Capitation Date Cap Transaction MemberNumber MemberName DOB

7/1/2020 MONTHLY 000752947 PEREZ MUNOZ, FERNANDO 5/5/1964

7/1/2020 MONTHLY 014915833 RODRIGUEZ, LUCILA 8/9/1957
7/1/2020 MONTHLY 018998880 DOMENECH, ROBERT 1/19/1955
7/1/2020 MONTHLY 022922757 ZAMOT BULTED, CRUZ M 6/24/1955
7/1/2020 MONTHLY 022958317 DIAZ VELAZQUEZ, IRMA 6/24/1947
7/1/2020 MONTHLY 026926370 SANTIAGO IZQUIERDO, L 8/25/1961
7/1/2020 MONTHLY 050471950 RODRIGUEZ, JUAN D 5/12/1951
7/1/2020 MONTHLY 051835675 SANTIAGO, PAULITA 1/15/1969
7/1/2020 MONTHLY 057818905 SOBA, JESUS 12/24/1942
7/1/2020 MONTHLY 060760203 CRUZ JIMENEZ, ANGEL 11/10/1945
7/1/2020 MONTHLY 063458574 PAGAN-NIEVES, ESTEBANIA 11/28/1939
7/1/2020 MONTHLY 078000161 ARROYO SOTO, ESMERALDA 4/15/1969
7/1/2020 MONTHLY 100003252 HERNANDEZ RIVERA, CARMEN O 5/19/1949
7/1/2020 MONTHLY 100008638 CRUZ SANTIAGO, OSCAR A 6/25/1967
7/1/2020 MONTHLY 100013399 FELICIANO GARCI, EVELYN 7/10/1964
7/1/2020 MONTHLY 100014704 RIOS-CRUZ, MANUEL E 12/12/1932
7/1/2020 MONTHLY 100017866 SAAVEDRA BADILLO, HECTOR 9/25/1944
7/1/2020 MONTHLY 100018426 SAAVEDRA LUGO, IVAN 12/13/1964
7/1/2020 MONTHLY 100031071 LUGO, CLEOFE 9/15/1927
7/1/2020 MONTHLY 100050172 CAJIGAS, CONSTANCIA 9/18/1941
7/1/2020 MONTHLY 101257675 ESPINOSA-ROSADO, PEDRO 5/23/1933
7/1/2020 MONTHLY 103370167 TOSADO-ROSARIO, VIRGINIA 2/7/1954
7/1/2020 MONTHLY 114355650 DOMINGUEZ, AIDA R 1/13/1961
7/1/2020 MONTHLY 146512034 RODRIGUEZ NIEVES, BERNABE 2/6/1954
7/1/2020 MONTHLY 151121834 MEDINA, LIDIA E 12/25/1946
7/1/2020 MONTHLY 188749967 PEREZ RODRIG, MERCEDES 8/23/1946
7/1/2020 MONTHLY 192513801 GERENA HERNANDEZ, IRMA 12/30/1945
7/1/2020 MONTHLY 192793173 GONZALEZ IGLESIAS, DOMINGO 7/4/1939
7/1/2020 MONTHLY 196017184 VIERA VIERA, ROLANDO 2/21/1965
7/1/2020 MONTHLY 202262039 HERNANDEZ, ANA E 6/2/1947
7/1/2020 MONTHLY 212103970 SISCO GONZALEZ, CARMEN M 2/14/1963
7/1/2020 MONTHLY 215228772 CANCEL LUGO, SONIA L 10/1/1948
7/1/2020 MONTHLY 226449193 ROSA, WILFREDO 4/3/1949
7/1/2020 MONTHLY 229964265 FIGUEROA, MARTA L 8/25/1950
7/1/2020 MONTHLY 236611072 RODRIGUEZ DELGADO, L 5/14/1945
7/1/2020 MONTHLY 242310513 ARBELO-RODRIGUEZ, ISABEL A 7/8/1942
7/1/2020 MONTHLY 247379279 PEREZ, HECTOR G 12/15/1957
7/1/2020 MONTHLY 255650701 MENDEZ, VICTORIA 12/18/1930
7/1/2020 MONTHLY 264295388 RODRIGUEZ BORGES, MARIA N 10/7/1948
7/1/2020 MONTHLY 271906669 FERNANDEZ CR, CARMEN M 9/15/1947
7/1/2020 MONTHLY 290063654 ANSON, DINA M 8/14/1964
7/1/2020 MONTHLY 296527650 RODRIGUEZ BORGES, HECTOR G 5/5/1950
7/1/2020 MONTHLY 317041623 SANCHEZ SANCHEZ, HERIBERTO 2/4/1954
7/1/2020 MONTHLY 336461597 CRUZ, JOHANNA 6/26/1977
7/1/2020 MONTHLY 337423720 MARTINEZ MED, LUZ M 9/29/1951
7/1/2020 MONTHLY 347671534 ROSARIO REYES, ALBERTO 7/10/1954
7/1/2020 MONTHLY 373802175 PAGAN-GONZALEZ, CONCEPCION 1/26/1932
7/1/2020 MONTHLY 395373207 RODRIGUEZ BORGES, CARMEN M 7/5/1951
7/1/2020 MONTHLY 407701117 GONZALEZ, JOSE M 5/8/1940
7/1/2020 MONTHLY 457007464 CRUZ ESTREMERA, ANA M 7/6/1943
7/1/2020 MONTHLY 463923549 RIVERA MATOS, CARMEN N 5/8/1951
7/1/2020 MONTHLY 466046834 ABRAMS, RAFAEL A 5/11/1955
7/1/2020 MONTHLY 497357413 GONZALEZ, MARILU 9/26/1972
7/1/2020 MONTHLY 501855921 PAGAN, ELSIE 1/13/1958
7/1/2020 MONTHLY 513481323 ROMAN ROSARIO, JOSE D 7/10/1949
7/1/2020 MONTHLY 513977517 SOTO, SALVADOR 6/2/1962
7/1/2020 MONTHLY 521594998 NIEVES GERENA, MIGUEL A 7/9/1962
7/1/2020 MONTHLY 532895113 DIAZ BLANCO, JOSE D 9/23/1951
7/1/2020 MONTHLY 559196545 FIGUEROA DE, ANA I 7/14/1949
7/1/2020 MONTHLY 569812730 ROMAN ROSARIO, LUZ M 6/3/1942
7/1/2020 MONTHLY 573049524 HERNANDEZ, DANIEL 5/29/1963
7/1/2020 MONTHLY 574228276 REILLO, ROSA M 8/30/1941
7/1/2020 MONTHLY 588412306 CALERO VELEZ, ROSA J 3/29/1963
7/1/2020 MONTHLY 611066609 PADIN, ELSIE 11/1/1957
7/1/2020 MONTHLY 620052601 ORTIZ MARTINEZ, JOSE 9/3/1945
7/1/2020 MONTHLY 633876189 RODRIGUEZ, LORENZO R 7/5/1931
7/1/2020 MONTHLY 652155387 BONILLA ROSA, ELADIO 12/10/1952
7/1/2020 MONTHLY 672065475 RODRIGUEZ MONTALVO, M 7/6/1961
7/1/2020 MONTHLY 681474267 TORRES, CARMEN A 4/2/1931
7/1/2020 MONTHLY 702266905 SOTO PEREZ, JOSE A 1/27/1957
7/1/2020 MONTHLY 708485596 MENDEZ GONZALEZ, NILDA 8/11/1951
7/1/2020 MONTHLY 718641493 RAMOS BORGES, DIONISIA 1/24/1949
7/1/2020 MONTHLY 732959082 HERNANDEZ, MIGUEL 6/4/1960
7/1/2020 MONTHLY 733825290 MUNIZ MUNIZ, MANUEL A 12/28/1946
7/1/2020 MONTHLY 742397019 OCASIO-REILLO, CARMEN R 10/28/1947
7/1/2020 MONTHLY 746412249 GONZALEZ, IVAN 8/9/1970
7/1/2020 MONTHLY 748063936 VEGA SANTANA, MOISES 5/28/1951
7/1/2020 MONTHLY 761036441 JIMENEZ REIL, FRANCISCO J 5/23/1967
7/1/2020 MONTHLY 771736256 HERNANDEZ RIVERA, NORMA L 7/5/1945
7/1/2020 MONTHLY 779236884 PEREZ MENDEZ, ESPERANZA 12/18/1949
7/1/2020 MONTHLY 779243367 HERNANDEZ SASTRE, IXIA I 9/2/1951
7/1/2020 MONTHLY 781817273 SANTIAGO GONZALEZ, S 4/26/1948
7/1/2020 MONTHLY 782890587 LOPEZ LAO, MIGUEL 4/11/1951
7/1/2020 MONTHLY 801677794 ZAMOT ROJAS, ANIBAL 4/26/1954
7/1/2020 MONTHLY 807423330 NIEVES NIEVES, LUIS A 12/5/1961
7/1/2020 MONTHLY 809324654 QUINONES VARGAS, ANA M 8/21/1962
7/1/2020 MONTHLY 822151930 HERNANDEZ OLAN, MINERVA 12/22/1938
7/1/2020 MONTHLY 841747392 GONZALEZ, RICARDO 2/23/1962
7/1/2020 MONTHLY 842833437 DE-JESUS, MARIO 8/2/1953
7/1/2020 MONTHLY 851802936 FIGUEROA, JOSE 11/10/1963
7/1/2020 MONTHLY 865411572 NIEVES HERNANDEZ, MARIA D 6/6/1952
7/1/2020 MONTHLY 866745072 ALVAREZ, MARTA M 1/18/1949
7/1/2020 MONTHLY 866830348 ROMAN RIVERA, AIDA L 10/27/1959
7/1/2020 MONTHLY 872369493 RIVERA LOPEZ, MINERVA 1/13/1940
7/1/2020 MONTHLY 885530361 SOTO JR, PABLO 5/5/1957
7/1/2020 MONTHLY 904795185 RODRIGUEZ CRESPO, ENID M 9/6/1968
7/1/2020 MONTHLY 909237265 JUAN GUZMAN, SANTOS 4/4/1947
7/1/2020 MONTHLY 926713594 ARROYO MERCADO, ZENAIDA 6/5/1948
7/1/2020 MONTHLY 930652554 TORRES ALAGO, IRAIDA 9/4/1958
7/1/2020 MONTHLY 943771092 GARCIA HERNA, CARLOS E 1/9/1976
7/1/2020 MONTHLY 951462273 RIVERA ESTREMERA, BRUNILDA 5/28/1951
7/1/2020 MONTHLY 952734732 VEGA, LILLIAN 7/20/1953
7/1/2020 MONTHLY 953419394 ARROYO-PRIETO, LYDIA M 2/6/1938
7/1/2020 MONTHLY 959801202 JUAN NIEVES, JOSE M 9/17/1973
7/1/2020 MONTHLY 963506765 ABRAMS, ATANACIO A 1/5/1939
7/1/2020 MONTHLY 977865613 JIMENEZ-HERNANDEZ, LUIS F 2/5/1960
7/1/2020 MONTHLY 982860427 DE JESUS ESTREMERA, RAMONA 9/4/1945
7/1/2020 MONTHLY 991432271 VALLE CURBELO, HILDA E 6/8/1953
7/1/2020 MONTHLY 992241515 ALVARADO, CARMEN J 5/16/1942
7/1/2020 MONTHLY 1000005191 RODRIGUEZ VARGAS, RAFAEL A 12/22/1953
7/1/2020 MONTHLY 1000059226 RODRIGUEZ SERRANO, JUAN F 8/15/1962
7/1/2020 MONTHLY 1000080366 GERENA SOTO, MIRIAM 3/18/1961
7/1/2020 MONTHLY 1000083376 VARGAS-RODRI, JUAN A 10/14/1932
7/1/2020 MONTHLY 1000085058 MIRANDA VEGA, EMILIANO 9/20/1954
7/1/2020 MONTHLY 1000085059 ALVARADO MORALES, SANTOS 3/6/1952
7/1/2020 MONTHLY 1000085248 RAMOS, CARMELO 3/18/1941
7/1/2020 MONTHLY 1000085249 RAMOS, MARIA 2/10/1933
7/1/2020 MONTHLY 1000093151 SOTO LUGO, MIGUEL A 9/30/1954
7/1/2020 MONTHLY 1000093840 MIRANDA SANCHEZ, SANDRA J 5/16/1965
7/1/2020 MONTHLY 1000096110 PEREZ ESTREMERA, JULIO 7/13/1966
7/1/2020 MONTHLY 1000098565 VARGAS BANUCHI, MARY 11/6/1953
7/1/2020 MONTHLY 1000134140 MENDEZ GERENA, IGNACIA 7/31/1954
7/1/2020 MONTHLY 1000147234 BANKS, RAYMOND C 4/16/1948
7/1/2020 MONTHLY 1000147969 SANTIAGO-RODRIGUEZ, C 3/31/1946
7/1/2020 MONTHLY 1000148773 SANTIAGO RODRIGUEZ, ELSA 2/4/1963
7/1/2020 MONTHLY 1000155752 FELICIANO, GLADYS V 3/11/1949
7/1/2020 MONTHLY 1000165238 DEL VALLE GONZALEZ, G 3/27/1949
7/1/2020 MONTHLY 1000165826 MORALES, BILDA I 8/11/1952
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1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
1932294477 PAZ FIGUEROA ANABELLE $ 50.00 $ 43.20
Total Payment AMP Number AMP Name
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
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$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
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$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
$ 93.20 14894 INTEGRITY MEDICAL GROUP CORP-AMP
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