Data Change Template Cardiva

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MD Addition

DPA Signed DISTRICT


No. Form? DIVISION DM PMR Code
CODE
(Yes/No)

1 Yes CARDIVA R1100 <name> R11C1


PMR MD (First Name) MD (Middle Name)

<name> Lorenzo C.
MD (Last Name) Specialization PRC No.

Arroyo Cardiology 12255


Institution(Escience Data) Clinic Addess City Postal Code Zone

St. Joseph Medical Center 5th Avenue Caloocan 2900 6


Cellphone No. Landline No. Email Address Qualification MD Location

9088853688 lapiramd@yahoo.com Consultant High Value Cell


Irbezyd
POTENTIAL ADOPTION

Number of Patient Gate Keeper


MD Influence Share to Total
Patients in Class Demographics Information

21-25 / day Class B Key Opinion Leader <10% 3rd Choice


Noklot
PTION POTENTIAL

PMR Number of Patient


MD Location MD Influence
Assessment Patients in Class Demographics

User High Value Cell > 25 / day Class B Key Opinion Leader
Losacar
ADOPTION POTENTIAL

Gate Keeper PMR Number of


Share to Total MD Location
Information Assessment Patients in Class

10%-14% 3rd Choice User High Value Cell 5-10 / day


POTENTIAL ADOPTION

Patient Gate Keeper PMR


MD Influence Share to Total
Demographics Information Assessment

Class B Key Opinion Leader <10% 2nd Choice User


Losacar AM
Potential

Number of Patients Patient


MD Location MD Influence
in Class Demographics

High Value Cell 5-10 / day Class B Key Opinion Leader


Adoption Indicator Accounts

Gate Keeper PMR Indicator Outlet 1 Code


Share to Total Indicator Outlet 1 Name
Information Assessment (cust_ship)

<10% Not in top 3 Aware


Indicator Outlet 2 Code Indicator Outlet 3 Code
Indicator Outlet 2 Name Indicator Outlet 3 Name
(cust_ship) (cust_ship)
Indicator Outlet 4 Code Indicator Outlet 5 Code
Indicator Outlet 4 Name Indicator Outlet 5 Name
(cust_ship) (cust_ship)
MD Deletion

DPA Signed
No. Form? DIVISION DISTRICT DM PMR PMR MD code
CODE Code
(Yes/No)

1 Yes CARDIVA R1100 <name> R11C1 <name> R11C1-ZHPIMD18656


Irbezyd Noklot

MD Name Specialization Institution Potential Adoption Potential Adoption

Arroyo, Lorenzo Cardiology St. Joseph Medical Center HIGH LOW HIGH LOW
Losacar Losacar

Potential Adoption Potential Adoption Reason for Deletion

HIGH LOW HIGH LOW


MD Info Update

Reference: Escience Data


DPA
Signed DISTRICT PMR
No. Form? DIVISION CODE DM Code PMR MD (First Name) MD (Middle Name)
(Yes/No)
1 Yes CARDIVA R1100 <name> R11C1 <name> Lorenzo C.
Postal
MD (Last Name) Specialization PRC No. Institution(Escience Data) Clinic Addess City Code

Arroyo Cardiology 12255 St. Joseph Medical Center 5th Avenue Caloocan 2900
Cellphone Landline Qualificatio
Zone No. No. Email Address n

6 9088853688 lapiramd@yahoo.com Consultant


DIVISION DISTRICT DM PMR Code
CODE
CARDIVA R1100 R1100 - ALLAN MANALAD CRC1
CARDIVA R1100 R1100 - ALLAN MANALAD R11C1
CARDIVA R1100 R1100 - ALLAN MANALAD R11C2
CARDIVA R1100 R1100 - ALLAN MANALAD R11C4
CARDIVA R1100 R1100 - ALLAN MANALAD R11C5
CARDIVA R1100 R1100 - ALLAN MANALAD R11C6
CARDIVA R1200 R1200 - DANIEL MOYCO R12C1
CARDIVA R1200 R1200 - DANIEL MOYCO R12C2
CARDIVA R1200 R1200 - DANIEL MOYCO R12C4
CARDIVA R1200 R1200 - DANIEL MOYCO R12C5
CARDIVA R1200 R1200 - DANIEL MOYCO R12C6
CARDIVA R1400 R1400 - JOANNA MARIE PALAD R14C1
CARDIVA R1400 R1400 - JOANNA MARIE PALAD R14C2
CARDIVA R1400 R1400 - JOANNA MARIE PALAD R14C3
CARDIVA R1400 R1400 - JOANNA MARIE PALAD R14C4
CARDIVA R1400 R1400 - JOANNA MARIE PALAD R14C6
CARDIVA R1500 R1500 - MARY GRACE CELIS R15C1
CARDIVA R1500 R1500 - MARY GRACE CELIS R15C2
CARDIVA R1500 R1500 - MARY GRACE CELIS R15C3
CARDIVA R1500 R1500 - MARY GRACE CELIS R15C4
CARDIVA R1500 R1500 - MARY GRACE CELIS R15C5
CARDIVA R1600 R1600 - HEINTJIE ARANDUQUE R16C1
CARDIVA R1600 R1600 - HEINTJIE ARANDUQUE R16C2
CARDIVA R1600 R1600 - HEINTJIE ARANDUQUE R16C4
CARDIVA R1600 R1600 - HEINTJIE ARANDUQUE R16C5
CARDIVA R1600 R1600 - HEINTJIE ARANDUQUE R16C6
CARDIVA R1700 R1700 - ELNAR ANDRES R17C1
CARDIVA R1700 R1700 - ELNAR ANDRES R17C2
CARDIVA R1700 R1700 - ELNAR ANDRES R17C3
CARDIVA R1700 R1700 - ELNAR ANDRES R17C4
CARDIVA R1700 R1700 - ELNAR ANDRES R17C5
CARDIVA R1700 R1700 - ELNAR ANDRES R17C6
PMR Specialization

CRC1 - RISALYN MINA Cardiology


R11C1 - April Joy Fontanilla Cardiology Fellow
R11C2 - Mary Ann Sanchez Diabetology
R11C4 - KRIZELL SANTOS Endocrinology
R11C5 - John Michael Soliman Endocrinology Fellow
R11C6 - Reynard Repolito Jr Family Medicine
R12C1 - JOANO PAOLO GASPAR Gastroenterology
R12C2 - FERNANDO VIVENCIO SABALLA General Practice
R12C4 - EUGENE LACDAN Geriatricians
R12C5 - DOMINIC DIAZ Geriatrics
R12C6 - NICA LEAL Hematology
R14C1 - Allan Edgardo Ladao IM Resident
R14C2 - IVAN ANGELO DAYRIT Infectious Disease
R14C3 - Gladys Torrefiel Internal Medicine
R14C4 - Jay Onayan Nephrology
R14C6 - Robin Castro Nephrology Fellow
R15C1 - JOANA MARIE CALALUAN Neurology
R15C2 - JOHNADEL ESCUDERO Neurology - Psychiatry
R15C3 - JOSEPH JERREMIAH BARRANTA Neurology Resident
R15C4 - MAE ANN PATAWARAN Oncology
R15C5 - KETHLYN HERMOSO Pulmonology
R16C1 - SUSANA LYNSY ARDONA Rheumatology
R16C2 - Stacey Sherry Urbiztondo
R16C4 - NOVIELYN DELA CERNA
R16C5 - Lovelle Villaluz
R16C6 - Marielle Joy Suyo
R17C1 - MARY KATHE MODELO
R17C2 - VACANT VACANT
R17C3 - Jocelyn Baduya
R17C4 - Alphi Pimentel
R17C5 - Napoleon Buscato
R17C6 - LEMUEL SUMINGUIT
Consultant
Fellow
Resident

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