Republic of the Philippines

PHILIPPINE HEALTH INSURANCE CORPORATION

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

MEMBER DATA RECORD

MEMBER INFORMATION
Philhealth Identification Number (PIN) : 020256646030
Member Category : FORMAL ECONOMY NHTS Coverage :
Sub-Category : PRIVATE Effectivity Period :

GUEVARA , PAMELA TULIO

LT 27 BLK 39 NARRA ST MOLINO III, BACOOR,
CAVITE 4102

Foreign Address : N/A Sex : Female

Date of Birth : 10/05/1988
Place of Birth : CONCEPCION, TARLAC

Contact No.(Foreign) : N/A Civil Status : SINGLE

(Local) : Tax Identification Number :

EMPLOYER/ORGANIZED GROUP INFORMATION

PhilHealth Number (PEN/POGN) : 001000021078
Name of Employer/Organized Group : BELO MEDICAL GROUP INC
Business Address : 3F BMG BLDG 49 CONNECTICUT ST NORTHEAST GREENHILLS, SAN JUAN, SECOND DISTRICT

Telephone Number : 02 7513835

Tax Identification Number : 208386948000

DEPENDENT INFORMATION
PIN Surname Given Name Middle Name Sex Relation Date of Birth
*** NO DECLARED DEPENDENT/S ***

Paalala: Basahin ang nilalaman ng MDR. Kung may kulang o mali, dalhin agad ang kopya sa pinakamalapit na PhilHealth Office upang maiwasto. Ingatan ang inyong kopya ng MDR
at huwag ibigay kahit kanino.
Reminder: Read the contents of the MDR. Should there be discrepancies, bring your copy to the nearest PhilHealth Office to amend or rectify error. Take good care of the MDR
and do not hand it over to anybody.

This is a Member Inquiry System generated report.

7/20/2019 6:44:57 PM