Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

San Juan Retirement Home

Organization Alzheimer Center (Dementia Center) · NPI 1053656199

San Juan Retirement Home is an Alzheimer Center (Dementia Center) in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012

Practice location Address checks out

6561 San Juan Ave
Jacksonville, FL 32210-2857
Phone: (904) 695-9605
Fax: (904) 693-1973
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Alzheimer Center (Dementia Center) (primary) Taxonomy 311500000X · Licence 9587 (FL)

Record details

NPI number1053656199
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elvira Demdam — Alf Administrator · (904) 695-9605
NPI enumeratedNovember 29, 2012
Last updated in NPPESNovember 29, 2012
Mailing address6561 San Juan Ave, Jacksonville, FL 32210-2857