So far we have seen no wait periods to see a doctor in Granada, Nicaragua. We have gone to a cardiologist and general practitioner. The cost for each visit has been from US $10 to US $25.
We always call ahead prior to going to office to make sure that the doctor is in.
So far we have used non-English speaking doctors since we are fluent in Spanish. There are local doctors that speak English, but if your doctor doesn't there is always a local or expat that is available to assist you.