Puerto Rico · 56 licensed programs in 27 cities
We list 56 licensed drug and alcohol treatment facilities in Puerto Rico across 27 cities, with the most in Mayaguez, San Juan, Bayamon, and Aguadilla. 13 offer detox, 26 provide residential care and 22 accept Plan Vital (Puerto Rico Medicaid).
2026 rankings
Ranked by the StartDrugRehab Score: accreditation, levels of care, patient ratings and payment options. Featured or claimed status never affects rank. How we rank
Best for: Veterans (VA care)Joint Commission
Why it made our list: Joint Commission accredited; offers detox, residential care, IOP, and outpatient care; accepts private insurance, Medicaid, and Medicare.
Best for: Private-pay residential careJoint CommissionCARF
Why it made our list: Joint Commission and CARF accredited; offers detox, residential care, MAT, and dual diagnosis care; accepts private insurance, TRICARE, and self-pay.
Best for: Intensive outpatient careJoint Commission
Why it made our list: Joint Commission accredited; offers PHP, IOP, outpatient care, and MAT; accepts private insurance, Medicaid, and self-pay.
Best for: Residential treatmentCARFCOA
Why it made our list: CARF and COA accredited; offers residential care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
Best for: Supervised detoxJoint Commission
Why it made our list: Joint Commission accredited; offers detox, outpatient care, MAT, and dual diagnosis care; accepts Medicaid and Medicare.
Best for: Intensive outpatient careJoint Commission
Why it made our list: Joint Commission accredited; offers PHP, outpatient care, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
Best for: Supervised detoxJoint Commission
Why it made our list: Joint Commission accredited; offers detox, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
Best for: Supervised detoxJoint Commission
Why it made our list: Joint Commission accredited; offers detox, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
Best for: Detox and residential care
Why it made our list: Offers detox, residential care, IOP, and outpatient care; accepts Medicaid and self-pay.
Best for: Residential treatmentCARF
Why it made our list: CARF accredited; offers residential care, MAT, and dual diagnosis care.
There are 56 licensed drug and alcohol treatment facilities in Puerto Rico in our directory, across 27 cities. 26 offer residential (inpatient) rehab, 13 offer detox and 32 provide medication-assisted treatment, based on SAMHSA FindTreatment.gov data updated October 2026.
Level of care
Insurance & cost
Specialized programs
Most people pay for rehab with health insurance. 21 facilities in Puerto Rico accept private insurance and 22 accept Medicaid (Plan Vital (Puerto Rico Medicaid)). Under the Affordable Care Act and federal parity law, most plans must cover addiction treatment much like other medical care, though deductibles, prior authorization and network rules apply.
Without insurance, 33 programs report state or SAMHSA block-grant funding for people who qualify, and 3 offer sliding-scale fees based on income. What you pay depends mostly on the level of care: outpatient programs cost far less than residential rehab or medically managed detox.
Rehab coverage guides by insurer:
Not sure what your plan covers? Call (833) 589-6933 for a free, confidential benefits check.
San Juan, PR 00921
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Aguadilla, PR 00603
Joint Commission · CARF accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay +1 more
“Get help” calls our free helpline, not this facility.
Bayamon, PR 00961
Joint Commission accredited
Levels of care
Payment accepted
State-funded
“Get help” calls our free helpline, not this facility.
San Juan, PR 00921
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Aibonito, PR 00705
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Cidra, PR 00739
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Saint Just, PR 00978
CARF · COA accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance
“Get help” calls our free helpline, not this facility.
Bayamon, PR 00959
Levels of care
Payment accepted
Medicaid · Self-pay
“Get help” calls our free helpline, not this facility.
Ponce, PR 00732
CARF accredited
Levels of care
Payment accepted
State-funded
“Get help” calls our free helpline, not this facility.
Caguas, PR 00726
Levels of care
Payment accepted
State-funded
“Get help” calls our free helpline, not this facility.
Trujillo Alto, PR 00976
CARF accredited
Levels of care
Payment accepted
State-funded
“Get help” calls our free helpline, not this facility.
Guaynabo, PR 00965
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
Aibonito, PR 00705
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +1 more
“Get help” calls our free helpline, not this facility.
Mayaguez, PR 00680
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare
“Get help” calls our free helpline, not this facility.
Bayamon, PR 00960
Levels of care
Payment accepted
Self-pay
“Get help” calls our free helpline, not this facility.
San Juan, PR 00917
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Caguas, PR 00725
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Mayaguez, PR 00680
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
San Juan, PR 00902
Levels of care
Payment accepted
State-funded
“Get help” calls our free helpline, not this facility.
Bayamon, PR 00961
CARF accredited
Levels of care
Payment accepted
State-funded
“Get help” calls our free helpline, not this facility.
Caguas, PR 00725
CARF accredited
Levels of care
Payment accepted
State-funded
“Get help” calls our free helpline, not this facility.
Aguadilla, PR 00605
CARF accredited
Levels of care
Payment accepted
State-funded
“Get help” calls our free helpline, not this facility.
CARF accredited
Levels of care
Payment accepted
State-funded
“Get help” calls our free helpline, not this facility.
Fajardo, PR 00738
Levels of care
Payment accepted
Medicaid · Medicare
“Get help” calls our free helpline, not this facility.
Guaynabo, PR 00971
Levels of care
Payment accepted
State-funded
“Get help” calls our free helpline, not this facility.
Bayamon, PR 00956
Levels of care
Payment accepted
State-funded
“Get help” calls our free helpline, not this facility.
Fajardo, PR 00738
Joint Commission accredited
Levels of care
Payment accepted
State-funded
“Get help” calls our free helpline, not this facility.
Aguadilla, PR 00603
COA accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
Mayaguez, PR 00681
COA accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
Carolina, PR 00979
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
Substance-free housing, including Oxford Houses, for early recovery after or alongside treatment.
Saint Just, PR 00978
CARF · COA accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance
“Get help” calls our free helpline, not this facility.
Bayamon, PR 00959
Levels of care
Payment accepted
Medicaid · Self-pay
“Get help” calls our free helpline, not this facility.
Trujillo Alto, PR 00976
CARF accredited
Levels of care
Payment accepted
State-funded
“Get help” calls our free helpline, not this facility.
Residential, inpatient and partial hospitalization programs for mental health conditions.
San Juan, PR 00918
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Rehab guide
Your Puerto Rico rehab guide
Treatment options in Puerto Rico range from outpatient counseling a few hours a week to medically supervised detox and 24-hour residential programs. Of the 56 facilities listed here, 13 offer detox, 26 provide residential (inpatient) treatment, 32 offer medication-assisted treatment (MAT) and 5 are federally certified opioid treatment programs that dispense methadone.
The right level of care depends on how severe the substance use is, whether withdrawal could be dangerous, other health conditions and the support you have at home. A clinical assessment, often free over the phone, is the usual first step.
22 facilities in Puerto Rico report accepting Medicaid (Plan Vital (Puerto Rico Medicaid)) and 21 accept private health insurance. Under the Affordable Care Act and federal parity law, most health plans must cover substance use disorder treatment on terms comparable to other medical care, though prior authorization and network rules apply.
If you have no insurance, 33 programs in Puerto Rico report government or SAMHSA block-grant funding, which can pay for treatment for people who qualify. Many others offer sliding-scale fees based on income.
The Puerto Rico Mental Health and Anti-Addiction Services Administration (ASSMCA) oversees publicly funded substance use treatment in Puerto Rico. ASSMCA's Línea PAS offers free, confidential crisis support and treatment referral 24 hours a day, in Spanish and English. Visit the agency.
For a free referral, contact Línea PAS at 1-800-981-0023.
In Puerto Rico, the law allows a court to order involuntary treatment for a substance use disorder in limited circumstances, usually when the person is a danger to themselves or others or cannot care for themselves. An order can last an initial period of up to 15 days. Laws and procedures change, so contact the local court clerk or an attorney before filing.
If you or someone else is in danger, call 911. For a mental health or substance use crisis, call or text 988 (the Suicide & Crisis Lifeline). SAMHSA's National Helpline, 1-800-662-4357, is free, confidential and open 24/7 for treatment referrals.
Our directory lists 56 licensed substance use treatment facilities in Puerto Rico, based on SAMHSA's FindTreatment.gov data.
Yes. Medicaid programs cover substance use disorder treatment, and 22 facilities in Puerto Rico report accepting Plan Vital (Puerto Rico Medicaid). Covered services and provider networks vary by plan, so confirm with the program before admission.
33 programs in Puerto Rico report state or federal (SAMHSA block grant) funding, which can cover treatment for people without insurance who qualify. Call (833) 589-6933 or SAMHSA's helpline at 1-800-662-4357 for help finding a low-cost option.
In Puerto Rico, the law allows a court to order involuntary treatment for a substance use disorder in limited circumstances, usually when the person is a danger to themselves or others or cannot care for themselves. An order can last an initial period of up to 15 days.
Yes. You can reach Línea PAS at 1-800-981-0023 for free referrals. You can also call SAMHSA's National Helpline at 1-800-662-4357 or call or text 988 in a crisis.
Our directory lists 56 licensed substance use treatment facilities in Puerto Rico, based on SAMHSA's FindTreatment.gov data (updated October 2026). Listings include outpatient, residential, detox and medication-assisted treatment programs.
Yes. 13 programs in Puerto Rico offer detoxification (medically supervised withdrawal) services. Alcohol and benzodiazepine withdrawal can be dangerous, so medical supervision is strongly recommended.
22 facilities in Puerto Rico report accepting Medicaid (Plan Vital (Puerto Rico Medicaid)). Coverage depends on your plan and the program's network, so confirm before admission.
21 facilities in Puerto Rico accept private health insurance. Benefits vary by plan (deductibles, prior authorization, in- vs. out-of-network). Call (833) 589-6933 for a free insurance check.
26 facilities in Puerto Rico offer residential (inpatient) treatment, where you live on site 24/7 while in care. Learn more about inpatient rehab.
Yes. 32 programs in Puerto Rico use FDA-approved medications such as buprenorphine, naltrexone or methadone. See our guide to MAT.
Residential programs commonly run 28 to 30 days, with longer stays of 60 to 90 days for more severe addiction, and detox alone usually takes 3 to 10 days. The National Institute on Drug Abuse notes that most people need at least three months of treatment, across all levels of care, to significantly reduce or stop drug use, and that longer treatment is linked to better outcomes. 26 facilities in Puerto Rico offer residential care.
Most people use private health insurance, Medicaid (Plan Vital (Puerto Rico Medicaid)), Medicare or TRICARE, which are required to cover substance use treatment. People without insurance may qualify for state- or SAMHSA-funded programs (33 in Puerto Rico report this funding) or sliding-scale fees. Call (833) 589-6933 for a free benefits check.
Cost depends mainly on the level of care and your coverage. Outpatient counseling is the least expensive; intensive outpatient and partial hospitalization cost more; residential rehab and medically managed detox cost the most because they include 24-hour care. With insurance, your share is set by your deductible, copays and out-of-pocket maximum, so verify benefits with the program before admission.
Yes. Many people travel for treatment, for example to put distance between themselves and triggers or to reach a specialized program. Check whether your plan covers out-of-state or out-of-network care first: Medicaid generally covers only in-state providers, while many private plans have national networks.
