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) : 19-025318119-6 PhilSys Number :
Member Category : INFORMAL ECONOMY - GROUP
Sub-Category ENROLLMENT - LOCAL NHTS Coverage : N/A
GOVERNMENT UNITS Validity Period : N/A - N/A

BORINAGA, BEBERLY ABINON

19TH ST B WAWA SANTO NIÑO, PARANAQUE CITY FOURTH DIST.

Foreign Address : N/A Sex : FEMALE

Date of Birth : 02/27/1980
Place of Birth : PARANAQUE CITY, FOURTH
DIST.
Contact No. (Foreign) : N/A Civil Status : SINGLE
(Local) : 09324993719 Tax Identification Number :

ENTITY INFORMATION
PhilHealth Number (PEN/POGN) : 30-100006613-1
Name of Employer/Organized Group : CITY GOVERNMENT OF PARAÑAQUE
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Business Address : SAN ANTONIO VALLEY 1, SAN ANTONIO, PARANAQUE CITY FOURTH DIST.
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Telephone Number : 88206721 Employment Status :
Tax Identification Number : N/A Date : N/A

DEPENDENT INFORMATION
PIN Surname Given Name Middle Name Sex Relation Date of Birth
VILLANUEVA RICHARD BORINAGA MALE SON 01/02/2015

VILALNUEVA RONNIE BORINAGA MALE SON 12/18/2008

*** 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.
Aug 13, 2021 06:43 PM