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) : 02-025574592-2 PhilSys Number :
Member Category : FORMAL ECONOMY - PRIVATE -
Sub-Category PERMANENT/REGULAR NHTS Coverage : N/A
Validity Period : N/A - N/A

MAGO, ROLAND TOMBOCON

18 C MEDEL ST SOUTH SIGNAL VILLAGE, TAGUIG CITY FOURTH DIST.

Foreign Address : N/A Sex : MALE

Date of Birth : 08/08/1980
Place of Birth :
Contact No. (Foreign) : N/A Civil Status : MARRIED
(Local) : +639322827551 Tax Identification Number : 194487174

ENTITY INFORMATION
PhilHealth Number (PEN/POGN) : 001000033505
Name of Employer/Organized Group : SODEXO ON-SITE SERVICES PHILIPPINES INC
hidden text
Business Address : 11F BA LEPANTO CONDOMINIUM 8747 PASEO DE ROXAS, BEL-AIR, MAKATI CITY
hidden text FOURTH DIST.

Telephone Number : 02-6875817 Employment Status : EMPLOYED

Tax Identification Number : 008648866 Date : 03/11/2022

DEPENDENT INFORMATION
PIN Surname Given Name Middle Name Sex Relation Date of Birth
*** 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.
Oct 10, 2022 03:33 PM