# SAN JUAN HEALTHCARE-HOMELESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699025726
- **Authorized official:** DR. LUIS V CLAS (DIRECTOR/CEO)
- **Authorized official phone:** (787) 480-3838

## Contact information

- **Practice address:** 900 CALLE CERRA FINAL ESQUINA CALLE HOARE, SAN JUAN, PR 00907-5104
- **Practice address phone:** (787) 480-3821
- **Mailing address:** PO BOX 21405, SAN JUAN, PR 00928-1405
- **Mailing address phone:** (787) 480-3876
- **Mailing address fax:** (787) 977-8401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 101 | PR | Yes |

## Other

- **Enumeration date:** 09/17/2012
- **Last updated:** 03/25/2022