The following are the major cities: Rama, El Rama.
You can find 3 pharmacies locally like "Farmacia Santa María", "Laboratorio Clinico Leon" In term of hospitals you can find 1 places (like "Óptica Matamoros").
About bus, 4 possibilities exist (like "Expreso: El Rama -> Managua", "Ruteado: Kukra Hill - El Rama"). For gas stations you have 1 locations. As "Ferry: El Rama - Bluefields", 1 ferries exist in the area.
As "Estadio San Luis", 1 sport places exist in the area. You can find 1 parks locally like "Parque Municipal Uriel Rivera" In term of hotels you can find 7 location in the region (like "Hotel Magic Night", "hospedaje solidaridad de los tres rios", "Hotel y restaruante Costa Verde"). For banks and/or ATMs you have 3 places with "BANPRO", "Claro" for example.
In term of schools you can find 2 location in the region (like "Colegio Nuestra Señora de Fátima", "Colegio Horacio Aguilar").
The area offers 1 spots in the "ice cream vendors" category. For bars/cafes you have 2 locations. You can find 2 restaurants locally like "El Expreso", "Comedor Sylvia"
About supermarkets, 3 possibilities exist (like "Palí", "Mini Tienda Urbina", "Mini super Gonzalez").