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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.

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

STD testing near San Juan, PR

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.

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.

Sliding-scale
Address
875 Ave Munoz Rivera, San Juan, PR 00925
Website
Community health center 0.7 miles

Prepven

No ratings yet

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.

Read full overview Show less

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 & treats Ryan White HIV care PrEP
Address
315 Ave Manuel Domenech, Suite 01 San Juan, PR 00918
Opening hours
  • Monday 8:00 AM – 4:00 PM
  • Tuesday 8:00 AM – 4:00 PM
  • Wednesday 8:00 AM – 4:00 PM
  • Thursday 8:00 AM – 4:00 PM
  • Friday 8:00 AM – 4:00 PM
  • Saturday Closed
  • Sunday Closed
Website
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 & treats Ryan White HIV care PrEP
Address
1162 Brumbaugh Street, Urbanizacion Garcia Ubarri Rio Piedras, PR 00925
Booking
Appointment required
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 1.1 miles

Departamento de Salud de Puerto Rico

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
Opening hours
  • Monday 8:00 AM – 4:30 PM
  • Tuesday 8:00 AM – 4:30 PM
  • Wednesday 8:00 AM – 4:30 PM
  • Thursday 8:00 AM – 4:30 PM
  • Friday 8:00 AM – 4:30 PM
  • Saturday Closed
  • Sunday Closed
Website
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
Booking
Appointment required
Opening hours
  • Monday 8:00 AM – 4:30 PM
  • Tuesday 8:00 AM – 4:30 PM
  • Wednesday 8:00 AM – 4:30 PM
  • Thursday 8:00 AM – 4:30 PM
  • Friday 8:00 AM – 4:30 PM
  • Saturday Closed
  • Sunday Closed
Website
Community health center 1.7 miles

HealthproMed Caparra Terrace

Where these reviews come from

Review sources

  • Google4
  • EasySTD1
Rated 5 out of 5 from 5 reviews

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.

Sliding-scale
Address
1400 Calle Dover, San Juan, PR 00920
Website
Community health center 1.7 miles

Iniciativa Comunitaria

Where these reviews come from

Review sources

  • Google38
  • EasySTD5
Rated 4.6 out of 5 from 43 reviews

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.

Tests & treats Ryan White HIV care
Address
61 Calle Quisqueya, Esquina Chile Hato Rey, PR 00918
Opening hours
  • Monday 8:00 AM – 5:00 PM
  • Tuesday 8:00 AM – 5:00 PM
  • Wednesday 6:00 AM – 3:00 PM
  • Thursday 8:00 AM – 5:00 PM
  • Friday 6:00 AM – 3:00 PM
  • Saturday Closed
  • Sunday Closed
Website
Most reviewed 2.4 miles

HealthproMed Foundation

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.

Tests & treats Sliding-scale PrEP
Address
Ave Borinquen 2020, Santurce, PR 00915
Booking
Appointment required
Opening hours
  • Monday 7:30 AM – 5:00 PM
  • Tuesday 7:30 AM – 5:00 PM
  • Wednesday 7:30 AM – 5:00 PM
  • Thursday 7:30 AM – 5:00 PM
  • Friday 7:30 AM – 5:00 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.

Find your match in 10 seconds

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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Rate what mattered to you, no account needed. Reviews are moderated before publishing.

Privacy & discretion
Wait time
Staff & comfort
Value for cost

Every other option

More ways to get tested in San Juan, 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.

At-home STD testing in San Juan, PR

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.

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.

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.

  • Ashford Presbyterian Community Hospital

    1451 Ave Ashford Condado, San Juan, PR 00907

    CMS-certified lab Accredited · Joint Commission

    • Full STD panel
  • Auxilio Mutuo Hospital Clinical LAB

    Ave Ponce De Leon Pda 37, Hato Rey, PR 00919

    CMS-certified lab Accredited · Joint Commission

    • Full STD panel
  • CDT DR Gualberto Rabell- Hoare

    Calle Cerra Final 900, Pda 15, Santurce, PR 00907

    CMS-certified lab Accredited · Joint Commission

    • Full STD panel
  • CDT DR Javier Javier Anton

    Calle Pinero Esq Vallejo, Rio Piedras, PR 00928

    CMS-certified lab Accredited · Joint Commission

    • Full STD panel
  • Centro Cardiovascular DE PR y DEL

    Ave Americo Miranda Centro Medico, San Juan, PR 00936

    CMS-certified lab Accredited · Joint Commission

    • Full STD panel

Showing the nearest 5 CLIA-certified labs.

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.

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.

  • Carmen Marrero, MD

    Family medicine · 488 Carr, San Juan

  • Miguel Paladines Cherrez, MD

    Family medicine · 505 Emiliano Pol Aven, San Juan

  • Helen Rosa Santiago, MD

    Family medicine · 525 F D Roosevelt Avenue, San Juan

  • Gianna Ubinas Davila, MD

    Family medicine · 525 Ave Fd Roosevelt, San Juan

  • Frances Pietri Vazquez, MD

    Family medicine · 525 Avenida Fd Roosevelt, San Juan

  • Julieta Montilla Adsuar, MD

    Family medicine · 531 Sergio Cuevas Esq Ave Domene Avenue, San Juan

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.

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.

  • Farmacia Caridad

    0.3 mi
    Rx pickupCondoms / EC
  • Me By Medplus

    0.3 mi
    Rx pickupCondoms / EC
  • Medplus Specialty & Compounding Pharmacy

    0.3 mi
    Rx pickupCondoms / EC
  • CVS Pharmacy 0.3 mi
    Rx pickupOTC HIV self-testAt-home STI kitsMinuteClinic STI careHPV & Hep B vaccinesCondoms / EC
  • Walgreens 0.8 mi
    Rx pickupOTC HIV self-testAt-home STI kitsPrEP/PEP fillsHPV & Hep B vaccinesCondoms / EC

Showing the 5 closest pharmacies to San Juan, PR.

Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.

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.

Pricing varies by insurance and changes often, confirm on the provider's site. These services are not a substitute for emergency care.

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 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 Municipio Puerto Rico U.S. ▲▼ = San Juan Municipio vs the state average
Infection San Juan Municipio Puerto Rico United States
Chlamydia
278.7 928 cases ▲ 72%
162.1 492.2
Gonorrhea
92.2 307 cases ▲ 149%
37 179.5
Syphilis (P&S)
24 80 cases ▲ 76%
13.6 15.8
Syphilis (early)
33.6 112 cases ▲ 71%
19.6 16
Syphilis (late/unknown)
37.5 125 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)
0 150 300 2020202120222023

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).

16 Sources

Local resources & officials

Data & references

About San Juan, PR

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

Walkability 5.66 / 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.

Map of 8 STD & STI testing locations in San Juan, Puerto Rico, EasySTD

San Juan sits in San Juan Municipio. Local context that shapes where residents test:

Local landmarks

  • Coliseo de Puerto Rico José Miguel Agrelot
  • Museo de Arte de Puerto Rico
  • Ruinas de Caparra
  • Fortín San Antonio
  • Fortín de San Gerónimo

Neighborhoods & communities

  • University Gardens
  • Jardines Metropolitanos
  • Hyde Park
  • Villa Los Olmos
  • Hato Rey Sur
  • Villa Nevárez
  • Cabrera
  • Baldrich

Major routes

  • PR-17 (Avenida Jesús Toribio Piñero / Avenida Central)
  • PR-18 (Expreso Las Américas)
  • Carril Expreso PR-18
  • PR-1 (Avenida Luis Muñoz Rivera)

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.

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 a San Juan-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

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 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.

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.

STD testing FAQs for San Juan, PR

Answers to the questions people ask most before getting tested.

How many places can I test near San Juan, PR?

There are 8 options within a 30-mile drive.

How much does STD testing cost near San Juan, PR?

Free at public clinics. Private labs run about $24 for one test and $139 for a full panel; at-home kits are $49+.

Can I get tested in San Juan, PR without insurance?

Public clinics serve people without insurance, often on a sliding scale.

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

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

How common is chlamydia in San Juan Municipio?

San Juan Municipio reported ~279 chlamydia cases per 100,000 in 2023, above the Puerto Rico average.

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.

Can I get PrEP near San Juan, PR?

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

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

At-home kits mail to 00926: self-collect, send to the lab, results in ~2–5 days.

Is my STD test private?

Your results are part of your HIPAA-protected medical record; you can ask any clinic about its own privacy practices.

Am I clear if I tested negative?

Negative is good news, just retest later if the test was soon after a possible exposure.

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