Comunitaria, in Hato Rey, accepts walk-ins for rapid and conventional HIV testing, gonorrhea, chlamydia, syphilis, and TB screening (same-visit bacterial treatment included, HPV vaccine available) on a sliding-scale basis with free HIV testing, and every service carries no fee.
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Every Service Runs Without a Bill
Fee-bearing STI clinics routinely carve out exceptions, a free test, then charges for everything else. Iniciativa Comunitaria charges nothing across the board: testing, treatment, vaccines, and counseling all land at zero cost, no line-item exceptions.
For someone navigating an STI diagnosis, a treatment plan, or ongoing HIV management in Spanish, Iniciativa Comunitaria operates entirely in the language. No switching registers mid-visit. Clinical staff communicate, counsel, and treat in Spanish as the default, not the accommodation.
Ryan White Funds HIV Care From Test to Treatment
Through Ryan White program funding, the clinic supports antiretroviral prescribing, ongoing viral load monitoring, and continuous HIV medical management. Not a one-time referral point, but a sustained care relationship from initial diagnosis through long-term treatment.
Needle Cleaning, Needle Exchange or Needle Distribution
HIV/AIDS Prevention/Education
HIV Test Counseling
Fees & payment
Fee
Free HIV Test
Listing verified Jan 2026 · Source: CDC NPIN + HRSA
Most reviewed 2.4 miles
HealthproMed Foundation
3.7(212)?Where these reviews come from
Review sources
Google207
EasySTD5
Rated 3.7 out of 5 from 212 reviews
HealthproMed Foundation in Santurce tests for HIV, syphilis, gonorrhea, chlamydia, herpes, hepatitis A, B, and C, and TB on a sliding-scale fee, with free HIV testing and appointments required for same-visit bacterial STI treatment.
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Every Service Carries Zero Out-of-Pocket Cost
Fee schedules at most clinics leave gaps: vaccines covered, treatment not, or sliding-scale applied only to certain visits. At HealthproMed Foundation, every service, from TB treatment to hepatitis B care to the full STI panel, is provided at no fee to the patient, full stop.
Medical Fluency in Spanish, Across Every Service
For anyone navigating PrEP adherence, medication counseling, or a new HIV diagnosis entirely in Spanish, HealthproMed Foundation in Santurce delivers that care directly: clinical conversations, treatment education, and follow-up in Spanish as the primary language of the practice, not as an accommodation layered on top.
PrEP Prescribed and Monitored On-Site
HealthproMed Foundation carries PrEP and PEP from prescription through ongoing management: meaning the lab monitoring, adherence counseling, and prescription renewals that sustain effective prevention happen within the same clinical relationship, with uninsured patients covered through dedicated PrEP funding.
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 less than a mile away; if you'd rather skip the trip, an at-home kit ships to San Juan, 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
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 San Juan, PR
Beyond the public testing sites above, these federally certified (CLIA) labs serve San Juan 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.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near San Juan. 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 San Juan, PR who may help arrange STD testing
Beyond dedicated clinics, 973 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of San Juan. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 60 offer telehealth.
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 San Juan, PR
No pharmacy near San Juan, 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.
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 San Juan, 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
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
STDs & HIV in San Juan Municipio: the local picture
How reported STI rates in San Juan Municipio, the municipio that includes San Juan, compare with Puerto Rico and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~26% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#2
#2 of 78 Puerto Rico counties for chlamydia, among the very highest in the state
Reported STD rates per 100,000, San Juan Municipio vs Puerto Rico vs U.S.
San Juan MunicipioPuerto RicoU.S.▲▼ = San Juan Municipio vs the state average
Infection
San Juan Municipio
Puerto Rico
United States
Chlamydia
278.7928 cases▲ 72%
162.1
492.2
Gonorrhea
92.2307 cases▲ 149%
37
179.5
Syphilis (P&S)
2480 cases▲ 76%
13.6
15.8
Syphilis (early)
33.6112 cases▲ 71%
19.6
16
Syphilis (late/unknown)
37.5125 cases▲ 140%
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 San Juan Municipio over time (per 100,000)
Chlamydia ▲ 24% vs 2022
Chlamydia Gonorrhea Syphilis (P&S)
Between 2020 and 2023 in San Juan Municipio, chlamydia has risen from 140.8 to 278.7 per 100,000 (98%), gonorrhea has risen from 26 to 92.2 per 100,000 (255%), and P&S syphilis has risen from 19.6 to 24 per 100,000 (22%).
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 San Juan, PR
Below poverty line
29%
Primary-care shortage score 17 / 26
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 San Juan Municipio.
Local HIV snapshot
HIV in San Juan Municipio (2023)
People living with HIV
1307 / 100k
New diagnoses (2023)
91cases countywide
On PrEP (coverage)
5.9%
San Juan Municipio HIV care continuum (2023)
San Juan Municipio recorded 30.5 new HIV diagnoses per 100,000 (2023), against 13.5 statewide and 13.7 nationally. Among San Juan Municipio residents living with HIV, 91.4% know their status · 60.2% are in care · 53.2% 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 San Juan 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 → (opens in a new tab)
PR-18, the Expreso Las Américas, cuts through the heart of San Juan, and for anyone making the drive to one of the clinics listed on this page, that corridor is usually the fastest path out of neighborhoods like Hato Rey Sur or University Gardens toward testing options in and around the metro. The trip itself is manageable, but for a city where unemployment runs high and barely half the working-age population is in the labor force at all, a weekday appointment can still cost something real: lost hours, a shared car, or a bus connection that doesn't quite line up. That economic texture matters.
With fewer than one in ten households clearing six figures and typical rents well under five hundred dollars a month, most San Juan families are budgeting carefully, and anything that adds cost or complexity to a health visit tends to go undone. The city's households lean toward families sharing space, with an average of just over three people per home and a meaningful slice of residents who own rather than rent. People in their late teens and twenties are forming partnerships, moving between shared apartments and family homes, and that kind of relational flux is exactly when routine screening is most likely to catch something early and quietly.
Getting there
How residents reach STD testing in San Juan, PR
Walkability5.66 / 20 · Least walkable
At 5.66/20 on the EPA walkability index, day-to-day errands in San Juan 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 Juan sits in San Juan Municipio. Local context that shapes where residents test:
STD testing in San Juan, PR: screening, costs & privacy
Everything to know before you test in San Juan 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.
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 San Juan-area provider.
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 San Juan 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 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.