TRIPLE-S MANAGEMENT CORPORATION
 

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April 16, 2004

Dear dentist shareholder of Triple-S Management:

     Reference is made to the first meeting of shareholders of Triple-S Management who are dentists celebrated when Dr. Humberto Villa was President of the College of Oral Surgeons of Puerto Rico. At that time, we met to discuss issues of interest for Triple-S Management and its shareholders.

     In order to continue with this exchange of ideas, I invite you to attend Los Chavales Restaurant located in 253 F.D. Roosevelt Avenue, Hato Rey, Puerto Rico, on Tuesday, April 20, 2004 at 7:00 pm.

     It is very important to the Board of Directors of Triple-S Management to maintain good dialog with its shareholders. For this reason I hope to see and greet you personally next Tuesday.

Cordially,

(-s- Jesus R. Sanchez Colon)

Jesús R. Sánchez Colón, DMD
President of the Dental y Reasonable Fees Committee
Board of Directors