Health & Safety


It is recommended that visitors drink purified bottled water.

We will provide purified water in every single one of our properties.

Mosquitoes are common year-round in Nicaragua and are most common at dusk and dawn. A good insect repellent sprayed onto your clothing or skin will be effective to keep mosquitoes from bothering you (if you use both sunscreen and insect repellent, apply the sunscreen first and then the repellent). A Deet based product is not necessary but is generally the strongest option you can buy.

Common mosquito-derived ailments are Dengue fever and the Chikungunya and Zika virus, which are easily combated by taking the precautions mentioned above as protection against mosquito-borne diseases. If you develop one or more of the following symptoms seek medical evaluation for treatment: fever, rash, joint and/or muscle pain, severe eye pain (behind eyes), mild bleeding (nose or gum bleed or easy bruising).

All public and private hospitals and medical facilities in Nicaragua will treat foreign visitors in case of emergency, accident, sudden illness or a chronic disease.  Most often you have to pay cash for treatment however some private hospitals accept payment by credit card.

Hacienda Iguana now has its own first response center called Nica Heartbeat. They focus on providing prompt help and stabilization of patients. Office hours are from Mondays – Thursdays from 8 AM – 4 PM. The doctor is also on call even when out of office so if you are in help please contact them at any time at +505 8909-9548 / +505 8282-481. The office is located in the same roundabout as Rio’s Market. You can also help them out by donating at

The other nearest clinic is Rancho Santana Roberto Clemente clinic (20 mins away). They offer the same medical services as Nica Heartbeat Clinic. They appear in Google Maps as Roberto Clemente Health Clinic or go to

If you suffer an injury that requires more specialized care, the best private hospital is Hospital Metropolitano Vivian Pellas in Managua(2.5 hrs away).  Find more info at

There’s also a helicopter emergency service that can take you straight to Managua. A number is provided in our Welcome Book front page.