Army & Navy YMCA, Hostpital San Juan de Dios is on the right, Intramuros, Manila, Philippines, early 20th Century
I believe this to be looking down Real Street towards Puerta del Parian gate. What can be seen of the street sign on the building to the right is “S J De” . But old maps show that San Duan de Letran Street did not go any father southeast from the intersection.
Original photograph is in the University of Michigan Special Collections Library