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Information for Informative Return of Insurance Premium for Taxable Year 2019

If you are an employer or self-employed individual, this is the information you need for the completion and submission of Form 480.7E.

Insurer Name Triple-S Salud, Inc.
Postal address of the insurer PO Box 363628
San Juan, PR 00936-3628
Postal address of the insurer #1441 F.D. Roosevelt Ave.
San Juan, PR 00920
Employer Identification Number 660-555677