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Nicaragua

Review the latest State Department travel advisory about Nicaragua. To prepare for travel, ensure that you know and follow the entry and exit requirements, review information on local laws and customs, and read the latest alerts from U.S. Embassy in Nicaragua.

Travel advisory levels

Learn more about Travel Advisory levels

  1. Exercise normal precautions
  2. Exercise increased caution
  3. Reconsider travel
  4. Do not travel

Travel advisory - Republic of Nicaragua

Level 3 - Reconsider travel

Date issued: May 14, 2026 -

Reconsider travel

in Nicaragua due to risk of crime, health, wrongful detention, and arbitrary enforcement of local laws.

Advisory summary

U.S. government employee travel restrictions
  • U.S. government employees working in Nicaragua are generally not allowed to drive after dark due to safety risks. These include inadequate street lighting and poor road conditions. However, they are allowed to drive at all times in Managua and on Carretera Masaya between Managua and Granada.
  • U.S. government employees working in Nicaragua are not allowed to use public transportation due to safety risks.
  • U.S. government employees working in Nicaragua are not allowed to go to these places due to safety risks:
    • Managua's Mercado Oriental
    • Managua’s national baseball stadium
    • Casinos and strip clubs
  • Non-personal service contractors traveling to Nicaragua on official U.S. government business must travel on a service passport starting April 15, 2026.
Wrongful Detention

The U.S. Department of State has determined that U.S. nationals are at serious risk of wrongful detention by the Government of Nicaragua. Wrongfully detained U.S. nationals may be held in prison for years, in poor conditions, and without due process or consistent access to U.S. government staff or their family. Familiarize yourself with and respect local laws and customs but be aware that local laws are often applied arbitrarily to those who are seen as government opponents. Foreign travelers may face an increased risk of detention and harassment, even if you are also a citizen of Nicaragua.

The U.S. embassy will work to monitor your health and safety in detention but cannot guarantee your release. Most U.S. nationals who are convicted of committing a crime overseas serve out their sentences in prisons in that country.

Arbitrary enforcement of local laws

Some U.S. citizens have been detained for several weeks or more. Offenders of some crimes can face 50 or more years in prison. The embassy cannot guarantee your release.

The Government of Nicaragua has imposed some exit bans on U.S. citizens that prevent them from leaving the country without a fair and transparent process under the law.

Authorities carry out expulsions, arrests, revocations of Nicaraguan citizenship, and other actions:

  • On January 16, 2026, the Government of Nicaragua changed its constitution to prohibit dual nationality. Some previously dual Nicaraguan-U.S. citizens have had their Nicaraguan citizenship revoked. Individuals documented as U.S. citizens might no longer be considered Nicaraguan citizens.
  • Authorities may seize property, including land, homes, cash, and financial assets, without warning or legal justification.
  • Officials may search phones, computers, and social media for anti-government content. Personal devices may be confiscated.
  • Public photography in Nicaragua is restricted and may result in penalties, especially for photography of government buildings or police activities.
  • Drones are illegal.

U.S. citizens may be denied entry or prevented from leaving Nicaragua without explanation. The Nicaraguan government has targeted:

  • Nongovernmental organization (NGO) workers
  • Teachers, professors, researchers, and students
  • Business representatives
  • Civil society leaders
  • Religious and charity workers, including missionaries
  • Journalists
  • U.S. government employees, both active and former
Crime

Violent crime, including robberies, sexual assault, and murder can occur anywhere in Nicaragua.

  • Petty crime is common, especially in popular tourist locations. Stay aware of your surroundings.
  • Most crimes against foreigners are crimes of opportunity, like purse snatching and pickpocketing.
Health

Medical services for routine and emergency care are limited. Comprehensive quality healthcare is available only in Managua.  Medical clinics outside of Managua lack basic resources and supplies.

  • Managua has only one hospital with Joint Commission International certification. Labs and radiology services may be available, but the number of specialists is limited, especially for acute emergencies.
  • Public hospitals are understaffed and lack basic supplies, modern equipment, and trained specialists.
  • Travelers with preexisting medical conditions or those requiring regular medical care should reconsider traveling to Nicaragua.
  • Hospitals throughout the country may not be able to assist in emergencies. Medical evacuation to the United States may be the only option in some cases. Medical evacuations are expensive and often are not covered by most insurance.
  • Tap water is generally not potable. Drink only bottled water.
Natural Disaster
  • Nicaragua regularly experiences hurricanes and tropical storms, earthquakes, and volcanic eruptions. Review our information on weather and natural disasters in Nicaragua.

If you decide to travel to Nicaragua:

  • Enroll in the Smart Traveler Enrollment Program (STEP) to get important updates and alerts from the U.S. embassy or consulate. Enrolling helps the U.S. embassy or consulate contact you or your emergency contact in an emergency.
  • Review the Country Security Report for Nicaragua.
  • The best way to avoid wrongful detention is to avoid travel to Nicaragua.
  • Be ready for the possibility of being held in detention for an unknown amount of time. Nicaraguan authorities may not give you a clear reason for your detention. You may not be able to contact the U.S. embassy for help.
  • If you choose to travel despite the risk and this warning, develop a communication plan with family, your employer, or host organization. Decide how and when you'll confirm you're safe (text or call). Specify how often you will do this.
  • Consider the risks involved in having dual U.S.-Nicaragua nationality. If you have Nicaraguan citizenship but live abroad, the Government of Nicaragua may be suspicious of your foreign ties. The United States is less likely to be able to secure consular access to monitor your health and safety as a dual national if you are arrested.
  • Before you travel, delete any sensitive photos, comments, or content that might be seen as controversial or inappropriate in your destination. Do this for your social media accounts, cameras, laptops, phones, and other accounts and devices.
  • Keep travel documents up to date and easily accessible.
  • Avoid demonstrations and crowds.
  • Keep a low profile.
  • Stay aware of your surroundings.
  • Check local media for breaking news. Be prepared to adjust your plans.
  • Have a plan to leave in an emergency that does not depend on U.S. government help. Review our information on Crisis and Evacuations.
  • Refer to our list of medical providers.
  • Make sure your insurance includes medical evacuation coverage.
  • Check with your doctor about required vaccines and shots for high-risk exposure before you go to Nicaragua.
  • Bring enough supplies of over the counter and prescription medicines to cover the duration of your trip.
  • Review our information on Travel to High-Risk Areas.
  • Enroll in the Smart Traveler Enrollment Program (STEP) to get important updates and alerts from the U.S. embassy or consulate. Enrolling helps the U.S. embassy or consulate contact you or your emergency contact in an emergency.
  • Review the Country Security Report for Nicaragua.
  • Visit the Centers for Disease Control and Prevention (CDC) website for the latest Travel Health Information for Nicaragua.
  • Whether you’re a first time or frequent traveler, use the International Travel Checklist.
  • We highly recommend that you buy travel insurance before you travel. Check with your travel insurance provider about evacuation assistance, medical insurance, and trip cancelation coverage.
Scroll to review full advisory
Travel advisory levels

Learn more about Travel Advisory levels

  1. Exercise normal precautions
  2. Exercise increased caution
  3. Reconsider travel
  4. Do not travel

About Nicaragua

Nicaragua is located in Central America; it sits in both the Western Hemisphere and the Northern Hemisphere. It has maritime borders with the Pacific Ocean and the Caribbean Sea. It also shares land borders with Costa Rica and Honduras.

Nicaragua is slightly smaller than Wisconsin. Central Standard Time is Nicaragua’s only time zone. It does not observe daylight saving time. Nicaragua is 1 to 2 hours behind Washington, D.C., depending on daylight saving time.

Travel requirements

Tourist visa requirements

  • U.S. citizens can purchase a 90-day tourist visa on arrival for $10.
  • If you overstay your visa, you will be charged a daily fine. You may not be allowed to leave.

Vaccinations

Valid passport requirements

  • Must have 6 months’ validity beyond your arrival date.

Currency on entry and exit

  • Entry maximum: Must declare $10,000 or more in cash.
  • Exit maximum: None.

Tips from the U.S. embassy

  • You could be denied entry to Nicaragua.
  • You could be arrested or have your property seized without warning.
  • The government is unpredictable and laws are arbitrarily enforced.

Help for U.S. citizens

U.S. Embassy Managua

Km 5 ½ Carretera Sur
Managua, Nicaragua

Main telephone:

+505-2252-7100

Emergency after-hours:

+505-2252-7100

EMBASSY UPDATE
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Travel guidance for Nicaragua

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Entry, exit, and visa requirements

Helpful resources


Possible denial of entry

The Government of Nicaragua has denied entry to and expelled U.S. citizens. This includes dual U.S.-Nicaraguan citizens and people who have previously traveled without issues. The government targets real or perceived opponents to the Government of Nicaragua.

Those targeted include:

  • NGO workers
  • academics and students
  • business representatives
  • civil society leaders
  • religious and charity workers (including foreign missionaries)
  • journalists
  • government employees (active and former)

The Nicaraguan government has revoked foreigners’ permanent residency status for actions, associations, or expressions it perceives as political. The government has arrested, denied permission to travel, and prevented people from leaving the country for political reasons. Immigration authorities regularly review social media for evidence of political expression, association, or activity and warn against such activities.


Requirements for entry

Your passport must be valid for a minimum of 6 months and for the entire length of your stay. All visitors must pay $10 in cash for a tourist entry stamp upon arrival (exact change is recommended). The stamp is valid for up to 90 days.

  • For non-tourist visitors: the Government of Nicaragua recommends that you pre-register your trip. You can do so by following the instructions available on the Nicaraguan immigration website (in Spanish only). Review the Embassy website for additional information.
  • People who have visited or transited through countries in South and Central America or Africa that are at risk for yellow fever must show proof of yellow fever vaccination. The vaccine must be administered at least 10 days before travel to enter Nicaragua. The World Health Organization card, known as “yellow card,” serves as valid proof of vaccination.
  • You must have an onward or return ticket. You may also be asked to show proof of funds to cover your stay in Nicaragua.
  • If you use a passport of a different nationality than you used on prior trips to Nicaragua, Nicaraguan authorities may deny you entry. If you have multiple nationalities, you must carry a valid passport for all of them. If you have Nicaraguan nationality, you must have both your U.S. and Nicaraguan passports with you.
  • Nicaragua is part of the “Central America-4 (CA-4) Border Control Agreement” with Guatemala, El Salvador, and Honduras. Under that agreement, U.S. citizens who legally enter any of those 4 countries may travel freely among the other 3 countries for up to 90 days.

Requirements for exit

  • If you stay in Nicaragua beyond the date noted on your entry stamp, you must obtain an extension from Nicaraguan immigration. You must also pay any required fines.
  • You must exit Nicaragua with the same passport used for entry. If your U.S. passport is lost or stolen while in Nicaragua, you will need to get a new entry stamp from Nicaraguan Immigration before you leave. Follow the instructions available on the Nicaraguan immigration website (in Spanish only).
  • All permanent residents of Nicaragua must pay $10 (cash only) for an exit stamp from Nicaraguan Immigration, prior to departure. This fee can be paid at the airport, land borders, or at any Nicaraguan Immigration office.
  • There is a $42 tax that must be paid upon exiting. This tax is normally included in the price of the plane ticket for air travelers.

Traveling with children


HIV and AIDS restrictions

  • The U.S. Department of State is unaware of any HIV and AIDS entry restrictions for visitors or foreign residents in Nicaragua.

Currency

  • The Nicaraguan cordoba is the official currency, although U.S. dollars are sometimes accepted for payment.
  • The exchange rate is fixed at 36.78 cordobas to 1 U.S. dollar.
  • Some establishments in large cities accept credit cards, but you should be prepared to pay bills in cash.
  • ATMs can be unreliable and may not have cash.

Safety and security

Emergency phone numbers

Local authorities are responsible for investigating and prosecuting crimes and providing emergency services.


Authoritarian Rule

The Government of Nicaragua is authoritarian. It limits freedom of expression and peaceful assembly.

  • The government represses internal dissent and monitors and responds to perceived threats to its authority.
  • Nicaragua’s Sovereign Security Law and its Terrorism and Money Laundering Law allow broad interpretations of vague unlawful activities, like threatening national peace or economic stability. Convictions under these laws have often been arbitrary. They result in long prison sentences and loss of assets (money and property). They also result in deportations with bans on returning to Nicaragua.
  • Nicaraguan authorities and armed civilians in plain clothes known as “voluntary police” may monitor, detain, deny entry to, expel, or question U.S. citizens concerning their activities. This includes U.S. citizen contact with Nicaraguan citizens. Visitors should avoid any commentary on Nicaraguan politics or governance.
  • The Nicaraguan government may detain or expel individuals for activities that would not be considered criminal or offensive in the United States.
  • Nicaraguan authorities have detained U.S. citizens, including dual U.S.-Nicaraguan citizens, for long periods. These detentions are often politically motivated or random. In politically motivated arrests, the judicial process is often criticized for being unfair and lacking transparency.

Demonstrations

Potentially disruptive events may occur at any time without warning throughout the country. In the past, the Nicaraguan government has violently suppressed demonstrations and strikes. Avoid demonstrations and exercise extreme caution around large gatherings.

Roads may be closed, and public transportation may be disrupted due to large crowds celebrating the following holidays:

  • Semana Santa (the week before Easter)
  • Repliegue Historico a Masaya (early July)
  • Sandinista Revolution (the week of July 19th)
  • Celebration in Managua of Santo Domingo, the Patron Saint of the city (August 1st and August 10th)
  • Day of the Nicaraguan Army (September 2)
  • Nicaraguan Independence Day (September 14 and 15)
  • Immaculate Conception (December 8)

Crime

  • Vehicle burglaries, pickpocketing, and occasional armed robberies occur. They happen in many places, including store parking lots, on public transportation, and in open-air markets like the Oriental and Huembes Markets in Managua
  • Petty street crime is common. Police presence is limited outside of major urban areas.
  • The Caribbean coast’s isolation also limits the U.S. embassy’s ability to offer emergency services to U.S. citizens there.
  • Uniformed police and parapolice commit violence and intimidate civilians throughout the country for political reasons.
  • U.S. citizens have reported extortion for bribes. These occurred at immigration and police checkpoints. This is common throughout the country.

Scams

Follow the Department of State guidelines to protect yourself from scams.

If you are a victim of a scam, learn how the FBI can help.  

Exercise extreme caution when renting or driving vehicles. In one common scam, “Good Samaritans” pull over to help change a flat tire. While the driver is distracted, an accomplice steals the driver’s possessions.

Internet romance scams occur in Nicaragua. Be careful of anyone asking for money, especially those who start a "romantic" relationship online or claim local authorities want money. Scams often begin through online posts, emails, or letters. Scammers pretend to be U.S. citizens in need of help.

If you decide to use a dating app or website in Nicaragua:

  • Let your friends and family know where you are and consider sharing your location on your phone.
  • Set up and talk using a video call before agreeing to meet in person. 
  • Avoid locations where you can be isolated, like hotel rooms, private apartments or houses.
  • Never leave food or drinks unattended at a bar or restaurant.

U.S. government employee travel restrictions

U.S. government employees working in Nicaragua are not allowed to enter the following places due to safety risks:

  • Managua’s oriental market
  • Managua’s national baseball stadium
  • Gentleman’s clubs and casinos throughout Nicaragua

U.S. government employees working in Nicaragua are also not allowed to drive after dark, except within the city limits of Managua and along Carretera Masaya between Managua and Granada. This is due to safety risks such as inadequate street lighting and poor road conditions outside urban centers. Additionally, U.S. government employees are prohibited from using public transportation due to safety risks.

U.S. citizens in Nicaragua are advised to take the same precautions.

Beginning April 15, 2026, non-personal service contractors traveling to Nicaragua on official U.S. government business are required to travel on a service passport. This requirement is meant to mitigate potential delays, denials of entry, searches, and confiscation of property by the Government of Nicaragua.


Victims of crime

Local authorities are responsible for investigating and prosecuting crimes. You may report crimes to the local police by dialing 118.

Review our information for victims of crime.

The U.S. embassy or consulate can:

  • Replace a stolen or lost passport.
  • Help you find medical care.
  • Assist you in how to report a crime to the police.
  • Contact relatives or friends with your written consent.
  • Provide general information regarding the criminal justice system.
  • Provide a list of local attorneys. We do not endorse or recommend any specific attorneys.
  • Provide information on victim’s compensation programs in the United States.
  • Provide an emergency loan for repatriation to the United States or limited medical support in cases of need.
  • Help you find accommodation and options to travel home.

Sexual assault and domestic violence

U.S. citizen victims of domestic violence are encouraged to contact the U.S. embassy and local law enforcement for assistance.

  • U.S. citizens have been sexually assaulted in beach resort areas.
  • There are no forensic doctors on the Corn Islands. Victims of violent crimes, including sexual assault, must travel to Bluefields at their own expense for medical examinations and collection of evidence. In several recent cases, police were reluctant to produce police reports or pursue charges. Please report such incidents to the U.S. embassy.
  • Medical services outside Managua are limited, including for victims of crime.

Technology use abroad

Mobile devices are vulnerable to compromise, theft, and damage anywhere in the world. Follow these safe practices:

  • Update all software (operating system and apps) before leaving the United States.
  • Use reputable, U.S.-based VPN or VoIP applications.
  • Don’t connect to public Wi-Fi networks.
  • Research the safety of routes recommended by GPS. The fastest route is not always the safest.
  • Be cautious using dating apps abroad, as scammers often target U.S. citizens.
  • The use of drones is illegal.

Tourism safety

The tourism industry is not well regulated:

  • Safety inspections for equipment and facilities are rare.
  • Dangerous areas and activities are not always marked with signs.
  • Staff may not be trained or certified.
  • If you get injured, you will likely need to travel to a major city for appropriate medical care.
  • Diving in the Corn Islands is especially dangerous. The nearest hyperbaric chamber is over 100 miles away in Puerto Cabezas.
  • First responders cannot reach remote areas in case of emergencies.
  • U.S. citizens are encouraged to have medical evacuation insurance.
  • Review our information on Travel Insurance.

Beach safety

Exercise extreme caution at Nicaraguan beaches.

  • Strong currents make swimming extremely dangerous.
  • Even experienced swimmers are at risk.
  • U.S. citizens have drowned at local beaches.
  • Drownings also occur in lagoons and lakes.
  • Lifeguards are rarely available.
  • Swimmers and surfers have been hit by boats.
  • Serious injuries and deaths have occurred.
  • Alcohol and swimming can be deadly.

Hiking safety

Hiking in volcanic or remote areas is dangerous.

  • Wear appropriate clothing and sturdy footwear.
  • Bring enough food and water.
  • Carry reliable communication equipment.
  • Hire a reputable local guide for remote areas.
  • Local guides are required for most volcanic hikes, including Ometepe’s Maderas and Concepcion volcanoes.

Coastal disputes

Be aware of the following border disputes:

  • Nicaragua and Colombia have an ongoing dispute over waters surrounding the San Andres Islands.
  • The Nicaraguan Navy has challenged vessels passing through its exclusive economic zone.
  • Nicaragua and Costa Rica have stationed security forces at Harbor Head (also called Isla Calero) at the eastern end of the San Juan River.
  • Nicaragua, Honduras, and El Salvador have maritime and land disputes over islands and access to fishing rights in the Gulf of Fonseca on the Pacific Coast.

Local laws and customs

Criminal penalties

  • U.S. citizens must follow local laws.
  • If you break local laws, even by mistake, you could be deported, arrested, or imprisoned.
  • Penalties for possessing, using, or trafficking in illegal drugs in Nicaragua are severe.
  • Even with a prescription, marijuana is illegal in Nicaragua.
  • You may be prosecuted in the United States for crimes committed abroad regardless of the local law. Review the information provided by the U.S. Department of Justice about crimes against minors abroad.

Arrest notification

If you are arrested or detained, ask officials and family and friends to notify the U.S. embassy or consulate immediately.

  • Nicaraguan authorities do not always notify the U.S. embassy when a U.S. citizen has been arrested or detained.
  • In the case of dual U.S.-Nicaraguan nationals, the U.S. embassy may be denied consular access.
  • Arrested U.S. citizens may find themselves subject to prolonged detention without charges, often for political reasons.
  • Nicaraguan authorities have ignored or significantly delayed implementing judicial orders to release, deport, expel, or transfer prisoners, due to political reasons.
  • Prison conditions can be harsh and life-threatening.
  • The Department has determined there is a risk of wrongful detention of U.S. nationals by the Government of Nicaragua.

Property rights

Exercise extreme caution when investing in or buying property in Nicaragua.

  • Property rights enforcement is unreliable.
  • The Nicaragua government routinely seizes private property without compensation or due process.
  • On August 5, 2025, the Nicaraguan government passed a law that made all land within 15 km of a national border a “border territory” and subject to seizure.
  • Authorities may not evict illegal occupants from private property.
  • U.S. citizens have faced arrest or threats over property disputes.

Customs regulations

The U.S. embassy cannot assist with customs or import issues.

  • Drones and similar devices are prohibited. Customs authorities will seize them.
  • Customs may also seize photography equipment, videography equipment, and binoculars, and any similar items, such as gaming systems. There may be no way to get these items back later.
  • Nicaraguan government authorities may also search and seize personal phones, computers, electronics, and documents to look for anti-government content.
  • Do not transport or attempt to import any items that could be considered weapons or military equipment.
  • Use a recognized customs broker before importing items to Nicaragua.
  • Advanced approval is required for wildlife observation, including bird watching, or other scientific activities.
  • Consult customs before importing vehicles, goods, or large medicine quantities.
  • Nicaraguan customs officials may delay or block import of goods, including items intended for donations.
  • U.S. citizens have reported being fined or required to pay unpublished and costly duties or taxes when importing goods.

Dual nationals

  • As of January 16, 2026, the Nicaraguan constitution prohibits dual nationality in most circumstances.
  • The change is not retroactive.
  • The enforcement and procedures are not clear.

Counterfeit and pirated goods

Counterfeit and pirated goods are common in many destinations.

  • They may be illegal according to local laws.
  • Counterfeit and pirated goods may pose significant risks to consumer health and safety.
  • You may be subject to fines or have to surrender counterfeit and pirated goods to authorities if you bring them back to the United States.

Learn more about U.S. restrictions on counterfeit and pirated goods:


Faith-based travelers and charities

Faith based travel includes pilgrimages, service projects, and mission work.

If you plan to lead a group trip, email both the Nicaraguan Embassy in the United States at asistente.emb@embanic.org and the Nicaraguan Ministry of Foreign Affairs at enlace@cancilleria.gob.ni.

Inform them of your trip. Get advance permission, even if your group has worked in Nicaragua before or has a local office.

This rule applies if you are part of a:

  • volunteer mission
  • charitable brigade
  • medical brigade (also needs permission from the Nicaraguan Ministry of Health)
  • visit organized by NGOs, religious groups, missionaries, charitable groups, schools, or any other group doing this type of work in Nicaragua. 

Important: Even with approved visits or permits, the Government of Nicaragua can cancel the decision without warning.

Prepare for your travel using these resources:


Gay and lesbian travelers

  • There are no legal restrictions on consensual same-sex relations.
  • Violence against gay and lesbian travelers is uncommon, but widespread discrimination exists.
  • Review our information for Gay and Lesbian Travelers.

Non-Governmental Organizations (NGOs)

  • Nicaragua has closed more than 5,600 NGOs since 2018.
  • NGO employees and volunteers may be denied entry.
  • Those in Nicaragua risk investigation or expulsion.

Political and religious activity

Unauthorized political or religious activities may lead to detention or expulsion.

  • Criticizing the government online can result in detention or expulsion.
  • The government cancels large religious events without warning. Event organizers have been threatened with arrest.

Social media

The Government of Nicaragua may monitor social media accounts.

  • Authorities may deny entry based on social media content.
  • Critical or controversial posts can trigger investigation or expulsion.
  • Exercise caution with online activity about Nicaragua.

Sending mail or money

Expect all mail to be opened and reviewed.

  • Nicaraguan authorities may catalog your mail’s contents.
  • Nicaraguan customs routinely intercept checks and money shipments.
  • Customs may retain debit and credit cards.
  • Use caution when sending valuables to Nicaragua.

Travelers with accessibility needs

  • The law in Nicaragua prohibits discrimination against people with mental and physical disabilities. However, discrimination is widespread in employment, education, access to health care, and the provision of state services.
  • There is limited or no accessibility assistance for public transportation and in many public areas. There are few sidewalks and pedestrian road crossings.
  • Review our information on Accessibility Needs.

Students


Women Travelers


Human rights

The human rights situation in Nicaragua worsened during the past year. The Government of Nicaragua intensified attacks on civil and religious liberties.

  • There have been credible reports of arbitrary killings, torture, and disappearances.
  • Nicaraguan authorities have failed to punish officials for human rights abuses.
  • There are serious restrictions on freedom of expression and media.
  • Independent journalists are not allowed in Nicaragua. Journalists who attempt to travel to Nicaragua face increased risks.
  • Review the Department of State’s Human Rights Report for Nicaragua prior to traveling.

Health

Health resources


Emergency numbers

  • Dial 118 for emergency medical services.

Ambulance services

  • Ambulance services are not widely available. Training and response time of emergency responders may be poor. Ambulances may not be equipped with advanced medical equipment.

Medical payments and insurance

Make sure you know if your health insurance plan covers any medical expenses coverage abroad. Most U.S. plans do not.

  • The U.S. government does not pay medical bills.
  • U.S. Medicare and Medicaid do not cover expenses or bills abroad.
  • Most hospitals and doctors abroad do not accept U.S. health insurance.
  • Medical care is not free for foreigners in Nicaragua. If you require medical attention, you will incur expenses, even if you are treated in a public healthcare facility.
  • Most care providers overseas only accept cash payments.
  • Most hospitals require payment up front before providing treatment or admitting a patient.
  • Make sure you know if your health insurance plan provides coverage abroad or reimbursement of payments. The CDC provides more information on types of insurance.
  • We strongly recommend supplemental insurance to cover medical evacuation.

Vaccinations

People who have visited or transited through countries at risk for yellow fever must show proof of yellow fever vaccination. The vaccine must be administered at least 10 days before travel to enter Nicaragua. The World Health Organization card, known as “yellow card,” serves as valid proof of vaccination.

Stay up to date with the vaccines recommended by the U.S. Centers for Disease Control and Prevention.


Healthcare facilities

  • Many hospitals are understaffed.
  • Some hospitals may not be able to help in emergencies.
  • Only basic, limited emergency medical services are available outside Managua.
  • Physicians and hospital personnel frequently do not speak English.
  • Nicaragua has only one hospital with Joint Commission International  certification. Even this hospital has very few specialists for acute emergencies.
  • Medical services outside Managua are limited, including for crime victims.
  • Government hospitals are understaffed.
  • Some hospitals throughout the country may not be able to assist in emergencies.

Common diseases

The following diseases are common in Nicaragua:

  • Mosquito-borne diseases (zika, dengue fever, and chikungunya)
  • Upper respiratory viruses (Influenza, COVID-19, and pneumonia)
  • Infectious bacterial diseases (typhoid fever and leptospirosis)
  • Intestinal illnesses (giardiasis)
  • New world screwworm
  • Rabies

Prescription medications

Always carry your prescription medication in original packaging, along with your doctor’s prescription.

  • If traveling with prescription medication, review the Nicaraguan Ministry of Health's Pharmacy Department web guidance page on entering with pharmaceuticals products.
  • Exercise caution when purchasing medication abroad. Pharmaceuticals are usually easy to buy with few controls.
  • Counterfeit medication is common and may not work, have the wrong strength, or have dangerous ingredients. You should buy medication with the help of a medical professional and from trusted places.

U.S. Customs and Border Protection (CBP) and the Food and Drug Administration (FDA) have rules for bringing medication back into the United States. If you buy medications abroad, the medications must meet CBP’s and the FDA’s requirements to bring them back legally.

The medications must also be for personal use and approved for use in the United States.

For more information:


Assisted Reproductive Technology (ART) and surrogacy

  • If you are considering traveling to Nicaragua to have a child through use of assisted reproductive technology (ART) or surrogacy, please review our information on ART and Surrogacy Abroad.
  • Surrogacy is largely unregulated in Nicaragua with no clear legal protections for foreign intended parents. Surrogacy agreements may not be enforced by Nicaragua courts.

Water quality and food safety

  • Bottled water and beverages are generally safe. Use major brands and ensure the seal is intact.
  • Many restaurants and hotels serve tap water unless bottled water is specifically requested.
  • You may want to request no ice in your drinks since it may be made using tap water.
  • Eating uncooked vegetables and fruits can make you sick.
  • Make water safe by filtering, boiling, disinfecting, or distilling.
  • Impure water can cause diseases like typhoid, cholera, hepatitis, and dysentery.

Air quality

Air pollution can be a significant problem in many destinations overseas.

Transportation

Road conditions and safety

Main roads between major cities are generally paved and in good condition. Other roads may have potholes, lack shoulders, and be poorly lit and narrow.

  • Speed bumps are often poorly marked.
  • During the rainy season, roads may become flooded or have additional damage.
  • Horse carts, loose animals, and pedestrians cross roads in front of oncoming traffic. This happens even on major roads in the main cities.
  • Motorcyclists often drive between lanes of traffic.
  • Most roads on the Caribbean coast are unpaved.
  • Road signs throughout the country are limited or non-existent.
  • Road travel after dark is hazardous in all areas.
  • Carry a cellphone in case of emergency. However, cellphone reception may be spotty in many areas of the country.
  • Do not drive outside urban areas after dark.

Traffic laws

After an accident

Wait for police and insurance representatives before moving your vehicle.

  • Do not move your vehicle until you are instructed by police.
  • Moving your vehicle early may result in legal liability.
  • Police and insurance may not respond, especially overnight.
Traffic violations and speed limits

As of June 17, 2025, new national speed limits are 50 km/h (31 mph) for most vehicles and 40 km/h (25 mph) for motorcycles. These speed limits apply on all roads even if they are not posted.

  • Children are not allowed as motorcycle passengers.
  • If you are stopped for a traffic violation, police may confiscate your driver’s license until you pay the fine.
  • You may not recover your license quickly, depending on your stay.
Mandatory detention
  • Police must detain drivers for:
    • Driving under the influence (legal limit: 0.05% BAC).
    • Accidents causing serious injury or death.
  • In fatal accidents, drivers are held until a legal settlement is reached. The minimum detention for fatal accidents is 48 hours.
Required documents and equipment
  • All drivers must carry:
    • driver’s license
    • proof of insurance
    • vehicle registration
    • emergency triangle
    • fire extinguisher
    • inspection and registration stickers
  • This applies to rental vehicles as well.
  • Penalties for missing items include fines and towing.
  • For more information, contact the Nicaraguan National Police or Embassy of Nicaragua.
Traffic stops and police conduct
  • Transit police frequently stop vehicles with local or foreign plates.
  • If asked for a bribe, request a receipt, the officer’s name, and badge number.
  • Report police mistreatment to Nicaragua’s National Police and the U.S. Embassy in Managua.
Additional recommendations
  • To avoid liability, consider hiring a professional driver through a reputable hotel.

Taxis and ride-shares

  • U.S. government employees are not permitted to use taxis or moto taxis due to safety and crime concerns.
  • Several ride share apps are available in Nicaragua.
  • U.S. government employees can currently only use the Ray app.

Public and commercial transportation

  • Buses, moto-taxis, and ferries often lack proper safety equipment.
  • U.S. government personnel are not permitted to use public buses due to safety and crime concerns.
  • Exercise caution due to overloaded or unsafe ferries and boats. Check with local naval or police authorities about the safety of being on the water depending on the weather. Most vessels provide insufficient numbers of life vests and other safety equipment.
  • Review our information on Driving and Transportation Safety Abroad.

Aviation safety oversight

  • The U.S. Federal Aviation Administration (FAA) has not assessed Nicaragua’s Civil Aviation Authority for compliance with international standards for aviation safety oversight FAA's website includes more information on its assessment program.
  • Airports in remote places often have short airstrips, minimal safety equipment, and little boarding security.

Maritime travel

Mariners and passengers planning travel to Nicaragua should check the following:

Weather and natural disasters

Natural disasters

Nicaragua is prone to earthquakes, hurricanes, floods, and volcanic eruptions.

  • Have a plan for how to seek emergency care, shelter, or evacuation routes. Many remote locations in the country lack good cell phone coverage.
  • If traveling during the rainy season (from May to November), inclement weather can develop suddenly and last for days. This creates flooding and landslides.
  • If you are at a coastal area when an earthquake occurs, move quickly to higher ground, when safe to do so, to avoid possible tsunamis.
  • In the event of an earthquake, volcanic eruption, or other natural disaster, U.S. citizens should pay close attention to local media reports.
  • In Nicaragua, the national disaster prevention system (SINAPRED) will post updates on their website or social media accounts.
  • Enroll in the Smart Traveler Enrollment Program (STEP) to receive important emergency information and make it easier to locate you in an emergency.
  • Review the U.S. Federal Emergency Management Agency (FEMA) website for information about disaster preparedness
  • Monitor the National Hurricane Center to be aware of weather developments. 
  • Additional information on hurricanes and storm preparedness can be found on the Department's Crisis and Disaster Abroad: Be Ready webpage. 
  • Review the status of Augusto C. Sandino International Airport in Managua before your trip.

U.S. citizens living abroad

Living abroad resources

If you live outside the United States for a long time, you or your family may experience various life events, wish to exercise U.S. citizenship rights, or need to meet U.S. legal obligations while abroad.

Embassies and consulates

U.S. Embassy Managua

Km 5 ½ Carretera Sur
Managua, Nicaragua

Main telephone:

+505-2252-7100

Emergency after-hours:

+505-2252-7100