Cross-State Licensing

As of the entry into force of this law, any doctor or health professional authorized to practice in Puerto Rico may make their consultations or provide their services through technology.  telemedicine or telehealth in Puerto Rico. For this, you will only have to request certification to practice telemedicine or telehealth and have it granted by the Licensing Board or the Examining Board or Governing Body, according to the profession exercised by the applicant and in accordance with the requirements contained in their respective regulations.

It will be a sufficient requirement to obtain certification that the applicant doctor or health professional is authorized to practice his or her profession in Puerto Rico, according to its Board or Governing Body, and has a current license.

Any doctor or health professional who is not duly licensed and authorized to practice in Puerto Rico, or in federal jurisdiction, will not be able to receive certification to practice telemedicine.  or telehealth on the Island.

SOURCE: 20 LPRA 6011(d). (Accessed Mar. 2025).

As of the approval of this law, every surgeon or osteologist who wishes to practice telemedicine in the Commonwealth of Puerto Rico must request and obtain a license from the Examining Court to practice medicine, surgery or osteology, complying with the established requirements. in secs. 31 et seq. of Title 20.

SOURCE: 20 LPRA Section 6002. (Accessed Mar. 2025).

As of the approval of this law, no doctor, surgeon, or osteologist outside the jurisdiction of the Commonwealth of Puerto Rico without being duly licensed to do so, may write or publish an advertisement claiming to be legally qualified to do so. the practice of telemedicine unless it has a license duly issued by the Examining Court that shows that it complies with the requirements of Law No. 22 of April 22, 1931.

This requirement will not apply to those doctors or osteologists who, being outside the jurisdiction of the Commonwealth, are consulted by doctors or osteologists duly licensed in Puerto Rico.

However, any doctor or osteologist who is consulted must be duly authorized to practice medicine in the jurisdiction from which they provide their services. Likewise, the institutions that the consulted doctors represent or those that provide their facilities for consultation, must have the official certifications of the jurisdiction where they reside.

SOURCE:  20 LPRA Section 6003 (Accessed Mar 2025).

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 Mar. 2025).