Family medicine
and older adult care in Cuenca
A family medicine specialist with an MSc in Gerontology assesses older adults at home or in clinic: their conditions, medications, mobility, eating, sleep, mood and memory.
Care is provided in Spanish only. This English page is so you can read how the service works; the visit itself is not in English.
We confirm the time based on the doctor's availability and that she can reach your area.
Medical content reviewed by Dr. Jefferson Astudillo Peña, general physician (SENESCYT registration 1008-2023-2705888). Last reviewed: September 2026.
Consultation
$60
At home or in clinic, by appointment. Doesn't include tests or treatments.
How the visit works
Family medicine
It looks at the whole person in their setting, not a single symptom, and follows up over time.
Focus on older adults
The doctor holds an MSc in Gerontology, the study of aging and how to care for it.
Medication review
Whether there are too many, whether they interfere with each other, or whether one is no longer needed.
Mobility and falls
Balance, strength and what in the home raises the risk of falling.
At home or in clinic, with the family
Family members or the caregiver can be there and ask questions: they're part of the plan too.
Not an emergency service
If a life is at risk, call 911. Don't wait for an appointment.
Have the list of medications with their doses and any recent tests or reports at hand.
What the assessment covers
Health
- Chronic conditions and how well they're controlled
- Medications and doses
- Tests and reports you have
Function
- Mobility, balance and falls
- Daily activities: bathing, dressing, eating
Memory and mood
- Forgetfulness or changes in behavior
- Mood and sleep
Setting
- Eating and weight
- Support from family and the caregiver
When it helps
- Several conditions or many medications.
- A recent fall, or fear of falling.
- More forgetful, sadder or sleeping badly.
- Eating little or losing weight.
- Just out of the hospital.
- Hard to leave home for a doctor's visit.
- The family wants a clear plan for care at home.
When not to wait for the appointment: call 911
- Sudden chest pain or shortness of breath
- Weakness or numbness on one side of the body, a drooping face or trouble speaking
- Confusion or drowsiness that comes on suddenly
- A fall with a blow to the head, or can't get up
- Fever with severe weakness, or not eating or drinking
The visit is by appointment and is not an emergency service. If you need a doctor sooner, CrabCare's general home medical visit is available 24 hours a day. That doesn't replace 911 in an emergency.
Who provides the care
Dr. Andrea Soledad Rodríguez Vivanco, first-degree specialist in Comprehensive General Medicine, the family medicine specialty in Cuba (Latin American School of Medicine, SENESCYT registration 19234322), with an MSc in Gerontology (Universidad Europea del Atlántico, registration 7242220682).
She holds a Doctor of Medicine degree (registration CU-13-5746). She sees patients in Spanish only, by appointment, at home within CrabCare's coverage area in Cuenca and in clinic.
Frequently asked questions
How much is the visit?
$60, at home or in clinic. Doesn't include tests or treatments: you're told the price beforehand.
Is the doctor a geriatrician?
No. She is a family medicine specialist (Comprehensive General Medicine) with an MSc in Gerontology, the study of aging.
What should I have ready?
The list of medications with their doses and any recent tests or reports.
Can family members be present?
Yes. Family members or the caregiver can be there and ask questions.
Is it at home or in clinic?
Both. Tell us which you prefer when you book.
Which areas of Cuenca does she cover for house calls?
The area we cover in Cuenca. When you book, we confirm that the doctor can reach your area.
Is care available in English?
No. The visit is in Spanish.
Book the older adult assessment
Tell us the person's age, their conditions, the medications they take and what worries you. We'll confirm the doctor's availability. If you have questions, ask us with no obligation.