Pediatrician in Quito,
at home or in clinic
A Pediatrics specialist sees your child from newborn to 18, at home or in clinic, by appointment.
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, for house calls, 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.
Pediatric house call
$65
Doesn't include tests, vaccines or treatments.
Clinic visit
$60
By appointment. We send you the address when you book.
Two ways to be seen, always by appointment
House call — $65
The pediatrician comes to your home. Useful when your child is sick, is a newborn, has trouble getting around, or you want to avoid a waiting room.
Clinic visit — $60
A scheduled appointment. We send you the address when you book. Useful for check-ups, follow-up visits, or if you prefer to go to the clinic.
Well-child visits in both
Weight, height, head circumference when appropriate, development and guidance for the family: at home or in clinic.
Vaccines on request
If a vaccine needs to be given and is available, it's quoted and scheduled separately. It's not part of the consultation price.
Ages 0 to 18
Newborns, infants, children and teenagers.
Not an emergency service
If a life is at risk, call 911. Don't wait for an appointment.
Tests and treatments aren't included: you're told the price beforehand.
Most common reasons for a visit
These are the reasons families usually ask for a pediatrician. If the child is stable, they can be assessed at home or in clinic.
Newborns and babies under 3 months
- First check-up after leaving the clinic or hospital
- Breastfeeding: latch, frequent feeds, wondering whether the baby is eating enough
- Weight, or jaundice (yellow color) already seen that needs a follow-up
- Umbilical cord, diaper area, cradle cap, dry skin or small bumps
- Colic, gas, mild reflux
- Wondering whether the crying is normal
Important: under 3 months, any fever of 38 °C (100.4 °F) or higher should not wait at home. See the emergency section.
Infants and preschoolers
- A fever the child tolerates (wakes up, drinks and can be comforted)
- Cold, cough, runny nose, sore throat, earache
- Vomiting or diarrhea without signs of severe dehydration
- Skin rashes, mild hives, diaper rash
- Mild asthma or a "tight chest": still talking or crying loudly
- Growth, starting solid foods, sleep
- Certificate for daycare or preschool
School-age children and teenagers (up to 18)
- Flu, sore throat, sinusitis, mild asthma attack
- Mild stomach ache, constipation
- Usual headache, mild allergy
- Weight, height and development check
- Acne, periods, tiredness, school check-up
- Certificates and follow-up visits
It doesn't replace follow-up with a subspecialist when there's already a diagnosis that needs one. The pediatrician assesses your child and, if needed, refers you.
What can be treated outside a hospital
The consultation, at home or in clinic, is for assessing, advising, indicating treatment and deciding whether your child can stay home. It doesn't replace an operating room, an ICU or an emergency room.
Usually handled in the same visit
- Well-child check-up
- Cold, sore throat, ear infection and cough in a stable child
- Mild or moderate stomach bug, with an oral rehydration plan
- Fever in babies over 3 months who look well
- Rashes, diaper rash, hives without breathing problems
- Colic, mild reflux, breastfeeding or feeding questions
- Mild asthma attack that responds and the child keeps talking
- Orders for tests and treatment
- Orders for nebulization or another procedure, if needed
Vaccines and procedures
- Vaccines: on request. If they will be given, they're quoted and coordinated separately.
- Nebulization and other procedures: the pediatrician writes the order. If your family wants a CrabCare general practitioner to come and do it at home, that visit is scheduled with an extra fee (the general consultation price for your area, plus whatever the procedure requires). We tell you before we head out.
Not handled in this consultation
- Emergencies (list below)
- Fractures that need an X-ray and urgent immobilization
- Severe dehydration, severe difficulty breathing, an ongoing seizure
- Hospital admission or high-flow oxygen
If during the visit the condition isn't something for home care, the doctor will say so clearly. CrabCare has no ambulance of its own: in an emergency, call 911.
When not to wait for the appointment: call 911
At any age, 0 to 18
- Stops breathing, won't wake up or suddenly seems unresponsive
- Severe difficulty breathing: can't talk or cry, blue lips or nails, chest pulling in, grunting
- Choking that doesn't clear
- A seizure that won't stop, or a first seizure with loss of consciousness
- Fever with a stiff neck, or spots on the skin that don't fade when pressed
- A hard blow to the head with repeated vomiting, drowsiness or odd behavior
- Poisoning (pills, cleaning products) with drowsiness, seizures or difficulty breathing
- Severe allergic reaction: swollen face or tongue, wheezing, hives all over the body, listlessness
- Bleeding that won't stop, serious injury or a large burn
Newborns and babies under 3 months (don't wait)
- Fever of 38 °C (100.4 °F) or higher, even if the baby "looks fine"
- Feels cold to the touch, or temperature below 35.5 °C (95.9 °F)
- Won't latch onto the breast or bottle, or refuses every feed
- Breathes very fast, chest pulling in, or pauses in breathing
- Blue lips or tongue, or very pale or mottled skin
- Deep yellow color on the first day of life, or yellow palms and soles
- Tense or bulging soft spot (fontanelle)
- Red umbilical cord with pus, and the baby looks unwell
- Repeated projectile vomiting, or blood in vomit or stool
- High-pitched crying that can't be soothed, or floppy and barely moving
- Fewer wet diapers than usual (barely peeing)
Infants and older children: don't wait if there is also
- Drinks nothing, has a very dry mouth or hasn't peed in several hours
- So listless that they won't play or show interest
- Persistent vomiting that won't let them keep fluids down
- Stools with a lot of blood
- Wheezing or chest pulling in that gets worse, or the inhaler isn't working
The pediatric consultation is by appointment and is not an emergency service. If you're not sure whether it's an emergency, message us and we'll guide you at no cost. If in doubt, treat it as an emergency and call 911.
Who provides the care
Dr. Gianela Lucía Apolo Aguilar, specialist in Pediatrics (SENESCYT registration 1027-2025-3159967) and general physician (registration 1008-2017-1902690).
She sees patients in Spanish only, by appointment, at home within CrabCare's coverage area in Quito and in clinic.
Frequently asked questions
How much is a pediatrician house call in Quito?
$65. Doesn't include tests, vaccines or treatments: you're told the price beforehand.
How much is a clinic visit?
$60, by appointment. We send you the address when you book.
Is the pediatrician available 24 hours?
No. It's by appointment, based on her availability. If your child needs a doctor sooner, CrabCare's general home medical visit is available 24 hours a day. That doesn't replace 911 in an emergency.
What ages does she see?
From newborns up to 18 years old.
Are well-child visits only in clinic?
No. They're done at home and in clinic.
Do you give vaccines?
Yes, on request: if they're appropriate and available, they're quoted and coordinated separately. They're not included in the $60 or $65.
Can nebulization be done during the pediatrician's visit?
The pediatrician assesses your child and writes the order. If you need a CrabCare general practitioner to come and do the nebulization or another procedure, that visit is scheduled with an extra fee, which we tell you before we head out.
Which areas of Quito does she cover for house calls?
The same area we cover in Quito. When you book, we confirm that the doctor can reach your area.
Is care available in English?
No. The consultation is in Spanish, both at home and in clinic.
When should I call 911 instead of waiting for the appointment?
If your child stops breathing, won't wake up, has severe difficulty breathing, a seizure that won't stop, fever with a stiff neck or spots on the skin, or suddenly seems unresponsive. Under 3 months, also if there's a fever of 38 °C (100.4 °F) or higher, the baby won't feed or is floppy. In those cases, call 911.
Can I message you to ask whether it's urgent or an emergency?
Yes. Tell us your child's age, how long it's been going on and what you're seeing. That guidance doesn't replace an assessment or 911.
Book the pediatrician's visit
Tell us your child's age, whether you prefer a house call ($65) or a clinic visit ($60), and what's going on. We'll confirm the doctor's availability. If you have questions, ask us with no obligation.