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Access to dialysis in rural communities is critical to maintain survival of Chronic Kidney Disease patients. Although, many of rural communities lack adequate health coverage in primary care settings, as well more specialized medicine. In Central America there is an increase in the number of cases of Chronic Kidney Disease of unknown origin (Almaguer, et al.) unfortunately this patients can't afford specialized advice by nephrologist, nutritionist, social workers, and others due to the lack of healthcare providers in these areas. By providing the healthcare workers with tools that enhance telenephrology we could promote specialized consultation between experts and primary care workers, as well guided examination and dialysis assessment in real time.