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Blue van Doorninck of Rancho Chilamate Horseback Adventures & Guest Ranch – Best Places In The World To Retire User Account

I personally do not go to the doctors in San Juan Del Sur because I am a big fan of the international hospital in Managua, the Hospital Metropolitano Vivian Pellas, which is about 2 hours away from San Juan Del Sur.

If you have an emergency, you may go to Centro de Salud in San Juan Del Sur where they can stabilize you. Then, there is a hospital where they can do a surgery in Rivas (40 minutes away from San Juan Del Sur). They have custom private clinics where they can do surgeries and attend to emergencies. There are also several hospitals in Managua.

Daniel Snider of Snider's Realty Nicaragua – Best Places In The World To Retire User Account
I am not certain if new hospitals were built in San Juan Del Sur in the recent years but there has only been one small clinic that I know of and it’s a little clinic with Nicaraguan doctors and not a lot of English-speaking nurses. So you would definitely not get the best medical attention possible, but in the event of an emergency, you can go there and have a doctor attend to you and I think you’ll be just fine.
 
I have friends who had some minor accidents and they went to the clinics in San Juan Del Sur. If you need higher end doctors, you may go to Rivas (20 minutes away by car). If you have an emergency that needs critical attention, you can head to the Hospital Metropolitano in Managua (2 hours away by car).
Lucy Valenti of Liv Nicaragua – Best Places In The World To Retire User Account
In San Juan del Sur there is only a basic clinic,Healthcare in San Juan del Sur wiht two doctors and a patient – Best Places In The World To Retire – International Living just for basic treatments or for an emergency.  If you have a more serious healthcare problem, you should get it treated in a hospital, which San Juan del Sur does not have.
 
Depending on the severity of your health emergency, you could go to the public hospital in Rivas (20 – 25 minutes away) or, preferably, to Managua (two hours away).  Managua has the best hospitals in Nicaragua, up to the standards of the US.
Eugenio Cortez of Hacienda & Ecolodge Morgan´s Rock – Best Places In The World To Retire User Account
San Juan del Sur has one medical center, and it definitely not the best by any standard. There is one hospital in Rivas (20 kilometers, or about 12 miles from San Juan del Sur), and again, it isn’t the best by any standard.
 
The best hospital in Nicaragua is found in Managua (120 kilometers, or about 75 miles from San Juan del Sur) at Hospital Metropolitano. At the Metropolitano, you will find top-notch doctors and medical equipment.
Natalie Sullivan of DISCOVER Real Estate – Best Places In The World To Retire User Account
For major medical issues in San Juan del Sur, you have to go to Managua, which is 2 hours away by car.  Nicaragua does have free national healthcare system.  There are a few private doctors around in San Juan del Sur, but they’re Nicaraguan, so they don’t speak English.  You can take a translator with you, which does work out.  If you have a relatively minor medical issue, you can handle it in San Juan del Sur.
 
There are rumors that an expanded health clinic with rooms may be being built, but I can’t confirm that.  There are investors who would like to build a medical tourism hospital here in San Juan del Sur, but I don’t know the status.
Mariela Cerda of Bahia del Sol Villas & Condominiums – Best Places In The World To Retire User Account
San Juan del Sur is a small town with one health center staffed normally with two physicians and several nurses.  This health center also has 24 hour emergency capabilities with one doctor.
 
San Juan del Sur has several pharmacies.
 
The closest substantial hospital is in Rivas (Rivas Hospital), which is 45 minutes away.  Rivas Hospital is a large hospital with many doctors and nurses.

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