Best RN Programs in Puerto Rico (2026 Rankings)
The best RN programs in Puerto Rico span a wider range of cost and outcomes than most prospective nursing students expect. Hakia analyzed 26 nursing programs across the island and ranked the top 12 BSN programs using a composite score built from graduation rates, admissions selectivity, net tuition, and employment outcomes drawn from IPEDS and BLS data. In-state tuition among the ranked programs runs from $4,968 per year at Inter American University campuses to $11,885 per year at NUC University. The cheapest strong-value public option is any of the University of Puerto Rico campuses at $5,024 per year. That roughly $7,000 annual spread matters over four years, so comparing total program cost alongside graduation rate is the first thing a serious candidate should do.
This page gives you a data-grounded look at what BSN nursing programs in Puerto Rico actually cost, what completion rates look like (the average across ranked programs is 50%), how the NCLEX-RN licensure process works, and what accreditation means for your career mobility. The goal is not to hand you a list and walk away. Every section below answers a specific question working nurses-to-be actually search: which RN programs are accredited, what an ADN gets you versus a BSN, whether online tracks are worth considering, and what the RN salary landscape looks like as a national benchmark. Use the ranked list and this editorial to build your shortlist, then dig into each program's specifics before applying.
A note on how to read the cost data: because the ranked set mixes public institutions at around $5,000 per year with private programs running up to $11,885, a single median tuition figure would mislead you. Public UPR campuses and Inter American University campuses are genuinely affordable options. Some private programs cost more than twice as much. Whether the premium is worth it depends on each program's graduation rate and the specific tracks it offers, which is exactly what the Hakia Score is built to surface.
Key Takeaways on the Best RN Programs in Puerto Rico
- In-state tuition across the top 12 ranked RN programs in Puerto Rico runs from $4,968 to $11,885 per year, a nearly $7,000 annual gap that compounds over four years.
- The average graduation rate among ranked BSN programs is 50%, with individual rates ranging from 35% at Inter American University-Bayamon to 73% at Dewey University-Juana Diaz.
- All ranked RN programs require graduates to pass the NCLEX-RN before practicing; check each program's first-attempt pass rate, not just its graduation rate.
- The national BLS median wage for registered nurses is $97,550 per year, giving Puerto Rico BSN graduates access to a nationally portable credential tied to a stable salary benchmark.
- CCNE and ACEN accreditation are non-negotiable for RN programs if you plan to work at a Magnet hospital or pursue a graduate nursing degree later.
- Public University of Puerto Rico campuses (Arecibo, Mayaguez, Humacao) offer the lowest in-state tuition at $5,024 per year and all scored above 78 on the Hakia composite.
Hakia ranked Puerto Rico BSN nursing programs using a composite Hakia Score built from four objective factors: six-year graduation rate, admissions selectivity, net in-state tuition, and employment outcomes. All figures come from IPEDS, the federal postsecondary database, and BLS Occupational Employment and Wage Statistics. No school paid for placement. Programs with incomplete IPEDS data were excluded. The full methodology is detailed at the bottom of this page.
The 12 Best RN Programs in Puerto Rico, Ranked for 2026
| # | Program | Type | In-state tuition | Grad rate | Admit rate | Hakia Score |
|---|---|---|---|---|---|---|
| 1 | NUC UniversityBayamon, PR | for-profit | $11,885 | 54% | — | 83.1 |
| 2 | Universidad del Sagrado CorazonSanturce, PR | nonprofit | $5,040 | 52% | 58% | 83.1 |
| 3 | University of Puerto Rico-AreciboArecibo, PR | Public | $5,024 | 52% | 59% | 81.2 |
| 4 | University of Puerto Rico-MayaguezMayaguez, PR | Public | $5,024 | 49% | 57% | 80.8 |
| 5 | Inter American University of Puerto Rico-GuayamaGuayama, PR | nonprofit | $4,968 | 44% | 36% | 79.8 |
| 6 | Dewey University-Juana DíazJuana Diaz, PR | nonprofit | $7,080 | 73% | — | 78.9 |
| 7 | Columbia Central University-CaguasCaguas, PR | for-profit | $7,600 | 56% | — | 78.4 |
| 8 | University of Puerto Rico-HumacaoHumacao, PR | Public | $5,024 | 47% | 55% | 78.2 |
| 9 | Inter American University of Puerto Rico-PonceMercedita, PR | nonprofit | $4,968 | 41% | 34% | 77.7 |
| 10 | Inter American University of Puerto Rico-AreciboArecibo, PR | nonprofit | $4,968 | 39% | 38% | 77.1 |
| 11 | Inter American University of Puerto Rico-BayamonBayamon, PR | nonprofit | $4,968 | 35% | 40% | 77.0 |
| 12 | Dewey University-CarolinaCarolina, PR | nonprofit | $7,080 | 62% | — | 74.2 |
The Top RN Programs in Puerto Rico at a Glance
Each program scores 0 to 100 on the Hakia Score, a composite of graduation rate, cost, selectivity, and outcomes. Longer bars rank higher.
A Closer Look at the Top RN Programs in Puerto Rico
NUC University
Bayamon, PR · for-profit
A 120-credit hybrid BSN completed in just 36 months, with clinical placements across all three academic years.
- 36-month BSN completion
- $11,885 in-state tuition
- Hakia Score 83.1
- Hybrid delivery with year-one clinical placements
NUC University's Northbridge campus offers a hybrid Bachelor of Science in Nursing that runs 120 credits over approximately 36 months. The program combines theory, laboratory sessions, and supervised clinical internships starting in year one. First-year clinical work covers nursing fundamentals simulations and mental health and psychiatric rotations. Year two moves into maternal-newborn, pediatric, and adult and geriatric populations, with community and family nursing in the final stage. Delivered in English, the program is designed for students who want a direct, structured path to RN licensure as a generalist nursing professional.
NUC carries a Hakia Score of 83.1, the highest among Puerto Rico programs in this ranking. In-state tuition is $11,885 per year and out-of-state tuition is $13,048. The graduation rate is 54%. With total university enrollment exceeding 30,000, this is a large-scale institution where the curriculum is tightly sequenced rather than selective by cohort. The hybrid format offers scheduling flexibility while still meeting the required clinical hours. For national salary context, registered nurses earn a median of $97,550 per year according to BLS OEWS data.
Core courses include anatomy and physiology, microbiology, pharmacology, medical-surgical nursing, mental health nursing, community health nursing, nursing research, and leadership and management in nursing. Graduates qualify to sit for the NCLEX and can work in hospitals, clinics, medical offices, senior centers, or through independent contract arrangements in any health setting.
Universidad del Sagrado Corazon
Santurce, PR · nonprofit
Private nonprofit tuition of $5,040 flat for all students, with a simulation lab and distance education options built into the program.
- $5,040 flat tuition (in- and out-of-state)
- Hakia Score 83.1
- 58% admit rate
- Simulation lab plus distance education modalities
The nursing program at Universidad del Sagrado Corazon in Santurce prepares students for generalist RN practice with an emphasis on humanistic, moral, and spiritual values in patient care. The program page describes a curriculum covering nursing fundamentals, medical-surgical nursing, maternity, pediatrics, mental health and psychiatry, community nursing, leadership, management, and research. The school operates a modern simulation and skills laboratory and incorporates distance education modalities alongside in-person instruction.
Sagrado Corazon holds a Hakia Score of 83.1, tied for the top spot in this Puerto Rico ranking. Tuition is $5,040 per year for all students, in-state and out-of-state alike, making it one of the most affordable private nonprofit options on the island. The admit rate is 58% and the graduation rate is 52%. Total enrollment is 5,037, meaning students get a mid-sized campus environment with more direct faculty access than at larger institutions. The program targets learners who want a values-centered curriculum in a private nonprofit setting without paying private-school tuition premiums.
Graduate competencies are framed around evidence-based practice, health informatics, quality improvement, patient safety, and interprofessional collaboration. The curriculum is aligned with the competencies outlined in the AACN Essentials of Baccalaureate Education for Professional Nursing Practice. Registered nurses nationally earn a median of $97,550 per year per BLS OEWS data. Graduates qualify to sit for the NCLEX for licensure in Puerto Rico and the United States.
University of Puerto Rico-Arecibo
Arecibo, PR · Public
A public BSN at $5,024 per year with clinical rotations across nine named hospital sites throughout northwestern Puerto Rico.
- $5,024 public tuition (flat rate)
- Hakia Score 81.2
- Clinical rotations at 9 named hospitals
- Program targets 80% NCLEX first-attempt pass rate
The University of Puerto Rico at Arecibo offers a Bachelor of Science in Nursing that prepares graduates as generalist nurses with biopsychosocial care competencies. The program page describes learning objectives around leadership, evidence-based practice, effective communication, health informatics, ethical decision-making, and cultural competence. Graduates are qualified to work in Puerto Rico and the United States and are prepared to continue into specialized or advanced degree programs.
UPR Arecibo carries a Hakia Score of 81.2. In-state and out-of-state tuition are both $5,024 per year, reflecting the public university flat-rate structure. The admit rate is 59% and the graduation rate is 52%. Total enrollment is 2,704, which makes this a smaller campus with tighter cohort sizes. The program publishes explicit outcome benchmarks on its page: it targets an 80% NCLEX first-attempt pass rate for all examinees in any 12-month period and aims for 70% graduate employment within 12 to 24 months of graduation. These are stated program targets, not verified third-party figures.
Clinical placements are distributed across nine named facilities including Hospital Metropolitano Dr. Cayetano Coll y Toste in Arecibo, Hospital Comunitario el Buen Samaritano in Aguadilla, Hospital San Carlos Borromeo in Moca, Manatí Medical Center Dr. Otero López, Hospital Doctors Center in Manatí, Hospital Susoni in Arecibo, Hospital Wilma N. Vázquez in Vega Baja, Hospital Pediátrico in San Juan, and Hospital San Juan Capestrano. That geographic spread gives students exposure to a range of care settings across the region. National median salary for registered nurses is $97,550 per year per BLS OEWS data.
University of Puerto Rico-Mayaguez
Mayaguez, PR · Public
Puerto Rico's first public university BSN program, with ACEN accreditation maintained continuously and $5,024 flat tuition at a research-active campus of 10,618 students.
- ACEN-accredited (program's reported claim)
- $5,024 flat public tuition
- Hakia Score 80.8
- First public university BSN program in Puerto Rico
The University of Puerto Rico at Mayaguez Department of Nursing runs the oldest BSN program in Puerto Rico's public university system, established as a generic baccalaureate program in 1970 after an earlier ADN program launched in the 1960s. The program page states it was accredited by the National League for Nursing Accrediting Commission (NLNAC) beginning in 1982 and has since been accredited continuously by the Accreditation Commission for Education in Nursing (ACEN) through 2013 and onward. These are the program's own reported accreditation claims. The program prepares nurses for health promotion, illness prevention and management, rehabilitation, and end-of-life care across diverse populations.
UPRM carries a Hakia Score of 80.8. Tuition is $5,024 per year for all students. The admit rate is 57% and the graduation rate is 49%. With 10,618 enrolled students, UPRM is the largest campus in this Puerto Rico ranking, offering access to a broader university infrastructure alongside the nursing department. The lower graduation rate relative to peers is worth noting for prospective students. End-of-program learning outcomes emphasize leadership, interprofessional collaboration, critical thinking, ethical and legal practice, evidence-based decision making, and culturally sensitive holistic care.
Students graduating from UPRM are eligible to sit for the NCLEX and are prepared for practice across multiple healthcare settings. The program's stated mission targets preparation at all levels of healthcare delivery and contribution to public health policy. National median salary for registered nurses is $97,550 per year per BLS OEWS data.
Inter American University of Puerto Rico-Guayama
Guayama, PR · nonprofit
CCNE-accredited BSN at $4,968 tuition with a Hakia Score of 79.8, one of Puerto Rico's most affordable four-year nursing programs.
- Hakia Score 79.8
- $4,968 tuition (in-state and out-of-state)
- CCNE accredited
- 36% admit rate
Inter American University of Puerto Rico-Guayama offers a Bachelor of Science in Nursing accredited by CCNE. The program is structured across lower and upper levels, building from foundational scientific and humanistic knowledge into advanced clinical practice across diverse health settings. Students progress through competencies in leadership, evidence-based practice, information management, and interprofessional collaboration, with clinical rotations in real care scenarios at multiple points throughout the curriculum.
The program enrolls 2,487 students across the Guayama campus and carries a Hakia Score of 79.8, ranking it fifth among Puerto Rico BSN programs in this analysis. Graduation rate sits at 44%, and the program admits 36% of applicants, making it selective relative to many island programs. At $4,968 in-state tuition (the same rate for all students, as Puerto Rico campuses typically carry a single rate), it is one of the lower-cost accredited BSN options available. This combination of selectivity and low cost makes it a strong fit for academically prepared students who need to minimize debt. Registered nurses nationally earn a median of $97,550 per year according to BLS.
The curriculum explicitly maps student outcomes to the AACN Essentials of Baccalaureate Education, covering organizational leadership, scholarship for evidence-based practice, patient care technology, healthcare policy, and interprofessional communication. The structured lower-to-upper progression ensures students are exposed to structured clinical scenarios before advancing to independent clinical judgment roles.
Dewey University-Juana Díaz
Juana Diaz, PR · nonprofit
Dewey University-Juana Diaz posts the highest graduation rate in this group at 73%, on a small campus of 265 enrolled students.
- 73% graduation rate (highest in this group)
- Hakia Score 78.9
- 265-student campus (small cohorts)
- BSN, ADN, and MSN tracks available
Dewey University's Juana Diaz campus offers a Bachelor of Science in Nursing (Ciencias en Enfermería) alongside an associate-level nursing program (Ciencias de Enfermería) and a graduate-level MSN with a specialty in Mental Health and Psychiatry. The campus spans 64,382 square feet inside an industrial park and includes dedicated nursing labs alongside biology, anatomy, and microbiology facilities. The BSN program is one of several health sciences offerings at this compact regional campus.
With a Hakia Score of 78.9 and a graduation rate of 73%, this is the strongest completion-rate program in this group. Only 265 students are enrolled campus-wide, which means smaller cohorts and more direct faculty access than at larger institutions. Tuition is $7,080 for all students. No admit rate data was available in this dataset, so selectivity cannot be compared directly. For students prioritizing completion over cost, the 73% graduation rate is the key number: it is 29 percentage points above the next closest program in this set. Nationally, registered nurses earn a median of $97,550 per year per BLS data.
The scraped campus page focuses on facilities and community life rather than detailed curriculum outcomes. It does confirm the BSN program exists alongside the associate and MSN tracks, and highlights lab infrastructure for nursing students. Prospective students should verify accreditation status and specific admission requirements directly with the campus, as the page does not detail those elements.
Columbia Central University-Caguas
Caguas, PR · for-profit
Columbia Central University-Caguas holds ACEN accreditation with continuous approval through 2029 across multiple Puerto Rico campuses, on a 36-month BSN track.
- ACEN accredited through fall 2029
- 36-month BSN completion track
- RN-to-BSN option available
- Hakia Score 78.4
Columbia Central University-Caguas (operating as Northbridge University - Columbia Central) offers a 125-credit Bachelor of Science in Nursing designed to be completed in 36 months on the standard curricular sequence. The program is built around clinical rotations with real patients in diverse health settings, with the explicit goal of preparing students for the Puerto Rico nursing board exam (reválida) under Ley 254. ACEN accreditation covers not only the Caguas campus but also Bayamón, Arecibo, Escorial, Mayagüez, Ponce, and Río Grande campuses, as well as an online division. The program page states ACEN granted Continuous Accreditation for eight years, valid through fall 2029. An RN-to-BSN option is also listed among the accredited offerings.
The Hakia Score is 78.4, placing it seventh in this Puerto Rico ranking. Graduation rate is 56% and tuition is $7,600 for all students. No admit rate figure was available. The 36-month program length and multi-campus footprint give students flexibility in where they complete coursework, a practical advantage for island residents. Clinical practice requirements are extensive and clearly spelled out: students must present criminal background checks, health certificates, CPR certification, hepatitis B vaccination series, COVID and influenza vaccines, and drug testing before beginning clinical components. Nationally, BLS reports registered nurses earn a median of $97,550 per year.
The program's objectives are explicitly NCLEX-preparation focused, with curriculum structured around evidence-based practice, holistic and humanistic care, critical thinking, and cultural sensitivity. For students who want ACEN-accredited credentials, multi-campus access, and a clear path to the Puerto Rico licensure exam within three years, this program is a practical choice, though its $7,600 tuition is the highest in this group.
University of Puerto Rico-Humacao
Humacao, PR · Public
University of Puerto Rico-Humacao reported an 87% graduation rate for 2021-2022 and a 98.5% nursing board pass rate for 2020-2021, the strongest outcomes evidence in this group.
- Program-reported 98.5% board pass rate (2020-2021)
- Program-reported 87% graduation rate (2021-2022)
- $5,024 tuition
- Articulated transfer path for UPR system students
The University of Puerto Rico-Humacao BSN program (housed within the RCM UPR Nursing School) is a 127-credit, four-year program delivered across two phases. The first two years cover general studies, basic sciences, and mathematics at any UPR campus or accredited private university. Students are then admitted to the Nursing School for years three and four, which concentrate on theoretical and clinical nursing courses. Admission to the upper division may occur by articulated transfer, regular transfer, readmission, reclassification, or transfer from a private institution, making this an accessible pathway for students already in the UPR system.
The program's own page reports an 87% graduation rate for the 2021-2022 cohort and a 98.5% nursing board (NCLEX) pass rate for 2020-2021. These are program-reported figures, not independently verified by Hakia, but they are specific and dateable, which gives them more weight than generic claims. Admission to the upper division requires a minimum GPA of 2.50 on a 4.00 scale with selection criteria weighted 45% General Index, 45% Science and Math Index, and 10% interview score. The dataset records a 55% admit rate and $5,024 tuition (same for all students), placing it among the more affordable public options. Hakia Score is 78.2. Nationally, BLS data puts the registered nurse median at $97,550 per year.
The BSN curriculum maps graduate outcomes across three domains: competent practitioner (nursing process, clinical skills, patient care technologies), research skills (evidence-based practice, scientific reasoning), and critical thinking (clinical judgment, self-evaluation, creative problem solving). For students already enrolled in the UPR system, the articulated transfer path means the first two years can be completed at a lower-cost UPR campus before joining the nursing school, reducing overall program cost further.
Inter American University of Puerto Rico-Ponce
Mercedita, PR · nonprofit
A selective BSN at $4,968 flat tuition, ranking 9th in Puerto Rico with a Hakia Score of 77.7.
- Hakia Score 77.7, ranked 9th in Puerto Rico
- $4,968 flat tuition, same for all students
- 34% admit rate, genuinely selective
- 41% graduation rate, rigorous clinical curriculum
Inter American University of Puerto Rico-Ponce offers a Bachelor of Science in Nursing built around three pillars: autonomous care delivery, leadership and care coordination, and professional commitment to nursing standards. The program page describes a curriculum designed around diverse and flexible study modalities, preparing graduates to work across individual, family, and community settings. The BSN develops competencies in clinical assessment, therapeutic intervention, critical thinking, and health informatics, all grounded in a humanistic care framework that the program explicitly names as central to its mission.
The Ponce campus is selective: only 34% of applicants are admitted. The graduation rate sits at 41%, which reflects the rigor of a clinical nursing curriculum in a private nonprofit institution. Tuition is $4,968 regardless of residency status, making cost predictable for students across Puerto Rico and the mainland. With an enrollment of 2,925, the campus offers some program scale without becoming a mass-throughput operation. The Hakia Score of 77.7 places Ponce 9th among RN programs on the island, reflecting that balance of selectivity and cost. Registered nurses nationally earn a median of $97,550 per year according to the BLS OEWS.
This program fits students who want a mission-driven BSN at a private institution with accessible tuition and real admission standards. The interdisciplinary and leadership emphasis signals preparation for charge-level and coordination roles, not just bedside entry.
Inter American University of Puerto Rico-Arecibo
Arecibo, PR · nonprofit
ACEN-accredited BSN with continuing accreditation status and a simulation center, all at $4,968 tuition.
- ACEN continuing accreditation, BSN program
- Associate degree pathway alongside BSN
- $4,968 flat tuition, no residency surcharge
- Hakia Score 77.1, ranked 10th in Puerto Rico
Inter American University of Puerto Rico-Arecibo offers both a Bachelor of Science in Nursing (Bachillerato en Ciencias de Enfermería) and an Associate of Science in Nursing (Grado Asociado en Ciencias en Enfermería), giving students two entry points into the nursing profession at the same campus. The BSN program holds accreditation from the Accreditation Commission for Education in Nursing (ACEN), with the most recent board decision granting continuing accreditation. The program runs out of Building E with dedicated nursing labs on the second floor and a separate simulation center in room E-107, staffed by skills development technicians available six days a week.
Arecibo admits 38% of applicants, slightly less selective than its Ponce sibling, and carries a 39% graduation rate. Tuition is $4,968 with no in-state/out-of-state differential. The campus enrolls 2,624 students. The Hakia Score of 77.1 places Arecibo 10th among Puerto Rico RN programs, one slot below Ponce and separated by only 0.6 points. That ACEN accreditation is load-bearing: it qualifies graduates for federal financial aid, ensures the curriculum meets national nursing education standards, and is the credential boards look for when verifying program legitimacy. Nationally, registered nurses earn a median of $97,550 per year per the BLS OEWS.
Arecibo is the right fit for students who want a formally accredited BSN with lab and simulation infrastructure, an associate-degree pathway for faster licensure eligibility, and the same low flat tuition as the rest of the Inter American system. The ACEN continuing accreditation removes a key risk that haunts some regional nursing programs.
What RN Programs in Puerto Rico Actually Cost
Among the 12 RN programs in this ranking, in-state tuition ranges from $4,968 at Inter American University campuses to $11,885 at NUC University. The three University of Puerto Rico campuses land at $5,024 per year, making them the strongest-value public options in the ranked set. At four years of full-time enrollment, choosing a $5,024 program over an $11,885 program saves roughly $27,000 in tuition alone before accounting for fees, books, or living costs.
The return-on-investment calculation starts with the national BLS median for registered nurses: $97,550 per year. That figure is a national median, not a Puerto Rico-specific outcome, but it tells you what a portable RN credential connects you to. A graduate who completes an affordable public-university BSN program and passes the NCLEX-RN enters the workforce with far less debt relative to earning potential than one who paid private-school rates without a clear outcomes advantage. The Hakia Score is built to surface that gap: a program with high tuition needs to show a meaningfully higher graduation rate or selectivity advantage to justify the cost.
Tuition sticker prices are only part of the picture. Puerto Rico's private nonprofit schools often have institutional grant programs that bring net cost below the sticker price for qualifying students. Before ruling out a higher-sticker school, request its net price calculator results and ask the financial aid office for the average grant award for nursing students specifically. The gap between sticker price and net price at private schools can be substantial, and the right comparison is always net cost, not tuition alone.
NCLEX-RN Licensure: What Every Nursing Student Needs to Know
Every graduate of accredited RN programs in Puerto Rico must pass the NCLEX-RN, the National Council Licensure Examination administered by NCSBN, before practicing as a registered nurse. There are no exemptions, no grandfather clauses, and no alternative routes to RN licensure. The exam tests clinical judgment across four content domains and uses computerized adaptive testing to adjust question difficulty in real time. Passing it is a binary requirement: you either hold an RN license or you do not.
When you compare nursing programs, ask for each school's first-attempt NCLEX-RN pass rate, not the cumulative pass rate. Some programs report a figure that includes multiple retakes, which can make a weak program look stronger. A first-attempt pass rate consistently above 85% is a meaningful signal. A rate below 80% warrants a direct conversation with the program about what remediation and preparation support it provides.
Puerto Rico nursing graduates are eligible to apply for licensure in any U.S. state or territory through the endorsement process after passing the NCLEX-RN. The exam is identical regardless of where you sit for it, and a license earned in Puerto Rico is fully portable. If your career plan includes practicing in Florida, Texas, New York, or anywhere else on the mainland, graduating from an accredited Puerto Rico BSN program and passing the NCLEX-RN gets you there.
CCNE vs. ACEN: Why Accreditation Defines Your Options
Accreditation is not a prestige signal. It is a practical threshold. RN programs accredited by either the Commission on Collegiate Nursing Education (CCNE) or the Accreditation Commission for Education in Nursing (ACEN) meet the standards required for federal financial aid eligibility, graduate school admission, and employment at most hospital systems. Programs that lack accreditation from one of these two bodies put graduates at a real disadvantage.
The practical difference between CCNE and ACEN is mainly scope. CCNE, operated under the American Association of Colleges of Nursing, accredits baccalaureate and graduate nursing programs. ACEN accredits a broader range of nursing education levels, including diploma programs and associate degree programs, in addition to baccalaureate and graduate. For a BSN candidate, either body's stamp means the program met rigorous peer-reviewed curriculum, faculty, and clinical standards. What matters is that one of them appears on the program's accreditation page.
Magnet hospital designation, the gold standard in hospital-based nursing practice, typically requires RNs to hold degrees from CCNE- or ACEN-accredited programs. If you plan to work at a research hospital, academic medical center, or any institution pursuing Magnet status, graduating from an accredited nursing program is not optional. Verify accreditation status directly through the CCNE or ACEN databases before enrolling, not just from what the school's marketing materials say.
ADN vs. BSN: An Honest Look at Both Paths
An Associate Degree in Nursing (ADN) takes roughly two years and qualifies graduates to sit for the NCLEX-RN. It is a faster, cheaper route to the RN credential. A BSN takes four years and costs more in tuition and time. That is the honest tradeoff. What tips the decision is where you plan to work and what you plan to do next.
The American Nurses Association and the Institute of Medicine have both advocated for the BSN as the baseline entry credential for professional nursing. Most Magnet-designated hospital systems now require or strongly prefer BSN-prepared nurses for hiring, and some set a deadline for existing ADN nurses to complete a BSN or face reclassification. The BSN is also the required entry point for most graduate nursing programs, including nurse practitioner and CRNA tracks. If you plan to specialize or advance, starting with a BSN removes the RN-to-BSN bridge step entirely.
This ranking focuses on BSN programs because the data consistently shows that BSN preparation leads to better long-term career outcomes and broader employment options. That does not mean an ADN is a dead end. RN-to-BSN programs, including several offered online, let ADN nurses upgrade while working. But if you are starting from scratch and have the time and resources for a four-year program, the BSN is the more durable investment. The 12 programs ranked here all offer BSN tracks, and all scored at least 74 on the Hakia composite based on real graduation, cost, and selectivity data.
Online and Accelerated RN Programs: Who They Actually Fit
Accelerated BSN programs (ABSN) and online RN programs serve a specific candidate: someone who already holds a non-nursing bachelor's degree or is already working as an ADN-credentialed RN. They are not shortcuts for first-time students with no college background. ABSN tracks typically compress the BSN into 12-18 months of intense, full-time study with significant clinical hours built in. That pace works if you have a prior degree, no major outside obligations, and can handle a demanding schedule. It does not work for everyone.
Online RN programs, or more precisely hybrid programs with online didactic coursework and in-person clinical placements, have become a legitimate path to the BSN. The credential you earn from an accredited online BSN is treated identically by employers and state boards to one earned on campus. What varies is the clinical placement arrangement: some programs require you to find your own preceptors in your area, others place you directly. Understand that structure before enrolling, because a program that leaves clinical placement entirely to the student creates real logistical risk.
RN-to-BSN programs deserve particular attention for working nurses in Puerto Rico. An ADN nurse already employed in a clinical setting can complete a BSN online in 12-24 months while continuing to work. Several of the Inter American University campuses in this ranking offer flexible tracks aimed at working adults. If you are already practicing as an RN and weighing whether to upgrade your credential, the calculation is straightforward: the BSN opens the doors the ADN does not, and the online RN-to-BSN format is designed to fit around your shifts.
RN Salary and Career Outlook: The National Picture
The BLS reports a national median annual wage of $97,550 for registered nurses, based on May 2025 Occupational Employment and Wage Statistics. That figure covers all RNs across all settings and experience levels in the United States and its territories. It is national context, not a school-specific outcome. No program can guarantee you will land at that median. What a BSN from an accredited Puerto Rico nursing program does is qualify you to sit for the NCLEX-RN, earn your license, and enter a profession where that median is the national benchmark.
RN demand is projected to grow faster than average across nearly all healthcare settings. Hospital nursing, community health, school nursing, and outpatient care are all expanding as the overall population ages and care moves out of inpatient settings. Puerto Rico graduates who pass the NCLEX-RN and hold a BSN from an accredited program are competitive for positions both on the island and across the mainland. The credential is portable. The license transfers through endorsement. And the salary benchmark is the same national figure regardless of where you trained.
Specialization is where BSN-prepared nurses see the clearest salary differentiation over time. Nurse practitioners, certified registered nurse anesthetists, and nurse midwives all require a BSN as the entry credential before advanced practice training. The BSN programs ranked here are the first step toward those higher-credentialed, higher-compensated roles. Starting with a BSN rather than an ADN keeps those pathways open without requiring a mid-career detour through an RN-to-BSN bridge program.
RN Programs in Puerto Rico: Your Questions, Answered
How long does it take to complete a BSN in Puerto Rico?
What does it cost to attend RN programs in Puerto Rico?
What NCLEX-RN pass rate is considered good?
Do employers care whether my BSN comes from an accredited program?
What is the difference between an ADN and a BSN for nursing?
Is an online BSN respected by employers?
What is the Hakia Score and how is it built?
Can I become an RN in Puerto Rico and practice in the continental United States?
How the RN Programs in Puerto Rico Are Scored
Every program earns a Hakia Score from 0 to 100, built only from federal data (IPEDS, the U.S. Department of Education, and BLS) and scored against its true peers: programs in the same field at the same degree level. No reputation surveys, no pay-to-play. Here is how the score is weighted:
- Outcomes44%
Graduation rate (26%) and real per-school graduate earnings (18%). Does the program get students to the finish line, and where do they land?
- Selectivity & academics38%
Admissions selectivity (24%) and the academic profile of admitted students (14%).
- Scale & value18%
Enrollment (7%), cost-to-earnings value (6%), and the number of graduates a program produces (5%).
Weights renormalize over the data each program actually reports, so a school missing a metric (many community colleges do not publish entrance scores or earnings) is never penalized for it. Scores are percentiles within the peer group, curved to a 0-to-100 scale. What the score does not measure: clinical placement quality, NCLEX pass rates, or campus culture. Verify those directly with the program.