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"The service and people was great. The only issue I encountered is that my oxygen saturation went down to 76% and my body temp was 102.2 after taking 600mg of ibuprofen which at that point was life threatening. The staff didn't offer to call offered and gave me oxygen for 15 mins. The room didn't have a thermostat but luckily it was cold outside and the windows can be open. They did provide me a thermometer and pulse oxymeter on request. I literally had to survive the night like that, nobody from the staff called or came check on me. I am in the medical field, in the USA those readings are considered a medical emergency. I could have gone into respiratory arrest or cardiac arrest while asleep. The day after when I asked they told me they have a physician on call and I wasn't offered him to come check on me. My recommendation is for the hotel to train their staff about potential medical emergencies and have a protocol. I booked a flight the next morning and returned to Lima. Other than that breakfast, staff friendliness, room comfort and view 100%. I tried to add a photo about my saturation and heart rate reading but didn't let me. "

"Offering a breakfast at 5 AM for those with day tours and bookings to see the area, is a very convenient feature of the hotel. Rarely does a hotel offer breakfast that early. I think that is very good policy."

"An elegant hotel thats comparable to one in Manhattan, NY, at an affordable price. The interior is just as well maintained and within 7 minutes walk from Puno's bus terminal for those visiting Lake TitiCaca. "

"Amazing room size with views of the mountains and. basilica Surprising in room service for the first breakfast Also huge size bathroom with decent bathtub "

"The staff at Tierra Viva went above and beyond! The hotel was the best we stayed in during our 2 week trip through Peru. Highly recommended!"

"Great location "

"Staff were very helpful when tour operator issues occurred. At the end of the day they went above and beyond to help us receive an evening meal due to late return I the hotel after the restaurant had closed."

"Front desk was great"

"Very convenient to tourist areas. Staff were helpful.Breakfast average,"