The telemedicine has increased mostly over recent years. Especially in developing countries where a high proportion of the population lives in rural areas or difficult to access. However it is successful implementation is closely connected with an appropriate design of the telecommunications network, part essential when deploying a network and the selection of appropriate communications technologies, realistic and sustainable according to the characteristics of the context in which it is deployed. This paper explain the situation of health centers in the municipalities Baruta and Hatillo in Venezuela, it proposes the design of a telemedicine network to allow interconnect the outpatient units with the referral hospital. Then it describes wireless technologies studied and finally it presents the entire design process of the network physical connection.