Provider Demographics
NPI:1255679874
Name:TRIPLE-S SALUD
Entity Type:Organization
Organization Name:TRIPLE-S SALUD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSSINESS OPERATION VP
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARTIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAZQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-620-1919
Mailing Address - Street 1:PO BOX 11320
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00922-1320
Mailing Address - Country:US
Mailing Address - Phone:787-620-1919
Mailing Address - Fax:787-620-0570
Practice Address - Street 1:METRO PLZ
Practice Address - Street 2:LOTE 18 3RD FLOOR AHM BUILDING
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-2829
Practice Address - Country:US
Practice Address - Phone:787-620-1919
Practice Address - Fax:787-620-0570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization