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) : 03-051148104-6 PhilSys Number :
Member Category : FORMAL ECONOMY - PRIVATE -
Sub-Category CONTRACTOR/PROJECT-BASED NHTS Coverage : N/A
Validity Period : N/A - N/A

DOMANTAY, GENALYN GUANLAO

SAN MATIAS, GUAGUA PAMPANGA

Foreign Address : N/A Sex : FEMALE

Date of Birth : 09/16/1989
Place of Birth : RODRIGUEZ (MONTALBAN),
RIZAL
Contact No. (Foreign) : N/A Civil Status : MARRIED
(Local) : 09253210204 Tax Identification Number : 447613198000

ENTITY INFORMATION
PhilHealth Number (PEN/POGN) : 200474303029
Name of Employer/Organized Group : MICROCADD INSTITUTE INCORPORATED-(FORMERLY:MICROCADD TECHNOLOGIES
hidden text COMPANY INCORPORATED)

Business Address : 500 DOÑA CONSOLACION BLDG 602 GEN SANTOS ST CUBAO, SOCORRO, QUEZON
hidden text CITY SECOND DISTRICT

Telephone Number : 995-8535 Employment Status : EMPLOYED

Tax Identification Number : 213149591000 Date :

DEPENDENT INFORMATION
PIN Surname Given Name Middle Name Sex Relation Date of Birth
072525078591 DOMANTAY RIANOA BLAISE GUANLAO FEMALE DAUGHTER 09/19/2015

072534356847 DOMANTAY GLADIUS CREIGH GUANLAO MALE SON 11/26/2017

*** NOTHING FOLLOWS ***

ROWENA S. ZABAT-SAN MATEO, MD

ACTING BRANCH MANAGER
PRO - III Branch A

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 29, 2022 01:50 PM