Maniapure’s model formalizes partnerships between advanced medical facilities and local health organizations in rural Venezuela, helping rural clinics improve their service offerings to patients in primary and subspecialty care. Over the years Maniapure has become a sustainable organization reproduced in several Latin American countries. It differentiates itself from other healthcare providers through the use of telemedicine and has expanded from remote and rural services to cover urban insured or uninsured populations. It consults via chat, video conferencing, and live and store-and-forward telecommunications, reducing healthcare costs and adding previously excluded communities to modern prevention and medical care at almost any level.