Medical Director Co./Locations/San Juan, PR
San Juan Medical Directors
Hire a Medical Director in San Juan, Puerto Rico
Director médico y médico colaborador para clínicas en San Juan
Medical Director Co. places a medical director in San Juan within 24 hours, matched from physicians licensed by Puerto Rico’s medical board. Plans start at $799 a month with no setup fees and no long-term contract. Every placement includes a collaborative agreement written for Puerto Rico law and a same-day intro call with your physician.
Prefer to talk first? Call (214) 227-9886. We answer until 11 p.m. every night.
- 24-hour placement
Puerto Rico-licensed physicians
24-hour placement
$0 setup fees
Get Matched Today
Puerto Rico-licensed physicians, placed in 24 hours
Why Medical Director Co.
Why San Juan clinics choose Medical Director Co.
Medical Director Co. is a nurse-owned company, and we added Puerto Rico to our coverage. Here’s what you get when you hire a medical director in San Juan through us.
$799 a month, flat
You pay one monthly rate with no placement fee and no long-term contract.
A physician in 24 hours
We match most San Juan clinics within 24 hours and set up a same-day intro call.
Licensed in Puerto Rico
Every physician we place holds an active license from the Junta de Licenciamiento y Disciplina Médica, the board that licenses doctors on the island.
Paperwork handled
We draft your collaborative agreement and protocols, and we confirm malpractice coverage before you see patients.
Common Hurdles
Three hurdles San Juan clinic owners run into.
A smaller physician pool.
Puerto Rico’s physician count fell from about 14,000 to 9,000 between 2006 and 2016, according to Kaiser Health News reporting on PBS NewsHour. Fewer doctors means fewer with time to take on a collaborative agreement.
Agreements on file with the board.
Advanced practice nurses submit their collaborative agreements to the Junta Examinadora de Enfermería, so a missing or vague agreement delays your opening.
Pharmacy pushback on NP prescriptions.
Puerto Rico’s Pharmacy Law doesn’t list NPs as prescribers yet, and some pharmacies have refused to fill NP prescriptions as a result.
Who We Serve
Who we serve in San Juan.
Collaborative agreements for NPs written to Law 254-2015 and ready to file with the nursing board.
Physician oversight for RNs, including standing orders for aesthetic and IV services.
Supervising physicians for PAs who meet Law 71-2017, which requires continuous physician supervision.
A medical director in San Juan for med spas, weight loss clinics, and telehealth practices across the metro.
Puerto Rico Rules
Puerto Rico rules your San Juan medical director covers.
Collaborative agreements for NPs
Law 254-2015 lets advanced practice nurses run a private practice and treat patients through protocols and collaborative agreements with a physician. The agreement spells out the NP’s specific functions and scope, and it goes on file with the Junta Examinadora de Enfermería. We draft yours around the services your clinic actually offers.
Prescribing in Puerto Rico
Under Law 254-2015 and Regulation 9104, NPs may prescribe, including Schedule III through V drugs, in collaboration with a physician. Senate Bill 757 would add NPs to the Pharmacy Law for drugs outside Schedules I and II. The bill, heard in the House on September 2, 2026, would also cap each physician at three collaborative agreements and require review of at least five charts per quarter or 10 percent of active charts, whichever is greater.
Supervision of médicos asistentes
Law 71-2017 created the médico asistente license, and the medical board began accepting applications in February 2019. A supervising physician co-signs orders and progress notes and can oversee no more than two PAs. PAs in Puerto Rico can’t prescribe medication.
Malpractice coverage
Every placement includes malpractice coverage confirmation for your San Juan clinic.
Stay Compliant in Puerto Rico
Collaborative agreement drafted with every placement
Clinic Types
Clinic types we support in San Juan.
Virtual care for patients in Puerto Rico, overseen by a Puerto Rico-licensed physician.
Service Areas
Where we place physicians.
- San Juan: Old San Juan, Condado, Santurce, Hato Rey, Río Piedras, and Isla Verde
- Metro area: Guaynabo, Bayamón, Carolina, and Caguas
- Island-wide: Ponce and Arecibo
How It Works
How to hire a medical director in San Juan.
Book a free consultation.
Call (214) 227-9886 or fill out the form with your clinic type and services.
Get your quote.
You’ll see transparent monthly pricing based on what your clinic offers.
Sign your agreement.
We prepare the collaborative agreement and protocols for your review and signature.
Start seeing patients.
Your physician is in place, and your paperwork is ready to file.
Common Questions
Frequently asked questions.
Do nurse practitioners in San Juan need a collaborating physician?
Puerto Rico requires advanced practice nurses to have a collaborative agreement with a physician. Law 254-2015 ties NP treatment and prescribing to protocols agreed on with that physician. The agreement then goes on file with the Junta Examinadora de Enfermería.
Can NPs in Puerto Rico prescribe semaglutide or testosterone?
Puerto Rico’s nursing law allows NPs to prescribe under a collaborative agreement, but the Pharmacy Law doesn’t list them as prescribers yet. That gap has led some pharmacies to refuse NP prescriptions. Senate Bill 757 would close it for drugs outside Schedules I and II, and your collaborating physician can prescribe in the meantime.
Does a San Juan med spa need a medical director?
Botox and dermal fillers are prescription products, so a licensed prescriber has to evaluate each patient and order the treatment. In Puerto Rico, an NP can do that only through a collaborative agreement with a physician. A medical director signs the protocols, standing orders, and agreement your services depend on.
Can physician assistants work in a San Juan clinic?
Puerto Rico licenses PAs as médicos asistentes under Law 71-2017. Each one works under continuous supervision by a Puerto Rico-licensed physician, who co-signs orders and notes. PAs can’t prescribe in Puerto Rico, and one physician can supervise no more than two.
How fast can I get a medical director in San Juan?
Most San Juan placements close within 24 hours of your consultation. You also get a same-day intro call with your matched physician. We draft your collaborative agreement and protocols during the same process.
Do you place medical directors outside San Juan?
Medical Director Co. places physicians across Puerto Rico, including Bayamón, Carolina, Guaynabo, Caguas, Ponce, and Arecibo. The same collaborative agreement rules apply island-wide because Law 254-2015 covers all of Puerto Rico. Pricing starts at $799 a month wherever your clinic is located.
Hire Your Medical Director
Open your San Juan clinic with a physician in place.
San Juan NPs need a collaborative agreement on file and a Puerto Rico-licensed physician before they can practice and prescribe. Medical Director Co. puts both in place within 24 hours, starting at $799 a month. Book your free consultation and get matched today.
Get Started
Get matched with a San Juan medical director.
- Puerto Rico-licensed physicians
- 24-hour placement
- $0 setup fees
- Collaborative agreement drafted with every placement
Ready to talk now?
(214) 227-9886 ↗
Hire a Medical Director or
Collaborating Physician Today
