PR · Healthcare shortage profile
San Juan County, PR
The clinician FTE gap is the sharpest number here: closing San Juan County's active designations would take about 96 additional FTEs on HRSA's providers_needed estimate. Population 342,259.
- Active HPSAs
- 8
- Population
- 342,259
- Peak shortage score
- 23.0
- MUA Index
- 0.0
Heavy-burden verdict
According to current HRSA Data Warehouse records, San Juan County carries a heavier shortage burden than most US counties - 8 active HPSA designations, more than 73% of the 3,289 real US counties, with primary care the deepest gap.
- 8
- Active HPSA designations
- 3
- Dental shortages
- 23
- Peak severity score (of 26)
- Top 27%
- US counties by volume
Dense ZCTA lattice over San Juan County
San Juan County intersects 21 Census ZCTAs, above the 15-ZIP dense-tercile cut. Shortage designations still attach at the county (or smaller HPSA) grain; the ZIP list is geography, not a second severity score.
Largest land-share ZCTAs in this county
9 additional ZCTAs intersect this county in the crosswalk (ordered by land share).
Source: Census ZCTA–county relationship file joined to this portal's county FIPS set. As of 2026-08-15.
Key findings
What the HRSA Data Warehouse does not surface for San Juan County, PR on its own pages , computed from the retained designation mirror as of 2026-08-15. Each line carries its own denominator so it can be quoted as it stands.
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Peak HPSA score 23.0 clears HRSA's 17-point high-priority line.
Scores at or above 17 on the 0–25/26 scales open NHSC placement priority for the matching provider type; eligibility still follows the designated area, not the county boundary alone.
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Closing San Juan County's active designations would take about 96 additional clinician FTEs, with primary care the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 81 primary care, 15 dental. This is the federal gap estimate, not a headcount of practising clinicians.
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37.5% of San Juan County's 8 active designations are primary care.
Discipline mix from designated HPSA records only: 3 primary care, 2 mental health, 3 dental (denominator 8).
San Juan County vs. every real US county
Total active HPSA designations, including counties with none
8 Top 27% higher than 73% of 3,289 real US counties
Each bar is a band; taller bars hold more real US counties. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source HRSA Data Warehouse, designated HPSAs · 2026
State peer position. San Juan County is tied for the highest active-designation count among 78 real counties in PR. Ties share a rank; the comparison uses the same current designated records as the national chart.
Healthcare shortage designations from HRSA. FIPS: 72127. Population: 342,259.
Medically Underserved Area
Peak severity scores
Current designated records only. Scores range 0–25 (primary/mental health), 0–26 (dental). Higher = greater need. What counts as a high score?
Highest-severity HPSA designations
All 8 active (designated) HPSAs in San Juan County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| Hpm Foundation, Inc | dental | 23.0 |
| Municipio De San Juan | dental | 21.0 |
| LI - San Juan Municipio | dental | 18.0 |
| LI-San Juan Municipio | primary_care | 17.0 |
| Hpm Foundation, Inc | mental_health | 15.0 |
| Municipio De San Juan | primary_care | 12.0 |
| Hpm Foundation, Inc | primary_care | 12.0 |
| Municipio De San Juan | mental_health | 11.0 |
Heavy-burden reading for San Juan County
The clinician FTE gap is the sharpest number here: closing San Juan County's active designations would take about 96 additional FTEs on HRSA's providers_needed estimate. Dental care carries San Juan County's deepest shortage reading, 23.0 on HRSA's 0–26 dental scale, past the 17-point line HRSA uses to open National Health Service Corps placement and enhanced Medicare reimbursement. Primary care reads 17.0 of 25; Mental health reads 15.0 of 25. The county also sits inside a Medically Underserved Area, indexed at 0.0, and the lower the index, the greater the measured need.
Volume places San Juan County above 73% of real US counties (8 active designations: 3 primary care, 2 mental health, 3 dental). Peak severity on the current designated set is 23.0. The table on this page lists the highest-severity records first so a reader can see which named facilities, geographies, or population groups drive that burden without treating the county total as a personal appointment forecast.
San Juan County is tied for the highest active-designation count among 78 real counties in PR. Heavy-burden counties are where NHSC placement, Community Health Center grant geography, and related federal instruments concentrate; eligibility still follows the designated area and provider type, not the county boundary alone.
San Juan County designations by care type
Active Health Professional Shortage Area designations in the county, by provider category (high-priority disciplines emphasized).
- Primary care
Primary care
3 designations
- Dental
Dental
3 designations
Heavy-volume FTE gap in San Juan County
Signature reading: HRSA providers_needed sums to about 96 FTE across San Juan County's active designations (once per HPSA id), a federal gap estimate, not practising headcount.
Source: HRSA Data Warehouse, Health Professional Shortage Areas (HPSA) + Medically Underserved Areas/Populations (MUA/P) HPSA primary-care, mental-health, and dental designations for San Juan County, PR · 2026 HRSA designation data updated quarterly; HPSA scores 0-25 (primary/mental) and 0-26 (dental); higher = greater shortage severity. Coverage tiers from U.S. Census ACS PUMS + KFF state tracker.
Acting on a heavy-burden county
San Juan County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.
- San Juan County's 8 active designations make providers here eligible for National Health Service Corps loan repayment, estimate the award and service terms. NHSC estimator
- See how the county's primary care burden compares with the rest of PR before you draw conclusions from a single score. PR overview
- Check whether an area clears HRSA's 3,500:1 population-to-provider threshold with the provider-to-population ratio behind an HPSA score. HPSA score lookup
HPSA scores describe shortage severity within HRSA's designation criteria, not the availability of any individual provider. For a specific appointment, contact a provider or your insurer; use HRSA's current tools to verify a designation.
Counties With a Similar Dental Shortage Score
Other U.S. counties whose active HRSA dental HPSA score is closest to San Juan County's 23.0. This compares the designation score only, not local appointment availability or care quality. Start with Lancaster County, NE and Cumberland County, PA.
Showing 6 of 2744 counties nationally with an active designation this severe.
Counties with a matching designation count to San Juan County's 8
One peer set for this FTE-led county: nearest active designation count to 8 - the inventory behind the ~96 FTE published need.
Frequently Asked Questions
- Does San Juan County's MUA standing sit beside its HPSA records?
- Yes - San Juan County carries an MUA designation (index 0.0; lower = greater measured need) in addition to its HPSA rows. MUA and HPSA are separate HRSA tracks; both can open different federal pathways.
- Where is the largest clinician FTE gap inside San Juan County?
- Id-de-duped providers_needed across active HPSAs totals ~96 FTE, with primary care the largest slice (81). "Hpm Foundation, Inc" is the highest-scored active row (score 23.0; dental; 919,593 people in the service area; designated 10/26/2002). This is HRSA's published gap, not a headcount of practising clinicians.
- Which named designations drive San Juan County's FTE reading?
- Active names on this release include "Hpm Foundation, Inc", "Municipio De San Juan", "LI - San Juan Municipio" and "LI-San Juan Municipio". Discipline counts: 3 primary care, 2 mental health, 3 dental across 8 designated rows.
- Do San Juan County's FTE gaps unlock federal programs?
- Yes where an ACTIVE designation exists, NHSC, CHC grants, Medicare bonus and J-1 waivers follow the designated geography and provider type. A published FTE gap without an active row does not, by itself, open those pathways.
- How does San Juan County's FTE burden compare inside PR?
- 8 active designations and ~96 FTE published need. San Juan County is tied for the highest active-designation count among 78 real counties in PR. Score-nearest counties on this release include Lancaster County, NE and Cumberland County, PA.
Source: HRSA Data Warehouse. FIPS: 72127. This county’s designations come from BCD_HPSA_FCT_DET_PC.csv (primary care) , BCD_HPSA_FCT_DET_MH.csv (mental health) and BCD_HPSA_FCT_DET_DH.csv (dental) — download the normalized export on our open data page. PlainHealthAccess is not affiliated with HRSA or any government agency.
HRSA Data Warehouse HPSA + MUA/P records for FIPS 72127 (San Juan County, PR), vintage 2026-08-15. Active designation count 8; peak score 23.0; signature 96 FTE gap. This profile is reference material, not professional advice; see methodology.