Being the only Nicaraguan hospital accredited by Joint Commission International, Hospital Metropolitano Vivian Pelas fulfills international standards and regulations. Its quality is comparable to the best hospital in the US and abroad. Rest assured, you will be treated with state-of-the-art equipment in one of the most experienced and qualified medical institutions of Central America. Our staff is dedicated to the care of our patients and their families. Our medical team has studied in recognized medical institutions, both locally and abroad. Our nursing staff is highly qualified and committed to provide the best care and warmth to our patients.