For people that are new here or for those traveling to Nicaragua you may run into a need for emergency or other medical service. By now you know that the Pellas is an excellent hospital though there are several almost as good and better, depending on your needs.
Even a hospital as modern as Pellas has the typical Nica problems like not answering the phone. If you get stuck in this situation, here is the contact information for a very helpful person which speaks English. She heads up the medical tourism office at Pellas.