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MDR Markjoseph

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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) : 01-052420886-0 PhilSys Number :
Member Category : DIRECT CONTRIBUTOR -
Sub-Category EMPLOYED PRIVATE NHTS Coverage : N/A
Validity Period : N/A - N/A

PINEDA, MARK JOSEPH RAMOS


COUNTRYSIDE VILLAGE NOAH STREET SAN RAFAEL II, NOVELETA CAVITE

Foreign Address : N/A Sex : MALE


Date of Birth : 06/21/1998
Place of Birth : BACOOR, CAVITE
Contact No. (Foreign) : N/A Civil Status : SINGLE
(Local) : N/A Tax Identification Number :

ENTITY INFORMATION
PhilHealth Number (PEN/POGN) : 001000062307
Name of Employer/Organized Group : NATURAL9 CORPORATION
hidden text
Business Address : UNIT 8 C-1 8 ROCKWELL BLDG HIDALGO DRIVE ROCKWELL CENTER, POBLACION,
hidden text MAKATI CITY FOURTH DIST.

Telephone Number : 09171119264 Employment Status : EMPLOYED


Tax Identification Number : 010331388 Date : 01/10/2024

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

EDWIN M. ORIÑA, MD
ACTING REGIONAL VICE PRESIDENT
PRO IV-A Lucena 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.
Jul 19, 2024 10:31 AM

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