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MDR 010252834333

This document is a Member Data Record for George Blasquiño Lagua, a male member of the Philippine Health Insurance Corporation, categorized under the informal economy. It includes personal information such as his PhilHealth Identification Number, date of birth, and details about his wife, who is listed as a dependent. The document emphasizes the importance of reviewing the information for accuracy and retaining the original copy.

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georgeblagua46
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5 views1 page

MDR 010252834333

This document is a Member Data Record for George Blasquiño Lagua, a male member of the Philippine Health Insurance Corporation, categorized under the informal economy. It includes personal information such as his PhilHealth Identification Number, date of birth, and details about his wife, who is listed as a dependent. The document emphasizes the importance of reviewing the information for accuracy and retaining the original copy.

Uploaded by

georgeblagua46
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) : 01-025283433-3 PhilSys Number :
Member Category : INFORMAL ECONOMY -
Sub-Category INFORMAL SECTOR NHTS Coverage : N/A
Validity Period : N/A - N/A

LAGUA, GEORGE BLASQUIÑO


58 CHAMPACA ST. WESTERN BICUTAN, TAGUIG CITY FOURTH DIST.

Foreign Address : N/A Sex : MALE


Date of Birth : 08/17/1964
Place of Birth : SANTA CRUZ, NCR, CITY OF
MANILA, FIRST DISTRICT
Contact No. (Foreign) : N/A Civil Status : MARRIED
(Local) : 09196425410 Tax Identification Number : 159784648

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
012510904336 LAGUA IDA G FEMALE WIFE 02/09/1964

*** NOTHING FOLLOWS ***

DR. RAUL B. TUQUERO


Branch Manager
NCR South Las Piñas

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.
Jun 07, 2025 08:27 PM

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