We list 35 dual diagnosis treatment centers in Puerto Rico, based on SAMHSA's FindTreatment.gov data, with the most in San Juan (5), Caguas (4), and Aibonito (4). Compare services, insurance accepted and accreditation, or call for free help choosing.
Dual Diagnosis: the basics
Dual diagnosis treatment is care for people who have both a substance use disorder and a mental health condition, such as depression, anxiety, PTSD or bipolar disorder. The best programs treat both conditions at the same time with one coordinated team, combining therapy, psychiatric care and, when needed, medication for addiction. Read the full guide →
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.
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.
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.
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.
Caguas, PR 00725
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.
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.
Naranjito, PR 00719
COA accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
San Juan, PR 00928
Levels of care
Payment accepted
State-funded
“Get help” calls our free helpline, not this facility.
Aibonito, PR 00705
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +2 more
“Get help” calls our free helpline, not this facility.
Caguas, PR 00725
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +2 more
“Get help” calls our free helpline, not this facility.
Orocovis, PR 00720
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +2 more
“Get help” calls our free helpline, not this facility.
Aibonito, PR 00705
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
Guayama, PR 00784
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
San Juan, PR 00935
Levels of care
Payment accepted
State-funded
“Get help” calls our free helpline, not this facility.
We list 35 dual diagnosis treatment centers in Puerto Rico, based on SAMHSA's FindTreatment.gov data (updated October 2026).
The most listings are in San Juan (5), Caguas (4), and Aibonito (4).
Look for state licensing and accreditation (The Joint Commission or CARF), the right level of care for your needs, evidence-based therapies, and insurance compatibility. Read our guide to choosing a rehab or call (833) 589-6933 to talk it through.
Most private plans and Medicaid cover substance use treatment when it's medically necessary, but benefits vary by plan and network. Call (833) 589-6933 for a free, confidential benefits check.
Source: SAMHSA FindTreatment.gov, data updated October 2026. Listings are not endorsements.
