The calculated distance (air line) between Bocana de Paiwas and Puerto Cabezas is approximately 145 miles respectively 233 kilometers.
By car or train, the actual journey to Puerto Cabezas is certainly longer, as only the direct route (as the crow flies) between Bocana de Paiwas and Puerto Cabezas has been calculated here.
Air line (approximately)
233 kilometers
126 nautical miles