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) : 02-050637097-4 PhilSys Number :
Member Category : FORMAL ECONOMY - PRIVATE -
Sub-Category PERMANENT/REGULAR NHTS Coverage : N/A
Validity Period : N/A - N/A

BUERE, RICHARD BONAGUA

67 E RAGAS STREET SANTA ANA, PATEROS FOURTH DIST.

Foreign Address : N/A Sex : MALE

Date of Birth : 01/12/1991
Place of Birth : TABACO, ALBAY
Contact No. (Foreign) : N/A Civil Status : MARRIED
(Local) : +639271535675 Tax Identification Number : 412610539

ENTITY INFORMATION
PhilHealth Number (PEN/POGN) : 200275301152
Name of Employer/Organized Group : TRINITY INVESTIGATION AND SECURITY AGENCY CORPORATION
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Business Address : 141 GOV PASCUAL AVE A, ACACIA, MALABON CITY THIRD DIST.
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Telephone Number : 2885470 Employment Status : EMPLOYED
Tax Identification Number : 004548695 Date : 03/01/2015

DEPENDENT INFORMATION
PIN Surname Given Name Middle Name Sex Relation Date of Birth
100251509497 BUERE GERALDINE CALLOS FEMALE WIFE 08/12/1992

012521577086 BUERE SOFIA CHRISTINE CALLOS FEMALE DAUGHTER 04/09/2015

*** 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, 2023 05:46 AM