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MDR 020267105414

The document is a Member Data Record from the Philippine Health Insurance Corporation for a member named Dominador Esguerra Galera Jr., categorized as a sponsored member under a government unit. It includes personal details such as his PhilHealth Identification Number, date of birth, and contact information, as well as information about his employer, the City Government of Malabon. Additionally, it contains a reminder regarding the importance of the document and instructions for handling discrepancies.

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christopher.verano1989
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© © All Rights Reserved
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10 views1 page

MDR 020267105414

The document is a Member Data Record from the Philippine Health Insurance Corporation for a member named Dominador Esguerra Galera Jr., categorized as a sponsored member under a government unit. It includes personal details such as his PhilHealth Identification Number, date of birth, and contact information, as well as information about his employer, the City Government of Malabon. Additionally, it contains a reminder regarding the importance of the document and instructions for handling discrepancies.

Uploaded by

christopher.verano1989
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Republic of the Philippines

PHILIPPINE HEALTH INSURANCE CORPORATION


Corporate Action Center Hotline - (02) 441-7442
www.philhealth.gov.ph

MEMBER DATA RECORD


MEMBER BASIC INFORMATION
PhilHealth Identification Number (PIN) : 02-026710541-4 PhilSys Number :
Member Category : SPONSORED - LOCAL
Sub-Category GOVERNMENT UNIT NHTS Coverage : EXISTING
Validity Period : 01/01/2017 - 12/31/2017

GALERA JR, DOMINADOR ESGUERRA


122 FLOVIHOMES PH 3 LETRE RD TONSUYA, MALABON CITY THIRD DIST.

Foreign Address : N/A Sex : MALE


Date of Birth : 12/13/1989
Place of Birth :
Contact No. (Foreign) : N/A Civil Status : SINGLE
(Local) : N/A Tax Identification Number :

ENTITY INFORMATION
PhilHealth Number (PEN/POGN) : 400010012310
Name of Employer/Organized Group : CITY GOVERNMENT OF MALABON
hidden text
Business Address : MAYSILO, MALABON CITY THIRD DIST.
hidden text
Telephone Number : N/A Employment Status :
Tax Identification Number : N/A Date : N/A

DEPENDENT INFORMATION
PIN Surname Given Name Middle Name Sex Relation Date of Birth
*** NOTHING FOLLOWS ***

MAE REBENITO DIZON


ACTING BRANCH MANAGER
PRO NCR North Manila

Paalala: Basahin ang nilalaman ng MDR. Kung may kulang o mali, ibalik agad upang maiwasto. Ingatan ang orihinal na kopya at huwag ibigay kahit kanino. Kung
sakaling gagamit at makikinabang ng benepisyo, magbigay ng kopya sa ospital. (Reminder: Read the contents of the MDR. Should there be any data discrepancies,
return it back to amend or rectify the error. Take good care of MDR and do not hand it over to anybody. Provide photocopy to hospital in case of confinement and
availment of benefits.)
This is a Member Portal System generated report. Signature is not required.
Mar 15, 2025 08:08 AM

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