An estimated 421,106 people in Puerto Rico live with migraine.

Based on U.S. Census ACS 2023 population data and Burch et al. (2021) migraine-specific prevalence rates.

Census ACS 2023 · Burch et al. (2021) · CC BY 4.0

Patient Population by Care Level

How many patients need each level of care.

19,190
need specialist or headache program care
Complexity Levels 1–2*
71,340
need neurology-level care
Complexity Levels 3–4*
330,561
appropriate for primary care
Complexity Level 5*

* Care level estimates are based on a proposed patient complexity framework offered as a basis for clinical and policy discussion. See methodology →

By Congressional District

1 congressional district in Puerto Rico

DistrictTotal patientsSpecialist care*Neurology care*Primary care*
PR-00421,10619,19071,340330,561

* Care level estimates are based on a proposed patient complexity framework offered as a basis for clinical and policy discussion. See methodology →

Headache Centers & Programs

Puerto Rico has no Level 1 or Level 2 headache centers.

There are no UCNS-certified headache centers or formal headache programs in Puerto Rico. Patients who need specialist or headache program-level care must travel out of state or access care via telehealth.

Provider counts reflect headache program providers only — not all neurologists at the same address. UCNS certification verified against the United Council for Neurologic Subspecialties diplomate directory.

More Data Coming

Building a complete picture.

Coming September 2026

Payer Policy Data

What insurers in Puerto Rico require before authorizing CGRP-targeting therapies — step therapy requirements, formulary placements, and Gold Card law status.

Coming Fall 2026

Prescribing Gap Analysis

How many primary care physicians actively treating migraine patients in Puerto Rico have never prescribed a CGRP-targeting therapy — by metro area and congressional district.

Doty A. Puerto Rico Headache Disorder Population Estimates. The Headache Vault; 2026. headachevault.com/research/states/puerto-rico Licensed CC BY 4.0.
✓ CC BY 4.0
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