Intercambios Puerto Rico, Inc.

Intercambios Puerto Rico, Inc., a nonprofit health and social services organization based in Fajardo, Puerto Rico, operates as a federal grant recipient delivering harm reduction, substance use disorder treatment, mental health services, and recovery support to marginalized populations across eastern Puerto Rico. The organization operates 67% of its recent federal awards as a prime grant recipient and 33% as a sub-recipient under Puerto Rico's state substance abuse and mental health administration.

Established in 2008 to improve social integration of marginalized groups in Puerto Rico, Intercambios occupies a specialized niche serving people who use drugs with co-occurring mental health and chronic health conditions, including HIV/AIDS, in an under-resourced region with limited provider capacity. The organization operates a fixed clinic site in Fajardo and a mobile program ("La Movil") reaching 21 communities across Fajardo, Ceiba, and Luquillo. Intercambios became a Housing Works, Inc. affiliate in 2008 and operates independently with its own board of directors, though it benefits from Housing Works' two decades of operational experience running multiple Federally Qualified Health Center sites in New York City.

Federal grant activity centers on two HHS grantors: the Substance Abuse and Mental Health Services Administration (SAMHSA) funds three prime awards totaling $2.25 million through its Center for Substance Abuse Treatment programs, and the Health Resources and Services Administration (HRSA) funds one award of $650,000 through its Health Center Program. Intercambios' SAMHSA portfolio includes a $2.25 million Substance Abuse and Mental Health Services Projects of Regional and National Significance award (CFDA 93.243) running through September 2028 to expand treatment and harm reduction capacity, serving 500 individuals over three years with screening, SUD/COD treatment, harm reduction, tobacco cessation, case management, and peer support; a $650,000 Health Center Program Section 330(e) grant (CFDA 93.224) awarded August 2026 running through July 2027 establishing a new access point for primary health care, harm reduction, and support services in Fajardo serving over 650 individuals annually; and a recovery support services award from the prior fiscal year serving 600 individuals and providing training to 45 agencies. Intercambios also receives sub-awards under Puerto Rico's state substance abuse and mental health administration for evidence-based harm reduction and treatment services across eastern Puerto Rico clinics, with sub-awards dated October 2023 and December 2024. Three of six total awards face ultimate completion within the next twenty-four months, creating recompete exposure.