Getting to Bluefields over land (and partially water) takes time and effort, but is possible. You can take a boat from Mercado Mayores in Managua to El Rama (around $7.00). After a day traveling you can take a boat from El Rama, the next day, that brings you right to Bluefields, is about two hours for less than $10.00.
Another option is taking the plane from Managua. This takes only a couple hours. There are several flights a day (check with the airlines for the schedule and prices).
Besides visiting Bluefields you can also visit the Pearl Lagoon and the Miskito villages where most people speak Miskito.
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