Cross-State Licensing

Law 8 of April 11, 2025, approved with immediate effect, established that any physician or healthcare professional with a current license issued by the corresponding examining board may conduct consultations or provide services using telemedicine, telehealth, or cybertherapy technologies without needing to obtain additional certification for such practice. However, physicians or healthcare professionals with current licenses from another jurisdiction or state will need to apply for certification to practice telemedicine, telehealth, or cybertherapy. These services may be billed and charged to health insurance companies and ASES as if they were provided in person.

SOURCE: Departmento De Salud: Cartas Circulares 2025-002:Law 8 of April 11, 2025 on cybertherapy, telehealth, and telemedicine. (May 2, 2025).  (Accessed Jan. 2026).

Due to the complexity of adopting and implementing a procedure for certification of thousands of healthcare and social work professionals, and to ensure the continuity of services for those receiving services through Telehealth and Cybertherapy, the Secretary of Health has determined that is necessary to extend the authorization granted by OA-596-2024 until December 31, 2025.

SOURCE: Departmneto de Salude, Orden Administrative Num 604. (Mar. 17, 2025).  (Accessed Jan. 2026).

Telemedicine Practice Requirements

• Be a physician duly licensed to practice medicine and surgery in Puerto Rico through a permanent license issued by the Board.
• Be licensed in the jurisdiction where the patient to whom the physician will provide services is located.
• Submit the original Puerto Rico Certificate of Good Conduct (no more than thirty (30) days old from the date it is submitted), as well as analogous certificates issued by the competent government authority from those places where the physician has resided during the last five (5) years).
• Verification of license or “Good Standing” from the state(s) where you are licensed to practice medicine.

See other requirements in guidelines.

SOURCE: Dept de Salud, Practica de la Telemedicina – Requisitos. (Accessed Jan. 2026).

SOURCE: 20 LPRA 6011(d). (Accessed Jan. 2026).

As of the effectiveness of this act, any physician who practices surgery or osteologist in the Commonwealth of Puerto Rico shall request and obtain from the Board of Medical Examiners a license to practice medicine, surgery or osteology in compliance with the requirements established in §§ 31 et seq. of this title, as amended.

SOURCE: 20 LPRA Section 6002. (Accessed Jan. 2026).

SOURCE:  20 LPRA Section 6003 (Accessed Jan. 2026).

The Certification issued by the Board will authorize the professional to make your queries remotely using means technological, such as: telephones, video calls, applications or any other technological tool scope. The Certification also authorizes consultations outside of the geographical limits of Puerto Rico, but within the jurisdiction of the United States, provided that the professional meets the requirements established in the state or jurisdiction in which the patient is located at the time of the consultation

During emergency or disaster situations, duly decreed by the Governor of Puerto Rico or the President of the United States of America exempts health professionals included in Law 168-2018 of the certification requirement during the period of the declaration of emergency.

SOURCE: Departamento de Salud, Reglamento Para Regular La Ciberterapia en Puerto Rico, Numero 9517 (Dec. 2023), Article 2, Section 2.3, Article 9 & Departmento De Salud, Reglamento Para El USO De La Telesalud En Puerto Rico, Numero 9518 (Dec. 1, 2023), Article 2, Section 2.3, Article 9.  (Accessed Jan. 2026).