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MDR 112538151354

The document is a Member Data Record for Joe Mari Arcenas Palma, a member of the Philippine Health Insurance Corporation under the informal economy category. It includes personal details such as his PhilHealth Identification Number, contact information, and date of birth. The document emphasizes the importance of reviewing the information for accuracy and retaining the original copy for future use.

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joemaripalma69
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21 views1 page

MDR 112538151354

The document is a Member Data Record for Joe Mari Arcenas Palma, a member of the Philippine Health Insurance Corporation under the informal economy category. It includes personal details such as his PhilHealth Identification Number, contact information, and date of birth. The document emphasizes the importance of reviewing the information for accuracy and retaining the original copy for future use.

Uploaded by

joemaripalma69
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) : 11-253815135-4 PhilSys Number :
Member Category : INFORMAL ECONOMY -
Sub-Category INFORMAL SECTOR NHTS Coverage : N/A
Validity Period : N/A - N/A

PALMA, JOE MARI ARCENAS


SUNSHINE VILLAGE BANICA, ROXAS CITY CAPIZ

Foreign Address : N/A Sex : MALE


Date of Birth : 10/31/1996
Place of Birth : ROXAS CITY, CAPIZ
Contact No. (Foreign) : N/A Civil Status : SINGLE
(Local) : +639460572187 Tax Identification Number :

ENTITY INFORMATION
PhilHealth Number (PEN/POGN) : N/A
Name of Employer/Organized Group : N/A
hidden text
Business Address : N/A
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 ***

LAZARO T. TABSING
ACTING REGIONAL VICE PRESIDENT
PRO - VI Iloilo City

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.
Nov 25, 2024 08:27 AM

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