01Who we are
Centro Interdisciplinario de Salud Mental, C.S.P. ("CISME"), a Puerto Rico professional services corporation, P.O. Box 2921, Mayagüez, Puerto Rico 00681. By using the website you accept these Terms.
02The website is not emergency care
If you are in crisis or thinking of harming yourself, call or text 988, call ASSMCA's Línea PAS at 1-800-981-0023 (TDD 1-888-672-7622) or dial 911. Messages to CISME are not answered around the clock.
03Professional relationship
The website's content is informational and does not replace an evaluation. The professional relationship begins only when you complete intake, sign the consents and have your first appointment; writing to us or paying does not create it by itself. Before contracting, you confirm that you read your rights as a patient, as Law 194-2000 provides.
04Telemedicine services
All services are by telemedicine, for adults and self-pay; health insurance plans are not accepted. Sessions are provided by professionals with a current licence where you are during the session (Puerto Rico, or New Mexico according to the professional's licence). In Puerto Rico, telemedicine is governed by Law 168-2018 and Regulation 9107. Psychopharmacology (prescribing medication) is offered for now only to patients located in New Mexico, and substance use treatment is psychotherapy only and only in Puerto Rico. We use an encrypted video platform; before the first session you will sign a telehealth consent, and at each session we will confirm your location and a phone number in case of an emergency.
05Payments and cancellations
They are governed by the Cancellations and Good Faith Estimate page, which is part of these Terms.
06Use of the website and intellectual property
Do not use the website for unlawful purposes or try to access its systems without authorisation. The texts, logos, images and materials on the website belong to CISME or are used under licence, and may not be copied without written permission.
07Limitation of liability and governing law
Informational content is provided "as is". To the extent the law allows, CISME is not liable for damages from its use or for technical interruptions; this does not limit professional liability for clinical services. These Terms are governed by the laws of Puerto Rico and applicable federal law, and any dispute will be heard in the courts of Puerto Rico.
08Changes and contact
We may update these Terms; the effective date appears above. Contact: info@cismepr.com · WhatsApp 787-403-4259 · P.O. Box 2921, Mayagüez, Puerto Rico 00681.
Reviewed October 16, 2026 · Approved October 16, 2026 by Dr. Carlos A. Lado-Cornejo