The Denied Provider List, as of August 2010, follows

Transcription

The Denied Provider List, as of August 2010, follows this discussion on caveats and how to use it.
The TRICARE Management Activity (TMA) claims they cannot release the ‘secret’ list of providers that they have denied certification over the last ten years. However the U.S. Military Retirees Living in the
Philippines Group obtained a copy of the list, by paying a fee, under the Freedom of Information Act (FOIA).
Previous copies of this list showed that the majority, more than 99%, of the providers denied certification were for reasons other than that the provider was not licensed or fraud. Rather they were denied
because the contractor claimed they could not find their office, were afraid to travel to the location or the provider refused to be certified. Some were decertified because a claim had not been filed for 2 years.
In other words mostly due to process issues and not because the provider wasn’t a legitimate, qualified and licensed provider of care. This has resulted in thousands of dollars in unpaid claims.
Further if a beneficiary now sees one of these, almost 4,000 providers, because they can’t find a provider with the correct specialty on the current ‘Certified Provider List’ their claim will be denied within a few
days with a notice the provider is not certified to perform this service or similar comment. The only exception would be for those decertified for no claims for 2 years but they represent a minority of the names
on the list. The claim is denied due to the contractor’s policy that providers not certified for the reasons mentioned are never again queried about certification unless the beneficiary specifically requests that
they do this after the claim is denied or if the beneficiary can convince the provider to request certification, again after the claim is denied. However TMA will not communicate this process to beneficiaries.
So we recommend that beneficiaries first check the Certified Provider List by learning how to determine the multiple ‘City’ names they have to filter for to find providers in their area. For example in Angeles
City a beneficiary has to filter for “Angeles City”, “ANGELES CITY 2009”, “Angeles City Pampan”, “ANGELES CITY PAMPANGA”, “ANGELES CITY,PAMPANGA” (comma added), “Angeles Mac Arthur”,
“PAMPANGA”, “PAMPANGA ANGELES CITY”, “Pamapanga” and “Quezon City”.
Once you have determined there is no provider with the specialty you need on the Certified Provider List and decide to use an uncertified provider then check their name against this ‘Denied Provider List’ and
if their name appears it is likely you will need to take additional action such as addressing with the provider the need for them to be certified for your benefit and if they will agree and them requesting
certification after denial of your claim. If not you may want to consider finding yet another provider or be prepared to pay for the cost of your care in full.
Provider Name
Provider
Category
Provider Address
Provider City
Status
27N MINIMART
Institutional
ZONE I, IBA
ZAMBALES
Denied
3 G's Stall Rental
Professional Poblacion Camiling
Tarlac
Denied
4 LIFE MEDICAL SUPPLY
MANILA
Denied
4D & Ob Gyn Specialty Clinic Corp
Professional 2nd Flr The North Wing
888 HEALTH CLINIC & DIAGNOSTIC
CENTER - BRANCH
Institutional NO. 53 E. RODRIGUEZ AVENUE, TAYTAY
Cebu City
Denied
RIZAL
Denied
A & EP MEDICAL DEPOT
MANILA
Denied
A CHILD'S DREAM FOUNDATION
INC.
A J HEALTH CARE DRUG STORE
A N BALUYOT MEDICAL
HEALTHCARE PROVIDER
A N BALUYOT MEDICAL
HEALTHCARE PROVIDER
A R MAKATI DOCTORS CLINIC
A Z MARKET ENTERPRISE
DEVELOPERS INC.
Institutional
Professional 1429 RIZAL AVENUE, STA. CRUZ
Institutional
L. CORTEZ STREET, SAN NICOLAS,
CONCEPCION
152 FRIENDSHIP HIGHWAY, BRGY.
Institutional ANUNAS, ANGELES CITY
92 J K MOTHER OF PERPETUAL HELP
HOSPITAL, STO ENTIERRO STREET,
Professional ANGELES CITY
NO. 1697 EVANGELISTA CORNER GEN. M.
Institutional HIZON STREET, BANGKAL
Professional 37 A. KALINAGAN STREET, CANIOGAN
Institutional
A1 BIOHEALTH SERVICES INC.
Institutional
ABAD, SANTOS JOSE G., MD
ABALOS, MA. VIRGINIA M S, MD
ABANAO POLYCLINIC &
DIAGNOSTIC CENTER
21 DPS CMPD SESSION ROAD EXTENSION BAGUIO CITY
Institutional
A ZARATE EMERGENCY CLINIC
ABAD SANTOS, SALVADOR, M.D.
NO. 1443 RIZAL AVENUE, STA. CRUZ
Denied
TARLAC
Denied
PAMPANGA
Denied
PAMPANGA
Denied
MAKATI CITY
Denied
PASIG CITY
Denied
ATLAS COMPD NAGA ROAD PULANG L
LAS PINAS CITY Denied
SUITE 617 NORTH TOWER CATHEDRAL
HEIGHTS BUILDING, ST. LUKE'S MEDICAL
CENTER, 279 E. RODRIGUEZ SR.
QUEZON CITY Denied
C/O HEALTH ASSOCIATES INC.,ASIAN
HOSPITAL AND MEDICAL CENTER, 2205
CIVIC DRIVE,FILINVEST CORPORATE
Professional CITY, ALABANG
MUNTINLUPA
CITY
CCMG DIAGNOSTIC CENTER, 2/F RANDA
QUEZON CITY
Professional BUILDING , 146 MINDANAO AVENUE
ROOM 404, CHONG HUA MEDICAL ARTS
CENTER, WALING-WALING STREET, CEBU
CEBU
Professional CITY
Denied
Denied
Denied
ABANAO CENTER, ABANAO SQUARE
Unit N Manila Bay Arcade 2150 Roxas Blvd
Professional Corner Quirino
BAGUIO CITY
Denied
Manila
Denied
BAGUIO CITY
Denied
LA UNION
Mandaluyong
City
Denied
Abat,Marinella Agnes
Professional 20 S SANITARY CAMP
HUMANA PACIFIC HEALTHCARE, CO., $2F
MANARANG-BALINGIT BUILDING, BRGY.
CATBANGEN, QUEZON AVENUE, SAN
Professional FERNANDO CITY
Rm 504 Doctors Clinic Victor R Potenciano
Professional Med Ctr 163 Edsa
ABELA, NADINE G.,MD
Abano,Joel
ABASTILLA-DAVALAN, DENEB S.,
MD
ABAT, SHERWIN C., MD
ABELARDO, NELSON S., MD
ABELARDO, NELSON S., MD
Institutional
MUNTINLUPA
CITY
SUITE 801, MEDICAL ARTS BUILDING,
MANILA DOCTORS HOSPITAL, UNITED
MANILA
Professional NATIONS AVENUE, ERMITA
ROOM 801, MEDICAL ARTS CENTER
BLDG., MANILA DOCTORS HOSPITAL, 667
MANILA
Professional UNITED NATIONS AVENUE, ERMITA
Page 1
Denied
Request
Date
Request
Status
Comments
WPS Provider
2/23/2007 File Updated 02/23/2007
WPS Provider
8/25/2009 File Updated no updated needed.
2 yr No Activity identified
on 15-July-2009 - 2nd buld
run to update Request
Status and Workflow
Owner - KD
No Activity
2/5/2007 Hold (>2yr)
WPS Provider
9/10/2009 File Updated
WPS Provider
WPS Provider
1/12/2009 File Updated 01/12/2009
No Activity
12/22/2005 Hold (>2yr)
4/16/2007
9/14/2009
4/16/2007
11/23/2009
12/7/2009
1/26/2009
Status and Workflow
Owner - KD
6/3/2006
Status and Workflow
Owner - KD
1/29/2007
No Activity
9/28/2006 Hold (>2yr)
WPS Provider
1/17/2008 File Updated 01/17/2008
WPS Provider
WPS Provider
WPS Provider
IntlSOS
Update
6/14/2011 Complete
Denial
Date
2/4/2008
01/26/2009
2/9/2009
01/04/2007
3/19/2007
11/03/2008
11/17/2008
None
WPS Provider
7/11/2011
1/24/2010
No Activity
4/12/2004 Hold (>2yr)
Status and Workflow
Owner - KD
5/8/2006
No Activity
3/10/2005 Hold (>2yr)
Status and Workflow
Owner - KD
2/12/2007
01/26/2006
7/24/2006
03/28/2007
added denied date per
spreadsheet
8/13/2007
WPS Provider
WPS Provider
WPS Provider
WPS Provider
11/30/2007
WPS Provider
7/21/2008 File Updated 07/21/2008
WPS Provider
10/12/2009
5/12/2008
8/18/2008
12/4/2009
No Activity
5/7/2004 Hold (>2yr)
Status and Workflow
Owner - KD
9/4/2006
Denied
No Activity
4/13/2005 Hold (>2yr)
Status and Workflow
Owner - KD
6/20/2005
Denied
WPS Provider
4/17/2006 File Updated added denied date on wps
3/8/2010
Denied
Specialties
ABELEDA, AUGUSTO, MD
ABELEDA, ROCHELLE G., MD
FB SORIANO-DELA TORRE MEDICAL
CLINIC, 051 BURGOS AVENUE,
Professional CABANATUAN CITY
FB SORIANO DELA TORRE MEDICAL
Professional CLINIC, 51 BURGOS AVENUE,
ABELLAR,CHITO,M,MD
RG MERIDIAN HEALTH CARE SERVICES,
BRGY. STA. TERESITA 29 DAPITAN
Professional CORNER ISAROG STREET,
DIVINE GRACE MEDICAL CENTER, EPZAProfessional TEJERO BYPASS ROAD, GEN. TRIAS
MOLINO MEDICAL CENTER MOLINO
Professional BACOOR
ABENDANIO, ELENITA MD
57 DON JUICO AVENUE (PERIMETER
ROAD, CLARKFIELD) RIVERSIDE
SUBDIVISION, BARANGAY ANUNAS,
ABELLANA, GEMMA RN
ABELLAR, CHITO M., MD
ABENSON, INC.
ABES, GENEROSO T., MD
ABESAMIS, GREGORIO GRACE,
MD
ABILAINE'S DRUG MART
Ablang,Marietta,F
ABLLANA, GEMMA R., RN
ABON,LEOFRANK,MD
Institutional
Denied
NUEVA ECIJA
Denied
QUEZON CITY
Denied
CAVITE
Denied
CAVITE 4102
Denied
PAMPANGA
CALOOCAN
CITY
3RD LEVEL, EVER GOTESCO KALOOKAN
CASA MEDICA INC., LGF LEVEL, SM
Professional SOUTHMALL, ALABANG ZAPOTE ROAD
SUITE 132 MEDICAL ARTS BUILDING, ST.
LUKE'S MEDICAL CENTER, 279 E.
Professional RODRIGUEZ SR. BOULEVARD
Denied
Denied
QUEZON CITY
STALL 25, SAN FERNANDO
SUPERMARKET, OSIAS STREET CORNER
OSMENA STREET(OLD MARKET), SAN
LA UNION
Institutional FERNANDO CITY
Total Remedies Corp No 30 Nat Hwy Barrio
Zambales
Professional Barreto Olongapo
29 DAPITAN STREET CORNER ISAROG
Professional STREET, BRGY. STA. TERESITA
LORMA MED CTR CARLATON CITY OF
Professional SAN FERNANDO
ABONG, JOVILIA M., MD
Professional DON SANTIAGO BLDG., TAFT AVENUE
MEDILINKS POLYCLINIC, ROOM 307/8 J &
F BUILDING, FELIZ AVENUE, Q-PLAZA
ABRAHAM, DALE RAYMOND A., MD Professional COMPLEX, CAINTA
MEDILINKS POLYCLINIC, ROOM 307/8 J &
F BUILDING, FELIZ AVENUE, Q-PLAZA
ABRAHAM, EMA RAFAELA L., MD
Professional COMPLEX, CAINTA
SUITE 817 NORTH TOWER, CATHEDRAL
ABRENICA, MARIA ROSARIO F., MD Professional BOULEVARD
TRISERVE HEALTH CARE CORPORATION,
ABRENICA, MARIA ROSARIO F., MD Professional CENTER, 279 E. RODRIGUEZ SR.
ABRENICA, RIO B., MD
NUEVA ECIJA
Denied
Denied
Denied
QUEZON CITY
Denied
LA UNION
Denied
Status and Workflow
Owner - KD
No Activity
11/5/2007 Hold (>2yr)
WPS Provider
7/23/2008 File Updated 07/23/2008
Status and Workflow
Owner - KD
10/27/2008
No Activity
8/25/2008 Hold (>2yr)
WPS Provider
11/17/2008 File Updated 11/17/2008
WPS Provider ADDED DENIED DATE
2/8/2011 File Updated ON WPS
9/10/2007
No Activity
3/6/2006 Hold (>2yr)
Status and Workflow
Owner - KD
3/10/2008
No Activity
8/1/2006 Hold (>2yr)
Status and Workflow
Owner - KD
2/5/2007
WPS Provider
4/28/2008 File Updated 04/28/2008
No Activity
12/22/2005 Hold (>2yr)
WPS Provider
No Activity
11/28/2005 Hold (>2yr)
Status and Workflow
Owner - KD
9/15/2008
6/6/2011
RIZAL
Denied
11/15/2010
RIZAL
Denied
11/15/2010
Denied
05-09-07 CORRECTION
WPS Provider OF NAME AND
11/12/2007 File Updated ADDRESS
QUEZON CITY
QUEZON CITY
8/4/2008
Denied
09-04-08 PREVIOUSLY
CERTIFIED UNDER
PHL043161 0000 AND
PREVIOUSLY
REQUESTED UNDER
PHL042842 A036 ALL
WPS Provider WERE TRANSFERRED
5/26/2008 File Updated TO DUPLICATE SHEET
8/4/2008
Cavite City
Denied
4/20/2009
MAKATI CITY
CALOOCAN
CITY
Denied
7/13/2006
Denied
6/23/2008
Denied
7/2/2008
Denied
11/3/2006
Denied
CAVITE
Professional BAGUMBAYAN, GEN. TRIAS
Denied
UNIT 1 STAR ARCADE CV STARR AVENUE,
Professional PAMPLONA DOS,
MABALACAT
Denied
Pampanga
Denied
PAMPANGA
Denied
Page 2
8/4/2008
Denied
Professional Rosario Rizal St Corner Buenaflor St
NO. 2 AMORSOLO STREET, LEGASPI
Professional VILLAGE
50 ILANG ILANG STREET, 11TH AVENUE
ST. JAMES HOSPITAL VQR MEDICAL
FOUNDATION, PANTAY DAYA, VIGAN CITY ILOCOS SUR
UNIT 211, 2/F MOLVINA COMM. BLDG.,
MARCOS HIGHWAY, BRGY. MAYAMOT,
RIZAL
2/F DORMITORY BUILDING, DEE HWA
LIONG FOUNDATION MEDICAL CENTER,
PAMPANGA
Professional HENSON STREET, ANGELES CITY,
5/29/2006
WPS Provider
6/16/2008 File Updated 06/16/2008
Abueg,Nefrido,A,MD
Accurate Medical Diagnostic Ctr
ACCURATED MEDICAL
DIAGNOSTIC CENTER
6/2/2006
Denied
4/25/2005
Professional 698 MCARTHUR HIGHWAY SAN FRANC
San Francisco Mabalacat 698 Mcarthur Hi
Professional Way
698 McARTHUR HIGHWAY, SAN
5/19/2008
2/2/2010
No Activity
8/25/2008 Hold (>2yr)
WPS Provider
3/30/2011 File Updated ADDED DENIED DATE
Denied
ACCUMED DIAGNOSTIC CENTER
Status and Workflow
Owner - KD
Status and Workflow
Owner - KD
MANILA
ACCUHEALTH DIAGNOSTICS INC.
4/20/2011
No Activity
9/26/2005 Hold (>2yr)
Professional 927 REMEDIOS STREET, MALATE
ACCUCHECK DIAGNOSTIC CLINIC
3/30/2009
Status and Workflow
Owner - KD
ABUEG, NEFRIDA A., MD
ACCUCARE MEDICAL
ASSOCIATES, INC.
8/11/2008
MANILA
QUEZON CITY
Professional BOULEVARD
ABUNDO-RIVERA, EMELYN MD
ACCU CHECK FAMILY DIAGNOSTIC
CLINIC
Institutional
ACCUCARE MEDICAL ASSOCIATES
INC.
Professional
ACCUCARE MEDICAL
ASSOCIATES, INC.
Professional
4/13/2009
No Activity
Hold (>2yr)
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
WPS Pending
10/31/2005 Review/Action
WPS Provider
WPS Provider
WPS Provider
WPS Provider
Status and Workflow
Owner - KD
already updated
8/15/2005
10/12/2009
07/13/2006
7/2/2007
06/23/2006
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
9/1/2008
ADDED DENIED DATE
ON WPS
SHOULD THIS BE A LAB
OR A GROUP?
09/24/2008
ADDED DENIED DATE
ON WPS
1/17/2011
General
2/19/2011 Practice (GP)
2/19/2011
6/2/2011
2/16/2009
8/31/2010
6/1/2009
11/21/2005
2/13/2006
ACCUVISION DIAGNOSTIC
CENTER, INC.
Institutional
ACE COR CLINIC AMBULANCE
Institutional
BPI BUILDING PLAZA LORENZO RUIZ, 287
BINONDO
MANILA
Denied
ACE HEALTHCARE CLINIC
Institutional
756 INSTRUCCION STREET, SAMPALOC
MANILA
NO. 756 INSTRUCCION STREET,
SAMPALOC
MANILA
RM.13 ANGELES MEDICAL CENTER, RIZAL
STREET, LOURDES SUR,ANGELES CITY
PAMPANGA
ACE MIDTOWN PHARMACY AND
CLINIC
Institutional
P. BURGOS ST, SAN PABLO CITY
LAGUNA
Denied
Aceron,Rosario Franco
ACHJ PHARMACY AND MEDICAL
CLINIC
Iloilo City
Professional Plaza Libertad
DASMARINAS BRANCH STA. LUCIA DBB-G,
CAVITE
Professional DASMARINAS
Denied
ACE COR MEDICAL SERVICES INC. Institutional
Denied
Denied
Denied
Denied
ACOSTA, GERONIMO P.
KM. 23 ORTIGAS AVENUE EXTENSION,
Professional SAN ISIDRO, TAYTAY
RIZAL
Denied
ACOSTA, SYLVIA C., MD
Professional NO. 17 PITTSBURGH STREET, CUBAO
QUEZON CITY
Denied
ACU, MA. LUISA S., MD
ACUAVERA, MA FE LIBERTY RN
ACUNA DRUG AND MEDICAL
CLINIC
ADAN,RYAN,MD
ADC DIABETES CENTER
ADCA LABORATORY &
DIAGNOSTIC CENTRE
ADCARE DRUGS & GENERAL
MECHANDISE
Dr Jesus Delgado Memorial hospital 7
Professional kamuning road
ASUNCION CORNER LORETO STREET,
Institutional MORNING BREEZE
MEDICAL CENTRUM DAGUPAN A B
Professional FERNANDEZ AVE E DAGUPAN CITY
NO. 33 GORDON AVENUE, PAG-ASA,
Professional OLONGAPO CITY
Institutional
HOSPITAL & MEDICAL CENTER, 2205
ADIVISO, SHIRARD LEONARDO C.,
CIVIC DRIVE FILINVEST CORPORATE
M.D.
ADL BIOMEDICAL INC
ADORADOR, ELSA
ADVANCE REMANDABAN
PHYSICAL THERAPY AND
ORTHOPAEDIC CLINIC
Advance Tech Medical Supplies and
Equipment
ADVANCED AESTHETICS
AERO MED AMBULANCE
TRANSPORT
AFABLE, LUISA
Agapito,Marie Manette,I,MD
AGAS, FELICISIMO V., MD
AGBAY, BENEDICTO V., MD
Institutional
Institutional
75 KESSING ST. NEW ASINAN,
OLONGAPO CITY
Professional 1310 Rizal Ave
02/13/2007
4/30/2007
08/25/2003
NEED A
RECERTIFICATION ON
PROVIDER
ADDED DENIED DATE
ON WPS
PANGASINAN
Denied
ZAMBALES
Denied
MANILA
MUNTINLUPA
CITY
ILOILO
Denied
Denied
Denied
Denied
Denied
ZAMBALES
Denied
Manila
Denied
VALENZUELA
CITY
AGCAOILI, AMELIA M., MD
AGCAOILI, NORBERTO R., MD
SOUTH TOWER CATHEDRAL HEIGHTS
BUILDING COMPLEX, ST. LUKE'S MEDICAL
CENTER, NO. 279 E. RODRIGUEZ SR.
QUEZON CITY
Page 3
Denied
Denied
Denied
Denied
Denied
Denied
Denied
Denied
Denied
5/4/2010
Status and Workflow
Owner - KD
9/3/2007
No Activity
1/19/2007 Hold (>2yr)
WPS Provider
6/6/2007 File Updated 06/06/2007
6/18/2007
Status and Workflow
Owner - KD
2/16/2009
4/19/2010
WPS Provider
Denied
4/10/2006
2/22/2010
Denied
CALOOCAN
CITY
8/8/2005
added denied date on wps
QUEZON CITY
LAGUNA
Professional J P RIZAL STREET, QUINALE, PAETE
CENTER, ROOM 100 G/F SAN LUIS
Professional TERRACES, NO. 638 T M KALAW, ERMITA MANILA
PRECIOUS LIFE CARE PHILS, INC., SUITE
908 SOUTH TOWER, CATHEDRAL
HEIGHTS BUILDING COMPLEX, ST. LUKE'S
Professional MEDICAL CENTER, 279 E. RODRIGUEZ SR. QUEZON CITY
AGBAYANI, BENIGNO JR. A., MD
7/24/2006
Denied
MUNTINLUPA
Institutional BLOCK 10 LOT SOLDIERS HILLS ALABANG CITY
23 A PARKLANE EXT GSIS VILLAGE
QUEZON CITY
Professional SANGANDAAN
LIFELINE MEDICAL CENTER, 2420 RIZAL
AVENUE, EAST BAJAC-BAJAC,
ZAMBALES
888 Hlth Clinic Diag Ctr No 53 Rodriguez Ave
Rizal
Professional Taytay
NO. 432 BURGOS STREET, FORTUNE
Professional VILLAGE 7, PARADA
05/22/2006
Quezon City
SUITE 316-318 VERDE ORO BUILDING, 535
COMMONWEALTH AVENUE DILIMAN
QUEZON CITY
Professional GEN. LUNA STREET, ILOILO CITY
3/27/2006
No Activity
1/14/2009 Hold (>2yr)
2ND FLOOR G. REDOR STREET, SINILOAN LAGUNA
Professional 1452 TAFT AVENUE, ERMITA
No Activity
3/13/2006 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
Request
Certification/R
3/8/2006 ecertification
WPS Provider
WPS Provider
Status and Workflow
Owner - KD
No Activity
Status and Workflow
Owner - KD
1/3/2006 Hold (>2yr)
11/13/2006
10/18/2010
WPS Provider
6/5/2006 File Updated added denied date on wps 4/27/2010
Status and Workflow
Owner - KD
No Activity
2/20/2006 Hold (>2yr)
WPS Provider
6/4/2008 File Updated 06/04/2008
2/25/2008
7/7/2008
No Activity
4/5/2004 Hold (>2yr)
Status and Workflow
Owner - KD
No Activity
9/1/2002 Hold (>2yr)
Status and Workflow
Owner - KD
10/25/2004
No Activity
8/1/2005 Hold (>2yr)
Status and Workflow
Owner - KD
WPS Provider
1/9/2006 File Updated 01/08/2008
WPS Provider
No Activity
Status and Workflow
Owner - KD
1/18/2006 Hold (>2yr)
WPS Provider
4/28/2008 File Updated 04/28/2008
WPS Provider
5/8/2006
8/22/2005
2/4/2008
2/12/2010
6/19/2006
1/19/2011
5/12/2008
12/8/2009
No Activity
2/7/2006 Hold (>2yr)
Status and Workflow
Owner - KD
11/13/2006
No Activity
5/9/2006 Hold (>2yr)
Status and Workflow
Owner - KD
WPS Provider
11/29/2007 File Updated added denied date to wps
WPS Provider
2/2/2009 File Updated 02/02/2009
No Activity
2/21/2006 Hold (>2yr)
Status and Workflow
Owner - KD
6/19/2006
2/6/2010
4/20/2009
2/26/2007
AGONCILLO, NATHANIEL MD
AGRAVIADOR & TAMAYOAGRAVIADOR
AGRAVIADOR, NOEL B., MD
AGUADA, ANDRES B., MD
AGUDERA, RUFINO MD
AGUILAR, BERNADETTE D., MD
AGUILAR, BERNADETTE D., MD
AGUILAR, MA. LUZ M., MD
AGUILLERO, T., MD
TRI OVERSEAS VETERANS HEALTHCARE
PROVIDER, ROOM 504 DOCTOR'S CLINIC,
VICTOR R. POTENCIANO MEDICAL
Professional CENTER, 163 EDSA
ROOM 416 MEDICAL ARTS BUILDING,
RIVERSIDE MEDICAL CENTER,
Professional NORTHDRIVE, BACOLOD CITY
MANDALUYON
G CITY
Denied
NEGROS
OCCIDENTAL
Denied
NEGROS
OCCIDENTAL
106 B HANSEN STREET, EAST TAPINAC,
ZAMBALES
QUEZON CITY
Professional CENTER, 279 E. RODRIGUEZ SR.
NO. 2355 UNIT 9, BARCEL BUILDING, STO.
ENTIERRO STREET, STO. CRISTO,
PAMPANGA
ROOM 216 ST. FERDINAND BUILDING,
PAMPANGA
Professional STO. ROSARIO, SAN FERNANDO,
CALOOCAN
CITY
Professional NO. 27 M. FRANCISCO STREET
ANUNAS FRIENDSHIP HIGHWAY,
33 SAUDI ARABIA STREET CORNER
SARMIENTO AVENUE, BETTER LIVING
Professional SUBDIVISION
Denied
Denied
Denied
Denied
Denied
Denied
PAMPANGA
Denied
PARANAQUE
CITY
Denied
Baguio City
Denied
AIROSO, RAYMUND JOSEPH R.,
MD
Professional 2nd Flr Bbccc Bldg Asumption Rd
AMERICARE MEDICAL CLINIC, SUITES
2612-2614 MEDICAL PLAZA ORTIGAS
Professional BUILDING, SAN MIGUEL AVENUE,
PASIG CITY
Denied
Airoso,Raymund Joseph,R,MD
Professional 710 Ermita Ctr Bldg 1350 Roxas Blvd Ermita
Manila
Denied
Ala,Bienarosa,T
ALARCON, SARAH CHRISTINE S.,
MD
Professional Gulod Itaas Batangas City
Batangas
Denied
Professional 592 J N. MATEO STREET
CAVITE
Denied
AIR BRIDGE 3000 DISTRIBUTION
INC.
Airbag Inc
ALBA, ROSARIO LENIE F., MD
Professional NORTH ROAD, DUMAGUETE CITY
ALBA,LOISA SARMIENTO,MD
Professional 16 QUEZON AV IGUALADA BLDG
UNIT 1 2ND FLR SAIYO BLDG
Professional KARANGALAN VILL IMELDA AVE
ALBANO,GERMAN JOSE,T,MD
ALBANO,LOURDES MILAGROS C
MD
ALBAY DIAGNOSTICS
LABORATORY
ALBITO, ANNA MARIA F., MD
ALBITO, ANNA MARIA F., MD
Professional ASSUMPTION RD
ASPE BUILDING (FORMERLY VILLA
Professional AMADA HOTEL) SAGPON, DARAGA
LIFELINE BUILDING, NO. 379 LOPEZ
Professional JAENA STREET, JARO ILOILO CITY
2/F PROFICARE CLINICAL LABORATORY,
Professional DEL CARMEN STREET, JARO, ILOILO CITY
LAS PINAS CITY MEDICAL CENTER, 1314
ALCALA, ANGELO MD
Professional M. ALVAREZ AVENUE, TALON V
DERMHAUS, FUENTE OSMENA, CEBU
ALCANTARA, JEAN FRANCIS F., MD Professional CITY
ALCANTARA, MA. MARTINA F., MD
ALCANTARA, ROBERT, RPT
ROOM 431 STARS & STRIPES
HEALTHCARE ALLIANCE INC., ALABANG
MEDICAL CENTER, ALABANG ZAPOTE
Professional ROAD,
TRUECARE MEDICAL CLINIC UNIT 18
MARIKINA EAST CENTRE BUILDING, 83
Professional GIL FERNANDO AVENUE, SAN ROQUE,
NEGROS
ORIENTAL
Denied
LUCENA CITY
Denied
CAINTA RIZAL
Denied
No Activity
11/29/2006 Hold (>2yr)
WPS Provider
6/11/2008 File Updated 06/11/2008
6/12/2006
WPS Provider
5/19/2008 File Updated 05/19/2008
WPS Provider
6/22/2009 File Updated provider didn't move out
WPS Provider
10/13/2008 File Updated 09/15/2008
WPS Provider
WPS Provider provider already updated
7/6/2009 File Updated with denial date 7-27-09
WPS Provider
4/29/2009 File Updated 04/29/2009
6/21/2007
CEBU
11/7/2008
Denied
Alcazar,Rechelle,B
Professional 336 A Sta Rita Rd Sta Rita
Olongapo City
SUBIC BAY
Professional GATEWAY PARK 2 BRAVEHEART STREET FREEPORT
THE MEDICAL CITY PASIG CLINIC - II, G/F
EVER GOTESCO MALL, ORTIGAS AVENUE
PASIG CITY
Professional EXTENSION,
Denied
Denied
Denied
Sampaloc Manila Denied
METRO MANILA Denied
Page 4
6/2/2008
7/29/2009
2/2/2009
6/10/2011
7/27/2009
5/18/2009
No Activity
Status and Workflow
Owner - KD
4/20/2007 Hold (>2yr)
6/18/2007
10/11/2010
WPS Provider
6/28/2011
9/18/2006
Olongapo City
9/1/2008
No Activity
5/9/2006 Hold (>2yr)
Denied
Professional 33 Gordon Ave New Asinan
1/8/2007
Status and Workflow
Owner - KD
ILOILO
Alcazar,Rechelle,B
5/12/2008
4/23/2007
5/19/2008
MARIKINA CITY Denied
8/18/2008
No Activity
1/12/2006 Hold (>2yr)
Denied
Denied
12/17/2007
Status and Workflow
Owner - KD
ILOILO
MUNTINLUPA
CITY
Status and Workflow
Owner - KD
Status and Workflow
Owner - KD
4/18/2005
Denied
10/6/2008
Status and Workflow
Owner - KD
12/17/2007
WPS Provider
12/17/2007 File Updated 12/17/2007
Denied
Denied
Professional Ust Hospital Rm 1004 Mab Lacson Ave
3RD FL LGI BLDG ORTEGAS AVE
ALCON LABORATORIES PHILS INC Professional GREENHILLS SAN JUAN
No Activity
7/28/2008 Hold (>2yr)
ALBAY
QUEZON CITY
Alcid,Gerald,T,MD
No Activity
7/3/2007 Hold (>2yr)
Denied
ALCANTARA-MACAM, MONINA MD
ALCAZAREN, ELIZABETH ANN
WPS Provider 03-07-07 CORRECTION
7/3/2007 File Updated OF ADDRESS
BAGUIO CITY
ROOM 413, MEDICAL ARTS BUILDING,
PHILIPPINE HEART CENTER, EAST
Professional AVENUE
ALCAZAR,RECHELLE,MD
WPS Provider
9/24/2008 File Updated 09/24/2008
No Activity
Status and Workflow
Hold (>2yr)
Owner - KD
10/25/2004
File Updated ON WPS
3/17/2010
WPS Provider
File Updated 05/19/2008
6/16/2008
WPS Provider
7/14/2008
Request
Certification/R
ecertification NEED A RECERT
7/30/2007
WPS Provider
11/17/2008
No Activity
7/24/2006 Hold (>2yr)
Status and Workflow
Owner - KD
WPS Provider
10/6/2008 File Updated 10/06/2008
No Activity
Status and Workflow
Owner - KD
7/26/2005 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
07/23/2008
already updated
ADDED DENIED DATE
ON WPS
8/18/2008
10/27/2008
7/24/2006
4/27/2010
4/27/2010
7/19/2010
8/11/2008
10/17/2009 Surgery
11/15/2010
ZAMBALES DOCTORS' CLINICS - SBMA
BRANCH UNIT A10-11 BUILDING 7932
MANILA AVENUE, CENTRAL BUSINESS
DISTRICT, SUBIC BAY FREEPORT ZONE,
ALCONGA, RUDY JR. A., MD
ZAMBALES
ACCUCARE MEDICAL ASSOCIATES, INC.,
UNIT 211, 2/F MOLVINA COMMERCIAL
COMPLEX, MARCOS HIGHWAY, BRGY.
ALDANA, JOEL PATRICK A., MD
RIZAL
Professional MAYAMOT, ANTIPOLO CITY
ROOM 513 MEDICAL ARTS BUILDING, ST.
ALDAY MAGPANTAY, LYDE M., MD Professional RODRIGUEZ SR. BOULEVARD
QUEZON CITY
ALEGARBES, RENATO S., MD
ROOM 2301 ALPHA GRANDEUR
CONDOMINIUM, 1716 M.H. DEL PILAR
Professional STREET, ERMITA
MANILA
ALEGRE, NATALIO G., MD
Institutional RODRIGUEZ BOULEVARD
FIL-AMERICAN MEDICAL RETIREES
CLINIC, SUITE 104 GROUND FLOOR,
Professional VELASCO BUILDING, PANGANIBAN DRIVE,
Alejandro,Argente,MD
ALELI ALBANO DELOS REYES
MEDICAL CLINIC
Professional Gateway Park 2 Braveheart St
PUBLIC MARKET SAN RAMON,
Institutional DINALUPIHAN
Alemany,Ramon Carlos,MI,L,MD
ALENTAJAN ALETA,LARA
THERESA,C,MD
Professional Dlsu Medical Center Dasmarinas
500 MOB ASIAN HOSPITAL AND ME CIVIC
Professional DRIVE ALABANG
ALEGRE MEDICAL CLINIC
ALEGRE, EMELITO D., MD
ALFELOR VALDERRAMA, MIRZA
YVETTE
ALFON, EARL MD
ALFON, EARL MD
ALIKPALA CUAJUNCO, EILEEN B.,
MD
ALINA, PAULA JEAN T., RN
ALINCASTRE,G CECILIO,G,MD
ALINSONORIN-RAMOS, EVE
THERESE MD
ALIPIO, ISAIAS P., JR
ALISANGCO GAMEZ, LUZ L., MD
ALFONSO GENERAL HOSPITAL, MALVAR
Professional STREET, PUERTO PRINCESA CITY
ULTIMATE CARE MEDICAL INC., ROOMS
404-405 CEBU DOCTORS' COLLEGE ,
ADMINISTRATIVE BUILDING, KAMUNING
Professional STREET, OSMENA BOULEVARD, CEBU
ALMAJAR, MARIAN MD
Almirol,Richard
ALMONTE, JOSEFINA R., MD
ALONSO, WESLEY G.,MD
ALONZO, DANIEL MD
ALPHATECH MEDICAL
LABORATORY
ALPINE
ALSAY, STEVE MD
ALTAREJOS, LUZ F., MD
CAMARINES
SUR
10/23/2010
Denied
2/19/2011
Denied
Denied
Denied
Denied
QUEZON CITY
Subic Bay
Freeport
Denied
BATAAN
Denied
Cavite
MUNTINLUPA
CITY
Denied
Denied
Denied
ROOM 1214 STATE CENTER BUILDING,
333 JUAN LUNA STREET, BINONDO
MARIKINA EAST CENTER BLDG, 83 GIL
Professional FERNANDO AVENUE SAN ROQUE
20-12-05 PREVIOUSLY
WPS Provider CERTIFIED ON 06-Mar12/20/2005 File Updated 06
WPS Provider
9/24/2008 File Updated 09/24/2008
22-10-08 EXCLUDED
WPS Provider PROVIDER PER TPAO
10/22/2008 File Updated ADVICE
WPS Provider
2/7/2006 File Updated 02/07/2006
WPS Provider
6/5/2006
11/10/2008
10/13/2008
11/24/2008
6/18/2010
3/13/2006
7/13/2009
2/7/2011
Status and Workflow
Owner - KD
10/13/2008
Denied
CEBU
Denied
WPS Provider
4/22/2008 File Updated 04/22/2008
9/1/2008
Denied
WPS Provider
2/11/2008 File Updated 02/11/2008
9/8/2008
ROOM 505 CHONG HUA HOSPITAL, DON J.
LLORENTE STREET, CAPITOL SITE CEBU
CEBU
Professional CITY
RIZAL
MAKATI MEDICAL CENTER, NO. 2
MAKATI CITY
Professional AMORSOLO STREET, LEGASPI VILLAGE
Denied
Denied
Denied
MANILA
Denied
PAMPANGA
Denied
DAVAO
Denied
MANILA
Institutional
No Activity
1/30/2006 Hold (>2yr)
Status and Workflow
Owner - KD
2/23/2009
PALAWAN
CEBU
445 EVANGELISTA STREET, QUIAPO
MACARTHUR HIGHWAY, SAN FERNANDO
CITY
1/F MEDICAL TOWER, DAVAO DOCTOR'S
HOSPITAL, E. QUIRINO STREET, DAVAO
WPS Provider
1/7/2009 File Updated 01/07/2009
No Activity
9/10/2008 Hold (>2yr)
ROOM 1209 MEDICAL ARTS TOWER, THE
PASIG CITY
Professional MEDICAL CITY ORTIGAS AVENUE
Denied
25 KAIMITO ST. VERDANT ACRES
Professional SUBDIVISION PAMPLONA
MT CARMEL DIOCESAN HOSPITAL
LUCENA CITY
Professional ALLAREY EXT
Denied
ALL BEST GENERAL
MERCHANDISE PERFUMERIES
AND COSMETIC
Institutional
ALL SUFFICIENT MEDICAL SUPPLY
& PHARMACY
Institutional
ALLIED MEDICAL EQUIPMENT AND
SUPPLY CORPORATION
Professional
ALLIED OPTHALMIC
CONSULTANTS
QUEZON CITY
Denied
Denied
Status and Workflow
Owner - KD
No Activity
11/26/2008 Hold (>2yr)
WPS Provider
No Activity
4/17/2006 Hold (>2yr)
Status and Workflow
Owner - KD
WPS Provider
1/21/2009 File Updated 01/21/2009
WPS Provider
11/21/2008 File Updated 11/21/2008
Status and Workflow
Owner - KD
No Activity
8/29/2005 Hold (>2yr)
WPS Provider
6/21/2007 File Updated 06/21/2007
WPS Provider
No Activity
6/15/2005 Hold (>2yr)
Professional 30 A Canda St East Bajac Bajac
Professional TERRACES, NO. 638 T M KALAW, ERMITA
GLOBAL MEDICAL NETWORK SUITES,
UPPER GROUND FLOOR, OUR LADY OF
MT.CARMEL MEDICAL CENTER, KM.78
McARTHUR HIGHWAY, BRGY.SAGUIN SAN
Olongapo City
Denied
MANILA
Denied
WPS Provider
PAMPANGA
Denied
Professional TAFT ST BUAS CANDABA
PAMPANGA
Denied
Professional 56 V GULLAS ST
BACOLOD OUR LADY OF MERCY
SPECIALTY HOSPITAL, ERORECO
Professional SUBDIVISION MANDALAGAN, BACOLOD
CEBU CITY
Denied
CEBU
Denied
NEGROS
OCCIDENTAL
Page 5
Denied
WPS Provider
WPS Provider
IntlSOS
Update
6/2/2011 Complete
4/19/2010
3/16/2011
7/17/2006
3/2/2009
2/9/2009
9/26/2005
7/16/2007
4/14/2010
Status and Workflow
Owner - KD
12/26/2005
WPS Provider
4/28/2008 File Updated 04/28/2008
WPS Provider
4/6/2009
5/26/2008
3/5/2010
2/6/2010
12/30/2010
12/17/2007
ADDED DENIED DATE
ON WPS
2/25/2008
None
7/10/2011
WPS Provider
3/26/2008 File Updated 03/26/2008
WPS Provider
5/2/2011
9/1/2008
Obstetrics &
5/27/2011 Gynecology
ALTEZ,ELLEN,M,MD
ALVARADO, LUCIA T., MD
ALVAREZ,JIMENEZ,R
ALVES,JR., JOSE R., MD
ALVIMO COMPANY INC.
AMADO, ROBERT MD
Amado,Aguinaldo,MD
ST CATHERINE ALEX FND MED CTR 4163
Professional RIZAL ST EXT ANGELES CITY
PAMPANGA
Professional BUILDING 11 831 JOSEFA LLANEZ, ERMITA Manila
PARANAQUE
CITY
Professional A SANTOS AVE MED CTR PARANAQUE
Professional 3786 MASCARDO STREET
NO. 4484 CALHOUN STREET, PIO DEL
Institutional PILAR
SUITE 702 SOUTH TOWER CATHEDRAL
Professional CENTER, 279 E. RODRIGUEZ SR
888 Health Clinic & Diagnostic Center - Taytay
Professional Branch No 53 E Rodriguez Ave Taytay
Denied
Denied
Denied
MAKATI CITY
Denied
MAKATI CITY
Denied
QUEZON CITY
Denied
Rizal
Denied
IntlSOS
Update
4/6/2011 Complete
Unable to meet provider
after several attempts.
No Activity
Status and Workflow
Owner - KD
8/31/2005 Hold (>2yr)
7/1/2011
1/9/2006
2/21/2011
Status and Workflow
Owner - KD
10/17/2005
No Activity
9/15/2005 Hold (>2yr)
WPS Provider
9/14/2005 File Updated 09/14/2005
WPS Provider
3/2/2009 File Updated added mailing address
WPS Provider
11/28/2005
3/23/2009
12/8/2009 Surgery
AMADOR, ALVIN MD
Professional 238-B MAYON STREET, MAHARLIKA 1
QUEZON CITY
Denied
Amang Rodriguez Medical Ctr
Marikina City
Professional Sto Nino
MERCEDES MEDICAL CENTER, C/O
DALLAS MEDICAL GROUP, NO. 76 STO.
PAMPANGA
Professional ENTIERRO STREET, STO. CRISTO,
SUITE 1411, NORTH TOWER, CATHEDRAL
QUEZON CITY
Denied
No Activity
Status and Workflow
Owner - KD
5/24/2005 Hold (>2yr)
WPS Provider already denied as of 8-176/29/2009 File Updated 09
Denied
WPS Provider
5/7/2010
Denied
WPS Provider
4/12/2010
AMANSEC, ROBERTO M., MD
AMANTE, ANGEL JOAQUIN M., MD
AMANTE, MA. EUGENE G., MD
Professional
AMANTE,JONATHAN,C,MD
Professional
SUBDIVISION, BACOLOD CITY
HOLY CHILD HOSPITAL BISHOP EPIFANIO
SURBAN STREET
ROOM 257 DOUGHERTY ANNEX
BUILDING, ST. PAUL'S HOSPITAL, GEN.
LUNA STREET, ILOILO CITY
DALLAS MEDICAL GROUP, STO.
AMANTILLO, VICTOR JR. A., MD
Professional
AMBAT-MERCADO, MARIA
DOLORES S., MD
Professional
Ambay,Antonietto,MD
Professional No 62 18 St E B B
AMBON, ZALDY M., MD
AMBOS, JOY P., MD
Ambrosio,Aurea,Z
AMERICAN BIO CLINICAL
LABORATORY INTERNATIONAL
AMERICARE MEDICAL CLINIC
Americare Medical Clinic
Americare Medical Clinic
AMORA DENTAL CLINIC
AMORADO-SANTOS, FLORENCE
M., MD
NEGROS
OCCIDENTAL
DUMAGUETE
CITY
6/16/2011
ILOILO
Denied
WPS Provider
11/7/2005 File Updated 11/07/2005
9/11/2006
PAMPANGA
Denied
Olongapo City
Denied
WPS Provider
WPS Provider already updated with
6/30/2009 File Updated denied date 8-10-09
8/10/2009
Status and Workflow
Owner - KD
3/31/2008
Denied
ILOILO
Denied
Professional NKI East Ave
SUITE 703 RICHVILLE CORPORATE
Professional TOWER, MADRIGAL BUSINESS PARK,
SUITES 2612-2614 MEDICAL PLAZA
ORTIGAS BUILDING, SAN MIGUEL
Professional AVENUE, ORTIGAS CENTRE
Quezon City
MUNTINLUPA
CITY
Denied
PASIG CITY
Denied
Units 2612 2614 Medical Plaza San Miguel
Professional Ave
Manila
Denied
Pasig City
Denied
LAGUNA
G/F GOLDEN GATE GENERAL HOSPITAL,
Professional P. PRIETO STREET, BATANGAS CITY
BATANGAS
Denied
Denied
Denied
NO. 8009 J.P. AGUILAR AVENUE, PULANG
AMORANTO, WILFREDO JR. A., MD Professional LUPA 2
AMORANTO, WILFREDO MD
Professional
AMORIN, EDELIZA ELVAMBU
Professional
AN BALUYOT MEDICAL
HEALTHCARE PROVIDER
Institutional
ANA MARISSA LAGMAN PEDIATRIC
CLINIC
Institutional
ANCHETA PUEY,CHRISTINE
MARIE,C
Professional
ANDAMAN, MARIA FE, MD
Professional
ANG, ABELAINE
Professional
ST. MICHAEL MEDICAL CENTER, 220
MOLINO II, BACOOR
EXTENSION,
92 J K MOTHER OF PERPETUAL HELP
HOSPITAL, STO. ENTIERRO STREET, STO.
CRISTO, ANGELES CITY
JDB BLDG. POBLACION SAN JOAQUIN,
STA. ANA
RM 414 RIVERSIDE MED CTR MAB B S
AQUINO DR
ST. DOMINIC MEDICAL CENTER,
AGUINALDO HI-WAY
FERNANDO CITY
Status and Workflow
Owner - KD
10/23/2006
Denied
CAVITE
JP RIZAL STREET, TAGAPO STA.ROSA
CITY
8/17/2009
No Activity
4/5/2006 Hold (>2yr)
WPS Provider
Denied
Professional 251 J RIZAL STREET, SILANG
GLOBAL MEDICAL NETWORK, 204 J&B III
BUILDING, QUEZON CORNER LEDESMA
Professional STREETS, ILOILO CITY,
Institutional
4/2/2007
CAVITE
Denied
PASIG CITY
Denied
PAMPANGA
Denied
PAMPANGA
Denied
No Activity
3/27/2006 Hold (>2yr)
5/7/2010
WPS Provider
5/4/2010
WPS Provider
Anesthesiolog
12/17/2009 File Updated added denied date on wps 2/22/2010 y
WPS Provider
9/10/2008 File Updated 09/10/2008
10/13/2008
WPS Provider
2/4/2008 File Updated 12/03/2007
WPS Provider
WPS Provider
2/2/2009
6/10/2011
12/28/2009
No Activity
8/31/2005 Hold (>2yr)
Status and Workflow
Owner - KD
12/9/2005
No Activity
5/3/2007 Hold (>2yr)
Status and Workflow
Owner - KD
6/25/2007
No Activity
7/25/2006 Hold (>2yr)
Status and Workflow
Owner - KD
2/19/2007
No Activity
10/17/2005 Hold (>2yr)
Status and Workflow
Owner - KD
2/4/2008
WPS Provider
1/26/2009 File Updated 01/26/2009
2/16/2009
CAVITE
Denied
WPS Provider
WPS Provider
WPS Provider
WPS Provider
02/14/2006
6/5/2006
LA UNION
Denied
WPS Provider
10/29/2008 File Updated 10/29/2008
11/10/2008
BACOLOD CITY Denied
Page 6
10/10/2005
03/20/2006
ADDED DENIED DATE
ON WPS
2/2/2009
5/18/2006
11/2/2010 Cardiology
ANG, ALBERTO S., MD
ANG, CHARLES K., MD
ANG, CYNTHIA D., MD
ANG, MARY JOCELYN U., MD
ANG, REYNALDO E., MD
ANG, WILBERT M.D.
ROOM 27 DOCTORS OFFICE ANNEX
BUILDING, SAN JUAN DE DIOS
EDUCATIONAL FOUNDATION HOSPITAL,
Professional 2772 ROXAS BOULEVARD
VELEZ CORNER NACALABAN STREETS,
Professional CAGAYAN DE ORO CITY
REHABILITATION DEPARTMENT,
CARDINAL SANTOS MEDICAL CENTER,
Professional WILSON STREET, GREENHILLS
ASIAN EYE INSTITUTE, 10TH FLOOR
PHINMA PLAZA BLDG, ROCKWELL
Professional CENTER
ROOM 710 MEDICAL ARTS CENTER,
MANILA DOCTORS HOSPITAL, UNITED
Professional NATIONS AVENUE, ERMITA
ANGELES CHILDRENS CLINIC
ANGELES KYUNGSHIN MEDICAL
MISSION CENTER
ANGELES, ANDREW L., MD
ANGELES, ARSENIO, JR. MD
SAN JUAN
MAKATI CITY
MANILA
C/O HEALTH ASSOCIATES INC., ST.LUKES
MEDICAL CENTER, 279 E. RODRIGUEZ
QUEZON CITY
Professional AVENUE
ANGANGCO-DANGUILAN, ROMINA
ROOM 101 NATIONAL KIDNEY
MD
Professional TRANSPLANT INSTITUTE, EAST AVENUE
ANGBUE-TE, WILLIE MD
PASAY CITY
MISAMIS
ORIENTAL
NO. 1357 G. MASANGKAY STREET, STA.
Professional CRUZ
QUEZON CITY
MANILA
RIZAL STREET, ANGELES CITY
PAMPANGA
NO. 63 TIMOTHY STREET, SUNSET
Professional VALLEY HOMES, CUTCUT, ANGELES CITY PAMPANGA
AUF MEDICAL CENTER, MC ARTHUR
PAMPANGA
Professional HIGHWAY, ANGELES CITY
Institutional
STALL NO.18, DOLOR HOTEL, VINSONS
Professional AVENUE, DAET
CAMARINES
NORTE
MEDICAL CENTER, 279 E.RODRIGUEZ
ANGELES, MA. ERMELINDA L., M.D. Professional SR.AVENUE
QUEZON CITY
ROOM 5009 UNIVERSITY OF SANTO
TOMAS HOSPITAL A, LACSON STREET,
ANGELICA-ROASA, ELIZABETH, MD Professional SAMPALOC, ESPAÑA,
MANILA
ANGELITO U. MEDINA MD CLINIC
ANGELES MEDICAL CENTER, RIZAL
BRANCH 1
Institutional STREET, LOURDES SUR, ANGELES CITY PAMPANGA
ANGELS INSTITUTE OF LEARNING
MANDALUYON
INC
G CITY
Professional 458 MALAYA ST BRGY PLAINVIEW
NO. 140 GLADYS BLDG., QUEZON
ANGONO MEDISHOP
RIZAL
Institutional AVENUE, SAN ISIDRO, ANGONO
ANGWAY,VANESA
PANGASINAN
ANNABELLE DARVIN-MERCADO
DENTAL CLINIC
ANONUEVO, JOHN C., MD
7 GEN.J.CASTANEDA, IMUS
CAVITE
ROOM 315 DON SANTIAGO BUILDING, NO.
MANILA
ANONUEVO, JOHN MD
RM.314 MEDICAL OFFICE B, CIVIC DRIVE
Professional FILINVEST CORPORATE CITY, ALABANG
Institutional
ANSCOM MEDICAL SUPPLIES AND
HOSPITAL EQUIPMENT
Institutional
ANTONIO, NARCISO VICTORIO A.,
MD
Professional
IMELDA B. VILLANUEVA, 1416 RIZAL
AVENUE, STA.CRUZ
GOV. ABLAN CORNER D. SAMONTE
STREET, LAOAG CITY
APOLINARIO, NAPOLEON M., MD
TEACHERS VILLAGE PHASE 1,
Professional WASHINGTON DRIVE, LEGAZPI CITY
ROOM 245 MEDICAL CENTER MANILA,
Professional 1122 GEN LUNA STREET, PACO,
Apostol,Bien
Professional No 62 18 St E B B
APOLINAR, MA. LUISA S., MD
APU DRUG CORPORATION
AQUINO, ENRICO R., MD
MUNTINLUPA
CITY
MANILA
Denied
Denied
Denied
Denied
Denied
Denied
Denied
9/11/2006
No Activity
8/16/2005 Hold (>2yr)
Status and Workflow
Owner - KD
9/18/2006
No Activity
10/5/2004 Hold (>2yr)
Status and Workflow
Owner - KD
9/4/2006
No Activity
6/20/2006 Hold (>2yr)
Status and Workflow
Owner - KD
3/19/2007
Status and Workflow
Owner - KD
9/11/2006
Denied
12/10/2007
Denied
12/29/2008
Denied
Denied
Denied
Denied
Denied
Denied
Denied
Denied
Denied
Denied
MANILA
Denied
Olongapo City
Denied
COR PLARIDEL AND CATALINA STS NEPO
ANGELES CITY Denied
Institutional MART
ROOM 215 MAKATI MEDICAL CENTER, NO.
2 AMORSOLO CORNER DELA ROSA
MAKATI CITY
Professional STREET, LEGASPI VILLAGE
Denied
Page 7
No Activity
9/19/2005 Hold (>2yr)
Status and Workflow
Owner - KD
6/20/2006
ALBAY
NO.8 ATIS STREET, PANDAN ANGELES
PAMPANGA
Professional CITY
ST. DOMINIC MEDICAL CENTER, E.
AQUINO, MARCELIANO T., JR., MD Professional AGUINALDO HIGHWAY, TALABA, BACOOR CAVITE
3/17/2008
Denied
Denied
Denied
Denied
2/9/2009
No Activity
3/13/2006 Hold (>2yr)
10/12/2005
Denied
9/8/2008
Status and Workflow
Owner - KD
Denied
ILOCOS NORTE Denied
AQUINO, MANUEL, MD
WPS Provider
8/25/2008 File Updated 08/25/2008
WPS Provider
12/24/2008 File Updated 12/24/2008
No Activity
Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
4/2/2007
1/28/2008
4/20/2009
No Activity
4/7/2003 Hold (>2yr)
Status and Workflow
Owner - KD
6/27/2005
No Activity
7/6/2004 Hold (>2yr)
Status and Workflow
Owner - KD
9/4/2006
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
07/17/2007
01/29/2007
ADDED DENIED DATE
ON WPS
5/28/2007
6/15/2010
3/8/2010
ADDED DENIED DATE
ON WPS
10/18/2010
Status and Workflow
Owner - KD
No Activity
4/25/2005 Hold (>2yr)
WPS Provider
2/23/2007 File Updated 02/23/2007
Request
Certification/R Need to have
1/4/2005 ecertification recertification on provider
Status and Workflow
Owner - KD
No Activity
8/29/2005 Hold (>2yr)
WPS Provider
12/11/2006 File Updated 12/11/2006
Status and Workflow
Owner - KD
No Activity
1/30/2006 Hold (>2yr)
WPS Provider
10/13/2008 File Updated 10/13/2008
Request
Certification/R
IntlSOS
Update
7/28/2005 Complete
10/29/2007
NEED TO RECERT
RECEIVED PROVIDER
ADDRESS
none
Status and Workflow
Owner - KD
No Activity
2/8/2004 Hold (>2yr)
WPS Provider
7/30/2008 File Updated 07/30/2008
4/7/2005
5/28/2007
4/4/2005
3/10/2005
6/4/2007
6/12/2006
11/17/2008
8/10/2009
2/20/2006
7/4/2011
7/31/2006
3/23/2009
AQUINO, SIMEON EMMANUEL J.,
MD
Aquino,Elvie,D,MD
Aquino,Julia Grace,R,MD
Professional Olongapo City 110a National Hwy Bo Barretto Zambales
AQUINO, MARTHA L.S.MILLAR-.,
M.D.
ARADA, ERNESTO III V., MD
DE LA SALLE UNIVERSITY MEDICAL
Professional CENTER, DASMARINAS
ARANAS, JOSEPH ANTHONY M.,
MD
Aranas,Joseph Anthony,M,MD
ARAFILES, NAIA B., MD
Arandia,Eduardo,G,MD
MUNTINLUPA
CITY
Denied
RIZAL
Denied
Olongapo City
Denied
CAVITE
Denied
MUNTINLUPA
CITY
Denied
PASIG CITY
Denied
Manila
Denied
Quezon City
Denied
PASAY CITY
Denied
DAVAO CITY
Professional RM 210 2ND FLOOR PELAYO ST
Rm 205 2F Musmdc Ef Square Bldg Mcarthur
Pangasinan
Professional Hwy Urdaneta City
Denied
PAMPANGA
Denied
ARCELLANA NUQUI, ELIZABETH
YUVIE, MD
Professional 405 PANDACAQUI REST AREA MEXICO
Arcellana Nuqui,Elizabeth
Professional G F Ever Gotesco Mall Ortigas Ave Ext
Pasig City
ARANETA,JOVEN,MD
ARANIEGO,JOEL ERNEST,L,MD
Arcalas,Leo,MD
ARCEBIDO,VIRGILIO CHITO,G,MD
Professional 279 E Rodriguez Sr Ave
2772 2774 ROXAS BLVD SAN JUAN DE
Professional DIOS HOSPITAL
Denied
Denied
CYBERCARE, INC., 57 DON JUICO AVENUE
(PERIMETER ROAD, CLARKFIELD)
RIVERSIDE SUBDIVISION, BARANGAY
ARCENA, MA.BERNADETTE M., MD Professional ANUNAS, ANGELES CITY,
PAMPANGA
MADREDEJOS STREET, POBLACION III,
ARCENA, NATIVIDAD C.
Professional NAGCARLAN
CENTER, ROOM. 100 G/F SAN LUIS
ARCILLA, CRISOSTOMO JR. E., MD Professional TERRACES, NO. 638 TM KALAW STREET,
AREVALO JUANILLO, HELEN
Denied
Denied
No Activity
4/5/2004 Hold (>2yr)
Status and Workflow
Owner - KD
WPS Provider
6/25/2008 File Updated 06/25/2008
WPS Provider
No Activity
5/7/2004 Hold (>2yr)
Status and Workflow
Owner - KD
9/4/2006
04/16/2008
2/2/2009
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
9/28/2009
already denied as of 8-309
ADDED DENIED DATE
ON WPS
8/31/2010
6/23/2010
WPS Provider
7/16/2008 File Updated 07/16/2008
WPS Provider
No Activity
11/14/2005 Hold (>2yr)
2/6/2010
Denied
PAMPANGA
Denied
TARLAC
Denied
ARIAS,VICENTE SOCRATE
ARKONCEL,ARTURO
MARTIN,P,III,MD
Professional 2674 PAMPANG ROAD, ANGELES CITY
GALINGAGAD BUILDING, MED AVENUE,
Professional CAPAS
2012 2ND STREET, FAIRLANE
Professional SUBDIVISION, TARLAC CITY
MV SANTIAGO MED CTR BRGY DE
Professional OCAMPO TRECE MARTIRES
PAMP MEDICAL SPECIALIST HOSP OLO
Professional GAPAN RD SAN ANTONIO GUGUA
Arkoncell,Arturo Martin,P,III
Professional Salvador Bldg Parang Parang Orani
ARNEL G. MILAY MEDICAL CLINIC
ARNEL GERARD R. GAZMEN MD
FICS
Institutional
Institutional
NO. 924 IBAYO SILANGAN, NAIC
A B FERNANDEZ EAST AVENUE,
DAGUPAN CITY
ARQUILLANO,ARMAN,D
ROOM 215 ANGELES UNIVERSITY
FOUNDATION MEDICAL CENTER,
Professional MCARTHUR HIGHWAY , ANGELES CITY
RM 209 2F OUR LADY OF PILLAR TAMSUI
Professional AVE BAYAN LUMA IMUS
ARQUILLO,SYLVIA,O,MD
Professional STO TOMAS MAGARAO
ARNEL, JUANITO AYRO Q., MD
ARREZA, ANGELO A., MD
Arriola,Felipe,L,MD
ARROYO, MILAGROS H., MD
4/23/2010
3/19/2007
CAMARINES
SUR
RM 612 MED ARTS CENTER BLDG T.M.
KALAW STREET
7/28/2008
Status and Workflow
Owner - KD
WPS Provider
Institutional
9/20/2010
Status and Workflow
Owner - KD
11/26/2007
Denied
ARMS MEDICAL SPECIALIES CO
8/3/2009
10/30/2009
MANILA
ARGUELLES, LEONARDO P., MD
2/2/2010
1/29/2007
Denied
ARGUELLES, ANNE, PTRP
Family
12/16/2010 Practice
No Activity
10/5/2006 Hold (>2yr)
LAGUNA
AREVALO MEDICAL CLINIC
7/28/2008
Status and Workflow
Owner - KD
No Activity
4/27/2006 Hold (>2yr)
AREVALO MEDICAL CLINIC
5/8/2006
WPS Provider
7/2/2008 File Updated 07/02/2008
WPS Provider
8/4/2008 File Updated 08/04/2008
WPS Provider
8/4/2008 File Updated 08/04/2008
2/2/2009
8/25/2008
9/1/2008
CAVITE
Denied
PAMPANGA
Denied
WPS Provider
WPS Provider
WPS Provider
WPS Provider
Bataan
Denied
WPS Provider added denied date on wps
3/1/2010
Denied
Status and Workflow
Owner - KD
5/18/2006
Status and Workflow
Owner - KD
5/12/2008
TARLAC
MANILA
Denied
CAVITE
Denied
PANGASINAN
Denied
las pinas city
Denied
CAVITE 4103
CAMARINES
SUR
Denied
Denied
CASA MEDICA, LOWER GROUND FLOOR,
Professional EAST SIDE SM SOUTHMALL,
Subic Town Med Spec Diag Ctr 015 National
Zambales
Professional Hwy Calapandayan
Denied
TRUECARE MEDICAL CORPORATION,
ROOM 1011 MEDICAL ARTS TOWER 1
BUILDING, THE MEDICAL CITY, ORTIGAS
PASIG CITY
Professional AVENUE EXTENSION, UGONG
Denied
Page 8
No Activity
12/22/2005 Hold (>2yr)
10/06/2008
02/20/2008
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
No Activity
9/17/2007 Hold (>2yr)
WPS Provider
3/30/2009 File Updated 03/30/2009
No Activity
Status and Workflow
Owner - KD
3/25/2009 Hold (>2yr)
10/27/2008
5/5/2008
Anesthesiolog
2/10/2011 y
12/17/2010
4/27/2009
7/27/2009
4/21/2011
5/21/2011
Status and Workflow
Owner - KD
11/12/2007
No Activity
10/3/2005 Hold (>2yr)
WPS Provider
3/9/2009 File Updated already updated
WPS Provider
9/4/2008 File Updated 09/04/2008
8/3/2009
9/15/2008
ARUCAN PHARMACY
ARUCAN, LAPULAPU M., MD
ARZADON CATUBAY, CATALINA
ARZADON IV, JAIME ANTHONY A.,
M.D.
ARZADON MEDICAL CLINIC
ARZADON, MARY JANE, M.D.
AS SKIN CLINIC
Institutional
REGALA BLDG CORNER MCARTHUR
HIWAY FIELDS AVENUE, BALIBAGO,
ANGELES CITY
PAMPANGA
McARTHUR HIGHWAY CORNER. IMELDA
Professional AVENUE, BALIBAGO ANGELES CITY
Professional DELGADO CLINIC, KAMUNING
NO. 55 P. ZAMORA STREET, SAN
Denied
PAMPANGA
Denied
QUEZON CITY
Denied
MUNTINLUPA
CITY
Denied
LA UNION
MUNTINLUPA
CITY
Denied
6/27/2010
Status and Workflow
Owner - KD
7/25/2005
No Activity
7/1/2005 Hold (>2yr)
WPS Provider
WPS Provider
9/27/2005 File Updated 09/27/2005
PASIG CITY
WPS Provider
6/30/2008 File Updated 06/30/2008
Denied
ASEDILLO, CATHERINE MD
Asedillo,Emmanuel,R
Pasig City
Denied
ASERON,MARIO,R,MD
Professional 157 TIRONA HI WAY HABAY BACOOR
CAVITE
Denied
ASIA LIFE ENTERPRISES
4814 CAMIA ST MARIMAR VILLAGE SUN
Professional VALLEY
PARANAQUE
CITY
Denied
Asian Aesthetics & Anti Aging Inc
Professional 2F Liberty Plz H V Dela Costa St Salcedo Vill Makati City
ASPIRAS, GUILVIC TIRSO MD
ST.LUKE'S MEDICAL CENTER, 279
QUEZON CITY
Professional E.RODRIGUEZ SR. BOULEVARD
EVACARE MEDICAL CLINIC, UNIT 105, DEL
PILAR PLACE, M.H. DEL PILAR STREET,
PANGASINAN
Professional DAGUPAN CITY
ATIENZA MALABUYOC, JANETH MD Professional FERNANDO AVENUE SAN ROQUE
ATILANO-ICLIVE, VICAR G., MD
Professional NO. 469 QUEZON AVENUE
ATILANO-OBSIOMA, MARIA
ARLEEN, MD
ATING PAGAMUTAN MULTI
SPECIALTY CLINIC
SABAL DOCTORS HOSPITAL, VELEZ
Professional STREET, CAGAYAN DE ORO CITY
PERPETUAL HELP MEDICAL CENTER,
Institutional BINAN
STALL A MEJIA BLDG MAC ARTHUR SAN
ATTAY AT DOK COM DRUG STORE Professional ISIDRO CITY OF SAN FERNAND
AUSTRIA, ROSALINA R., PT
AVANZADO, FIDEL MARIE MD
NO. 10 CIRILO STREET, ISIDORA HILLS,
Professional BRGY. HOLY SPIRIT
COMMUNITY HOSPITAL OF SAN PABLO
CITY, C-COLAGO AVENUE, SAN PABLO
Professional CITY
Denied
No Activity
6/27/2005 Hold (>2yr)
Status and Workflow
Owner - KD
Denied
WPS Provider
5/21/2008 File Updated 05/21/2008
8/4/2008
7/13/2009
5/30/2011
7/19/2010
5/11/2010
5/12/2005
6/16/2008
PAMPANGA
Denied
WPS Provider
8/13/2007 File Updated 08/13/2007
9/17/2007
PANGASINAN
Denied
WPS Provider
6/9/2008 File Updated 06/09/2008
10/6/2008
Institutional
ASUNCION, JUVY Q., MD
Denied
WPS Provider DISREGARD ADDED
5/7/2010 File Updated DENIED DATE ON WPS
WPS Provider
7/31/2006
Denied
ASTHMA RX CENTER
ASTILLERO, MYRNA B., MD
6/22/2009 File Updated with denied date 7-13-09
WPS Provider
2/22/2010
MAKATI CITY
ASPREY TIME INC
ASSOCIATED EYE SPECIALISTS
CO
ASSOCIATION OF PRIVATE DUTY
NURSE PRACTITIONERS
ASSOCIATION OF PRIVATE DUTY
NURSES PRACTICE
NO. 9821 KAMAGONG
M-M PHYSICAL THERAPY CLINIC,
MEDICAL CENTRUM DAGUPAN, GROUND
Professional FLOOR A B FERNANDEZ AVENUE EAST,
Denied
5/8/2006
No Activity
Status and Workflow
Owner - KD
6/2/2008 Hold (>2yr)
WPS Provider
6/4/2008 File Updated 06/04/2008
WPS Provider
1/24/2006 File Updated 01/24/2006
WPS Provider
3/12/2007 File Updated 03/12/2007
PANGASINAN
K 111 SM CITY CLARK M ROXAS
ANGELES CITY
Professional CLARKFIELD PAMPANGA
DUMANGUETE
Professional HYPERMART VALENCIA ROAD BAGACAY CITY
UP PGH CHAPTER, TAFT AVENUE,
MANILA
Professional ERMITA
PARANAQUE
CITY
Institutional DR A SANTOS AVE SUCAT RD
ASPIRAS, GUILVIC TIRSO MD
3/23/2009
WPS Provider
Cavite
ASIS, REDENTOR CONSTANCIO,
MD
No Activity
9/4/2004 Hold (>2yr)
WPS Provider
8/20/2008 File Updated 08/20/2008
8/14/2006
Denied
ASCANO, DORIS T., MD
Status and Workflow
Owner - KD
11/10/2004
Denied
CAVITE
Asb Diagnostic Services
7/31/2006
WPS Provider
4/5/2004 File Updated 04/05/2004
WPS Provider
1/18/2006 File Updated 01/18/2006
POBLACION 1 - C IMUS
Excess Lot Bpi Compound Cong San Manuell
Professional II Dasmarinas
LAS PINAS CITY MEDICAL CENTER, M.
Professional ALVAREZ STREET, TALON V
Institutional
No Activity
8/23/2004 Hold (>2yr)
Status and Workflow
Owner - KD
Denied
Denied
Denied
Denied
Denied
QUEZON CITY
Denied
6/16/2008
6/18/2010
5/19/2011
7/7/2008
4/24/2006
4/23/2007
No Activity
4/16/2008 Hold (>2yr)
Status and Workflow
Owner - KD
6/2/2008
No Activity
9/1/2006 Hold (>2yr)
Status and Workflow
Owner - KD
5/28/2007
Status and Workflow
Owner - KD
1/14/2008
MISAMIS
ORIENTAL
Denied
LAGUNA
Denied
PAMPANGA
Denied
No Activity
12/5/2005 Hold (>2yr)
WPS Provider
Denied
No Activity
10/19/2005 Hold (>2yr)
Status and Workflow
Owner - KD
4/21/2008
No Activity
5/30/2005 Hold (>2yr)
Status and Workflow
Owner - KD
5/7/2007
QUEZON CITY
LAGUNA
Page 9
Denied
2/23/2010
1/31/2011
AVENGOZA, ERWIN CRESCINI,
M.D.
AVENTUS MEDICAL CARE INC
DOOR 4, NAGA MONTANA ARCADE, OLD
MOTHER SETON COMPOUND,
Professional PANGANIBAN DRIVE, NAGA CITY
4TH FLR BENEFICIAL PNB LIFE BLDG 166
Institutional SALCEDO ST LEGASPI
AVILA PATHOLOGY CLINICAL
SERVICES
Institutional
AVILA-SO, SERGIO MD
Professional
AVS MEDICAL CLINIC
Professional
AYRO, ARNEL MD
Professional
AYRO, KATHRYNA LESLEY T.
Professional
Ayro,Arnel,MD
Professional
AYROSO, ONOFRE G., MD
AYSON, MA. LUCINA V., MD
1336 TAFT AVENUE, ERMITA
13-C JUINIPER BUILDING, LOWER GEN.
LUNA ROAD
2ND FL 1214 ARQUIZA TRADE CTR COR M
H DEL PILAR ST
ACCUCARE MEDICAL ASSOCIATES INC.,
HENSON STREET, ANGELES CITY,
4 13C PACIMAR ESTATE, PULUNGBULO,
ANGELES CITY,
St Catherine Alex Fnd Med Ctr 4163 Rizal St
Ext Angeles City
Professional BALAYAN
Professional
AYSON, MA. ROBERTA MD
Professional
AYSON, ROBERTA S., MD
Professional
AZAREEL HEALTH & WELLNESS
SERVICE
Professional
AZARIAH MEDICAL & THERAPY
CLINIC
Professional
AZARRAGA,ELENA,C,MD
Professional
Azcarraga Ong,Venggie
Professional
AZORES, GREGORIO MARCELO S.,
MD
Professional
BACANI, JOSE ANTONIO MD
SPECIALTY HOSPITAL
SPECIALTY HOSPITAL
BACOLOD ULTRASOUND
DIAGNOSTIC CENTER INC
BACULI, GINA O., RN
BADIOLA, ROLANDO E., MD
BADIOLA, ROLANDO E., MD
BADIOLA,ROLANDO,E
BADIRA, RAZANDRO, MD
Baguen,Glenda Rachel,R,MD
BAGUIO HEART & LUNG
DIAGNOSTIC CENTER
BAGUIO UNITED MEDICAL
LABORATORY, INC
BAI, JUSTINIANO
BAJET, DIANA, RN
BALAGAPO, BELEN A.,MD
Balagat,Rogelio
Institutional
Denied
MAKATI CITY
Denied
MANILA
Denied
Status and Workflow
Owner - KD
BAGUIO CITY
Denied
ERMITA MANILA Denied
PAMPANGA
Denied
PAMPANGA
Denied
Pampanga
Denied
BATANGAS
AN BALUYOT MEDICAL CLINIC, MOTHER
OF PERPETUAL HELP HOSPITAL, STO.
ANGELES CITY
LIFELINE MEDICAL CENTER, NO. 57 DON
JUICO STREET, RIVERSIDE SUBDIVISION,
ANUNAS, ANGELES CITY
ROOM 302 MARIAN MEDICAL ARTS
BUILDING, DAHLIA CORNER REGALADO
AVENUE, WEST FAIRVIEW
AVENUE, WEST FAIRVIEW
RM 418 MEDICO BLDG LOURDES ST
CORD SAN MIGUEL AVE ORTIGAS
Brgy San Antonio Nabua Laut Bldg Diversion
Rd
CENTER - TAYTAY BRANCH, NO. 53 E.
RODRIGUEZ AVENUE, TAYTAY
AZORES, GREGORIO MARCELO S.,
MD
Professional ROAD, ALABANG
UNIT 608 609 2301 CIVIC PLACE FILINVEST
BABARAN,CARMEN,C,MD
Professional CITY ALABANG
BACANI DIAGNOSTIC
LABORATORY
CAMARINES
SUR
No Activity
Status and Workflow
Owner - KD
4/26/2004 Hold (>2yr)
2170 KULIAT STREET, ANGELES CITY
PAMPANGA
6/25/2007
2/14/2011
9/8/2008
3/2/2009
10/26/2009
No Activity
3/8/2005 Hold (>2yr)
Status and Workflow
Owner - KD
4/4/2005
No Activity
10/23/2006 Hold (>2yr)
Status and Workflow
Owner - KD
2/2/2009
10/23/2009
PAMPANGA
Denied
1/10/2008 File Updated ON PDS
10/23/2009
QUEZON CITY
Denied
WPS Provider
QUEZON CITY
Denied
PASIG CITY
Denied
Camarines Sur
Denied
WPS Provider
WPS Provider
WPS Provider
RIZAL
Denied
WPS Provider
MUNTINLUPA
CITY
MUNTINLUPA
CITY
5/25/2010
added denied date to pds
10/23/2009
12/7/2009
Status and Workflow
Owner - KD
Denied
PAMPANGA
Denied
PAMPANGA
Denied
PAMPANGA
Denied
PAMPANGA
Denied
Marikina City
Denied
BAGUIO CITY
Denied
LEYTE
Mandaluyong
City
Page 10
10/7/2009
16-02-04:
TRANSFERRED FROM
WPS Provider NON-INSTITUTIONAL
2/16/2004 File Updated LIST
Denied
QUEZON CITY
updated sub id & remove
certification
Denied
QUEZON CITY
2ND FLOOR FABIS BUILDING LAKANDULA
Professional AND LAPU-LAPU STREETS, MAGSAYSAY BAGUIO CITY
OUR LADY OF PURIFICATION DOCTORS
PANGASINAN
Professional HOSPITAL, RIZAL STREET, BINMALEY
1/20/2010
No Activity
7/31/2006 Hold (>2yr)
WPS Provider
Denied
BACOLOD CITY Denied
ANUNAS FRIENDSHIP HI-WAY, ANGELES
Professional CITY
Unit 18 Marikina E Cent Bld 83 Gil Fernando
Professional Ave San Roque
ROOM A112, UB FB BUILDING,
Professional ASSUMPTION ROAD
6/2/2006
Denied
NEGROS
OCCIDENTAL
Denied
NEGROS
OCCIDENTAL
Denied
Professional ERORECO MANDALAGAN
ST. LUKE'S MEDICAL CENTER, 279 E.
DEE HWA LIONG FOUNDATION AND
MEDICAL CENTER, SAPANG MAISAC,
Professional DUQUIT, MABALACAT
MCARTHUR HI WAY SAN FRANCISCO
Professional MABALACAT
Professional 111-D SIKATUNA VILLAGE
ROOM 29 DIVINE WORD UNIVERSITY,
Professional AVENIDA VETERANOS, TACLOBAN CITY
Denied
WPS Provider
7/16/2008 File Updated 07/16/2008
WPS Provider
12/29/2008 File Updated 12/29/2008
WPS Provider
7/1/2010
WPS Provider
6/30/2008 File Updated added denied date to pds
PAMPANGA
PAMPANGA
2ND FLOOR MEGAN-D DRUG STORE
Professional SUMULONG HIGHWAY
ERORECO SUBDIVISION MANDALAGAN,
Professional BACOLOD CITY
ERORECO SUBDIVISION MANDALAGAN,
Institutional BACOLOD CITY
Denied
No Activity
8/12/2005 Hold (>2yr)
WPS Provider
1/15/2007 File Updated 01/15/2007
3/5/2007
Denied
Denied
Denied
Denied
Denied
No Activity
5/30/2005 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
Status and Workflow
Owner - KD
6/6/2011
3/13/2006
6/4/2007
ADDED DENIED DATE
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
5/27/2011
01/12/2009
4/13/2009
WPS Provider
WPS Provider
8/18/2008
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
Status and Workflow
Owner - KD
No Activity
5/9/2006 Hold (>2yr)
WPS Provider
WPS Provider
4/30/2008 File Updated 04/30/2008
updatet due to deletion of
WPS Provider duplicate provider from
3/13/2008 File Updated SP
WPS Provider
7/10/2008 File Updated 07/10/2008
5/27/2011
5/5/2011
5/31/2010
10/26/2010
5/16/2011
6/5/2006
11/25/2009
5/26/2008
3/10/2008
7/28/2008
Status and Workflow
Owner - KD
12/31/2007
No Activity
5/12/2005 Hold (>2yr)
WPS Provider
11/22/2005 File Updated 11/22/2005
WPS Provider
3/20/2006
12/4/2009
BALALTA, GREGORIO L.,MD
Professional 251 J RIZAL STREET, SILANG
CAVITE
Denied
BALANON, LORETO JR. O., MD
Professional STA. BARBARA, AGOO
LA UNION
Denied
BALATA MEDICAL LABORATORY
Institutional
CAVITE
Denied
BALBIDOS CLINICAL & X-RAY
LABORATORY
BALCITA FAMILY DENTISTRY
BALCITA, LARETO E., DMD
BALDEVISO, ELISEO C., MD
Institutional
NO. 117 GIL PUYAT AVENUE
PASAY CITY
Denied
Institutional
OSMENA STREET, SAN FERNANDO
LA UNION
Denied
Professional OSMENA STREET, SAN FERNANDO
Professional
BALGOS, ABUNDIO A.,MD
Professional
BALIBAGO OB-GYNE CLINIC
Professional
BALID, GILBERT P., MD
Professional
Balintona,Reynaldo,F
BALITA, ROSELINE MARIE MD
LA UNION
8238 SGT.F.YABUT STREET, GUADALUPE
MAKATI CITY
Professional NUEVO
BALETE, BOBBY MD
BALINGIT, JOCELYN E., MD
251 J RIZAL STREET SILANG
OUR LADY OF LOURDES HOSPITAL,
MEDICAL ARTS BUILDING, ROOM 402
P.SANCHEZ, STA.MESA
ROOM 308 MEDICAL ARTS BUILDING, T.M.
KALAW STREET
NO.3, 7/F BUILDING MCARTHUR
HIGHWAY, CORNER FIELDS AVENUE,
BALIBAGO, ANGELES CITY
VELASCO BUILDING, PANGANIBAN DRIVE,
Denied
MANILA
Denied
PAMPANGA
Denied
CAMARINES
SUR
Denied
Professional NO. 1314 M. ALVAREZ AVENUE, TALON V LAS PINAS CITY Denied
Primecare Multi Specialty Heal Sm Bicutan
Paranque City
Professional Bldg B Dona Soledad
Denied
UNIT 18 MARIKINA E. CENTRAL BUILDING,
Professional 83 GIL FERNANDO AVENUE, SAN ROQUE MARIKINA CITY Denied
DIVINE MERCY HOSPITAL, AMANTE
LAGUNA
Professional SUBDIVISION, SAN PEDRO
PFC AMBULATORY MEDICINE & SURGERY
CENTER, RIZAL AVENUE CORNER 3RD
BALMACEDA, RENE P., MD
ZAMBALES
Professional STREET, WEST TAPINAC, OLONGAPO
CLINICA OLONGAPO, C/O MOTHER AND
CHILD HOSPITAL, NO. 75 KESSING
BALMACEDA, RENE VICTOR P., MD Professional STREET, NEW ASINAN, OLONGAPO CITY ZAMBALES
OLONGAPO
BALMACEDA,RENE VICTOR,MD
CITY
Professional NO 62 18 ST E B B
J L GORDON MEMORIAL HOSPITAL RIZAL
BALMACEDA,RENE VICTOR,P
QUEZON CITY
Professional AVE ASINAN
OLONGAPO
BALMACEDA,RENE VICTOR,P,MD Professional JAMES L GORDON MEM HOSPITAL
CITY
Unit 2a Bldg A Subicvest Comm Subic Bay
Balmaceda,Rene,V
Zambales
Professional Gateway Park
Subic Bay
Balmaceda,Rene,V
Freeport
Unit 2a Bldg A Subicvest Comm Subic Bay
Balmaceda,Vilma
Zambales
Professional Gateway Park
Balmaceda,Vilma,B,MD
Professional 9 Tlc Medical Ctr Lower Kal
BALMORES, BENJAMIN A., MD
QUEZON CITY
BALUYOT, ANGELITO JR. N., MD
9160 CATMON STREET, SAN ANTONIO
ROOM 205, 2/F VELASCO BUILDING,
UNIT 18 MARIKINA E CENT BLD 83 GIL
Professional FERNANDO AVE SAN ROQUE
NO. 92 STO. ENTIERRO STREET,
Balza,Raymundo,M,MD
Professional 707 G Del Pilar St Caridad
BALONZO, LEA A., PT
BALTAZAR,JOSE PACIANO,T,MD
BALUYOT, ANGELITO JR. N., MD
BAMBANG MEDICAL SUPPLY
BANAAG, CORNELIO JR., G., MD
Denied
MANILA
BALLENTO, MD
BALOLOY, LEO CARLO DV., MD
Denied
Institutional
1446 RIZAL AVENUE, STA. CRUZ
TRUECARE MEDICAL CLINIC, UNIT 18
Olongapo City
MAKATI CITY
CAMARINES
SUR
Status and Workflow
Owner - KD
No Activity
11/15/2006 Hold (>2yr)
WPS Provider
3/6/2006 File Updated 03/06/2006
9/25/2006
Status and Workflow
Owner - KD
5/12/2005
No Activity
6/27/2005 Hold (>2yr)
WPS Provider
9/14/2005 File Updated 09/14/2005
WPS Provider
Status and Workflow
Owner - KD
No Activity
5/2/2006 Hold (>2yr)
WPS Provider
3/31/2010 File Updated same
WPS Provider
7/27/2007 File Updated 07/27/2007
8/11/2010
Denied
1/27/2011
Denied
4/25/2011
Denied
2/26/2010
Denied
4/9/2010
Denied
2/26/2010
Denied
9/14/2009
Denied
Cavite City
Denied
Denied
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
No Activity
2/11/2008 Hold (>2yr)
1/30/2006
12/7/2009
WPS Provider
2/13/2008 File Updated 02/13/2008
Denied
PAMPANGA
5/18/2006
No Activity
6/9/2004 Hold (>2yr)
2/7/2006
Denied
1/1/2007
Status and Workflow
Owner - KD
Denied
Denied
6/3/2006
5/15/2006
Status and Workflow
Owner - KD
Denied
5/5/2008
No Activity
3/6/2006 Hold (>2yr)
Denied
Denied
2/27/2006
Status and Workflow
Owner - KD
No Activity
6/17/2005 Hold (>2yr)
PAMPANGA
Page 11
No Activity
2/7/2006 Hold (>2yr)
WPS Provider
4/16/2008 File Updated 04/16/2008
WPS Provider
2/7/2006 File Updated 02/07/2006
Denied
MANILA
Status and Workflow
Owner - KD
5/26/2008
8/7/2006
4/12/2010
8/13/2007
7/25/2005
5/24/2011
02/07/2006
6/26/2006
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
9/14/2010
4/18/2011
5/2/2011
Gastroenterol
5/17/2010 ogy
5/24/2010
Anesthesiolog
5/17/2010 y
already updated
Status and Workflow
Owner - KD
No Activity
Status and Workflow
Owner - KD
2/13/2007 Hold (>2yr)
WPS Provider
7/10/2006 File Updated 11/28/2005
WPS Provider
6/5/2006 File Updated 05/09/2006
WPS Provider
10/12/2009
8/4/2008
8/17/2009
1/24/2011
3/8/2011
2/2/2009
3/30/2009
12/1/2009
No Activity
Hold (>2yr)
Status and Workflow
Owner - KD
11/10/2004
No Activity
11/15/2007 Hold (>2yr)
Status and Workflow
Owner - KD
12/17/2007
BANARES, MYRNA N., MD
Professional
BANDOLA, ANGELA MD
Professional
BANDOLA, ANGELA MD
Professional
BANDOLA, FREDERIC MD
Professional
BANDOLA, FREDERICK C., MD
Professional
BANDOLA, FREDERICK C., MD
Professional
BANDOLA, FREDERICK MD
Professional
Bandong,Maria Conchitin,T,MD
Professional
BANEZ, VIRGILIO P., MD
Professional
Banez,Virgilio,P,MD
Professional
Banlic Dialysis Clinic
BANSIL, ARCE IBARRA, MD
BANZON, JOSE F., MD
Professional
BANZON, JOSE FRENCO MD
Professional
BANZON, JOSE MD
Professional
BANZON, JOSE MD
Professional
BARRAMEDA, CATALINA B., MD
BARRAMEDA, CATALINA B., MD
BARRAMEDA, ROBERT D., MD
BARRENECHEA, EDUARDO, MD
Denied
No Activity
5/12/2005 Hold (>2yr)
PASIG CITY
Denied
WPS Provider
6/23/2008 File Updated 06/23/2008
8/4/2008
PASIG CITY
Denied
WPS Provider
10/20/2008 File Updated 10/20/2008
11/3/2008
Denied
WPS Provider
6/16/2008 File Updated 06/16/2008
8/4/2008
WPS Provider
3/31/2008 File Updated 03/31/2008
6/9/2008
PASIG CITY
PASIG CITY
Denied
Caloocan City
Denied
MANILA
Denied
Manila
Denied
Pampanga
SUITE 2006 MEDICAL ARTS BUILDING,
UNIVERSITY OF SANTO TOMAS
HOSPITAL, ESPANA, SAMPALOC
MAYAMOT, ANTIPOLO CITY
EXTENSION,
GIL FERNANDO AVENUE, SAN ROQUE
AVENUE EXTENSION, UGONG
ROOM 8, 2 & 3 BUILDING, MACARTHUR
Professional HIGHWAY, MALOLOS
Denied
Denied
07/23/2008
updated pds with denied
date
10/23/2009
06/05/2006
12/18/2006
8/11/2008
7/20/2009
ADDED DENIED DATE
TO PDS
10/25/2009
No Activity
9/12/2005 Hold (>2yr)
Status and Workflow
Owner - KD
9/17/2007
Status and Workflow
Owner - KD
1/8/2007
Denied
RIZAL
Denied
WPS Provider
10/6/2008 File Updated 10/06/2008
2/16/2009
PASIG CITY
Denied
WPS Provider
3/23/2009 File Updated 03/23/2009
4/13/2009
WPS Provider
12/10/2007 File Updated 12/10/2007
2/11/2008
WPS Provider
6/23/2008 File Updated 06/23/2008
7/28/2008
PASIG CITY
Denied
Denied
Denied
ALBAY
Denied
ALBAY
Denied
BULACAN
Denied
BARZAGA, ROBERTO A., MD
Basa,Christine,R
Professional San Agustin Candaba
BASCO, MARTHONY P., MD
BUILDING, FEU - NMRF MEDICAL CENTER,
REGALADO AVENUE CORNER DAHLIA
QUEZON CITY
Professional STREET, WEST FAIRVIEW
Denied
Basilan,Janet,
Professional Ste 104 G F Velasco Bldg Panganiban dr
Camarines Sur
Denied
Basilio,Emilio Rommel
Professional L Cortes St San Nicolas
Tarlac City
Denied
BARTOLO, DIOSDADO JR., MD
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
6/16/2008
No Activity
6/29/2006 Hold (>2yr)
MERCEDES MEDICAL CENTER C/O
DALLAS MEDICAL GROUP INC., NO. 076
STO. ENTIERRO STREET, STO. CRISTO,
BARRO, RAMSEY JAMES S., MD
No Activity
4/30/2008 Hold (>2yr)
Status and Workflow
Owner - KD
MANILA
ROOM 601 REAR TOWER, CATHEDRAL
CENTER NO. 279 E. RODRIGUEZ
QUEZON CITY
BAGUIO GENERAL HOSPITAL, GOV. PACK
BAGUIO CITY
Professional ROAD
DARAGA MEDICAL & DIABETES CENTER,
BURGOS STREET, ILAWOD 3,
Professional BAGUMBAYAN DARAGA
LEGAZPI CITY DIABETES ONE STOP
CENTER, LANDCO PACIFIC CENTER,
Professional CAPANTAWAN, LEGAZPI CITY
Status and Workflow
Owner - KD
11/21/2005
QUEZON CITY
Professional 1417-D MAYHALIGUE STREET, STA. CRUZ MANILA
Professional
BARENG-RESTUA, MILAGROS MD
FERNANDO AVENUE SAN ROQUE
EXTENSION,
Caloocan General Hospital 450 A mabini St
Brgy 19 Zone 2
MANILA DOCTORS HOSPITAL, MEDICAL
ARTS CENTRE UN. AVENUE, ERMITA
University of the Philippines, Philline General
Hospital Medical Ctr Taft Ave,
Professional Rm 410 MAB Maimpis San Fernando City
BANZON, CONRAD P., MD
BARBA, RANDOLPH J A MD
ST.LUKE'S MEDICAL CENTER,
E.RODRIGUEZ SR., BOULEVARD,
KALUSUGAN
EXTENSION,
PAMPANGA
Denied
QUEZON CITY
Denied
Pampanga
Denied
Page 12
No Activity
12/19/2005 Hold (>2yr)
WPS Provider
No Activity
6/27/2005 Hold (>2yr)
Status and Workflow
Owner - KD
Cardiology;#In
12/11/2009 ternal
Status and Workflow
Owner - KD
WPS Provider
No Activity
1/31/2005 Hold (>2yr)
Status and Workflow
Owner - KD
WPS Provider
4/3/2008 File Updated 04/03/2008
No Activity
3/27/2007 Hold (>2yr)
Status and Workflow
Owner - KD
WPS Provider
1/10/2008 File Updated 01/10/2008
WPS Provider
3/17/2008 File Updated 03/17/2008
No Activity
12/19/2005 Hold (>2yr)
2/19/2007
1/8/2007
2/15/2010
1/22/2007
4/28/2008
5/21/2007
3/3/2008
5/26/2008
6/21/2010
Status and Workflow
Owner - KD
10/30/2006
WPS Provider
7/13/2009
10/30/2009
BASUIL, LYNN PTRP
BATAC, ERMILINDA P., MD
31 EVANGELISTA STREET, MABOLO,
Professional BACOOR,
CYBERCARE ,RIVERSIDE SUBD ANUNAS
Professional STREET, ANGELES CITY
BATANGAN DOCTORS CLINIC
Institutional
BATAR, MA. IMELDA B., MD
Professional
BATE, CELSO F., MD
Professional
BATE, CELSO F., MD
Professional
BATE, CELSO F., MD
Professional
BATE, DAPHNE D.
Bate,Celso Fabella
CAVITE
PAMPANGA
KUMINTANG ILAYA, BATANGAS CITY
ROOM 205, MEDICO BUILDING, ORTIGAS
COMPLEX
MARIKINA EAST CENTRE BUILDING, NO.
83 GIL FERNANDO AVENUE, SAN ROQUE
ROOM 1506 MAT1 BUILDING, THE
MEDICAL CITY, ORTIGAS AVENUE
ACCUCARE MEDICAL ASSOCIATION, UNIT
211 2/F MOLVINA COMMERCIAL
COMPLEX, MARCOS HIGHWAY,
Denied
Denied
BATANGAS
Denied
PASIG CITY
Denied
Denied
WPS Provider
11/27/2007 File Updated 11/27/2007
Denied
RIZAL
Denied
Batungbacal,Ramon,T,MD
Professional Po box 264 Makati 7575 Dela Rosa St
Metro Manila
Denied
BAUAN POLYCLINIC
Institutional
BATANGAS
Denied
BAUTISTA, AINA A., MD
Professional
PASIG CITY
Denied
BAUTISTA, BERNADETTE A., MD
Professional
QUEZON CITY
BAUTISTA, ROMMEL D., MD
Professional
PASIG CITY
BAUTISTA, ROMMEL MD
Professional
Bautista,Aina,A,MD
Bautista,Antonio,MD
Medical Centrum Dagupan A B Fernandez
Professional Ave E Dagupan City
Bautista,Glenn,S,MD
St Lukes Medical Ctr Frt Twrs Cl No 618 279
Professional E Rodrigez
Bautista,Jet
Bautista,Mimi
Bautista,Rommel
BAUTISTA-AGUSTIN, MYLA MD
BAUTISTA-AGUSTIN, MYLEN MD
Denied
WPS Provider
5/27/2008 File Updated 05/27/2008
WPS Provider
WPS Provider
10/5/2006 File Updated 10/05/2006
8/4/2008
6/9/2008
12/18/2009
5/14/2007
Denied
WPS Provider
5/19/2008 File Updated 04/22/2008
WPS Provider
4/28/2008 File Updated 04/28/2008
5/19/2008
Denied
WPS Provider
10/6/2008 File Updated 10/06/2008
10/27/2008
Pangasinan
Denied
Quezon City
Subic Bay
Freeport
Denied
Olongapo City
Denied
Pasig City
NO. 1101 JP RIZAL CORNER BERNARDINO
MAKATI CITY
Professional STREET, GUADALUPE VIEJO
Denied
Denied
Denied
Denied
WPS Provider
12/10/2007 File Updated 12/10/2007
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
provider already updated
with denial date 7-6-09
ADDED DENIED DATE
ON WPS
already updated
WPS Provider
4/9/2007 File Updated 04/09/2007
No Activity
12/10/2007 Hold (>2yr)
Status and Workflow
Owner - KD
Denied
No Activity
6/13/2005 Hold (>2yr)
Bay An,Rogelio,MD
Professional 2nd Flr Metropolitan Bank Bldg Gen Luna Rd
Baguio City
Denied
BAYAG, EDGEL MAY C.
BUILDING, SAN MIGUEL AVENUE,
Professional ORTIGAS CENTRE
PASIG CITY
Denied
Bayag,Edgel May,C
Manila
Denied
Denied
Denied
No Activity
11/5/2008 Hold (>2yr)
WPS Provider
2/2/2009
2/11/2008
5/25/2009
9/29/2009
7/6/2009
6/19/2010
10/12/2009
7/27/2009
7/16/2007
Status and Workflow
Owner - KD
12/31/2007
PASAY CITY
Page 13
6/7/2010
1/17/2011
P4Q-16 10-11TH STREET, VILLAMOR
Professional AIRBASE
BAYLON,HONORATA,MD
8/11/2008
Professional Unit 600 Mob Asian Hospital Filinvest Alabang Muntinlupa City
RM 807 N TWR CHB COMPLEX 279 E
QUEZON CITY
Professional RODRIGUEZ SR BLVD
2/4/2008
Denied
BAUTISTA-CODENIERA,
EVANGELISTA F., MD
Baybay,Arby,B,MD
1/28/2008
4/12/2011
ILOCOS SUR
RIZAL
No Activity
7/30/2008 Hold (>2yr)
WPS Provider
3/22/2010
Denied
Denied
Denied
AMERIPHIL MEDICLA CLINC, UNIT 203.
2ND FLLOR, J & F BUILDING, MARCOS
Professional HIGHWAY, MAYAMOT, ANTIPOLO CITY
Status and Workflow
Owner - KD
5/25/2010
WPS Provider
3/24/2008 File Updated 01/02/2008
QUEZON CITY
DAVAO DEL
SUR
Manila
St Agnes Polymedic Ctr Dia Ctr 15 20 St W
Professional Bajac Bajac
6/18/2007
No Activity
4/4/2005 Hold (>2yr)
WPS Provider
RIZAL
NEOMEDICA HEALTH SERVICES, INC.,
$UNIT 4-C 4F NORTHRIDGE PLAZA, NO. 12
Professional CONGRESSIONAL AVENUE, BAHAY TORO QUEZON CITY
SAN JOSE STREET, BAUAN
7 VENTURA STREET, BF HOMES, HOLY
SPIRIT
Status and Workflow
Owner - KD
Denied
BATTAD, GLENN C., MD
BATTAD, GLENN AGLEO C., MD
8/21/2006
PASIG CITY
Pasig City
BATO,MAGDALENA,E,MD
No Activity
9/27/2004 Hold (>2yr)
Status and Workflow
Owner - KD
WPS Provider
11/15/2007 File Updated 11/15/2007
Professional G F Ever Gotesco Mall Ortigas Ave Extension
C GUZMAN ST L MA GUERRERO ST
Professional DAVAO CITY
Professional FOUNDATION, PANTAY DAYA, VIGAN CITY
BATO, ROMEO V., MD
No Activity
9/5/2005 Hold (>2yr)
Status and Workflow
Owner - KD
10/22/2007
Status and Workflow
Owner - KD
CHANGED TO A SOLO
PROVIDER PER DR
WPS Provider BARIN'S VISIT NO WITH
5/27/2009 File Updated A GROUP
9/19/2005
2/2/2009
5/25/2009
Internal
10/19/2009 Medicine
11/3/2010
BAYOGA, RENE G.
BAYSA PHYSICAL THERAPHY
CLINIC
NO. 513 PEDRO STREET, MAGSAYSAY
Professional SUR, CABANATUAN CITY
CARMEN STREET, BRGY. LUNA, SAN
Professional ANOTONIO
NUEVA ECIJA
Denied
ZAMBALES
Denied
BAYSA, VLADEMER L., PTRP
HEALTH OPTIONS CLINIC, PALANGINAN
Professional IBA
ZAMBALES
Denied
BB PICAG
Professional POST OFFICE LOOP, SESSION ROAD
BAGUIO CITY
Denied
BDM ENTERPRISES
Institutional
N. 1746 RIZAL AVENUE, STA. CRUZ
MANILA
BELARMINO- VILLEGAS, ELLIEMAY D., MD
UNIT 404 CDC ADMINISTRATIVE
BUILDING, KAMUNING STREET, OSMEÑA
Professional BOULEVARD, CEBU CITY
BEL-CAST FAMILY CLINIC
Institutional
GENERAL DELIVERY, SAN PABLO CITY
Denied
CEBU
Denied
LAGUNA
Denied
BELEN, ANGELITO BENJAMIN C.,
MD
Professional GENERAL DELIVERY, SAN PABLO CITY
LAGUNA
Denied
BELGIRA, MARIO RN
Professional 422 M. A .FELIX STREET, EDANG
PASAY CITY
Denied
BELGIRA, MARIO RN
Professional 382 IGNACIO COMPOUND, TALON UNO
MEDICUS (ILOILO) GEN. LUNA STREET,
Professional ILOILO CITY
BELLEZA, AGNES LUCY G., MD
ILOILO
BELMONTE CUYUGAN, CARMELITA
MD
Professional 186 CALAMBA STREET, TALAYAN VILLAGE
CLINIC, 2ND FLOOR VELASCO BUILDING,
BELMONTE, CHONA CUYOS-, M.D. Professional PANGANIBAN DRIVE, NAGA CITY
RANOLA MEDICAL CLINIC, DUPLEX 6,
BELMONTE, CHONA MD
BELO HENARES, VICTORIA MD
BELO MEDICAL GROUP
BELO MEDICAL GROUP INC
Belocura,Lynsa
BELOY, NORMA F.
BELTRAN ORDONEZ,IRENE,S,MD
BELTRAN, GILBERT R., MD
NO. 305 TOMAS MORATO CORNER
Professional SCOUT MAFRINAN T S TRIANGLE
CAMARINES
SUR
CAMARINES
SUR
QUEZON CITY
ROOM 901 MEDICAL PLAZA MAKATI,
AMORSOLO STREET, LEGASPI VILLAGE
305 TOMAS MORATO CORNER SCT
Professional MADRINAN T SOUTH TRIANGLE
029 L. CENINA STREET, BRGY. TAYUMAN,
Professional BINANGONAN
No Activity
12/11/2006 Hold (>2yr)
WPS Provider
No Activity
2/5/2007 Hold (>2yr)
23-07-07 CORRECTION
WPS Provider
6/22/2006 File Updated 06/22/2006
Status and Workflow
Owner - KD
Denied
Denied
Status and Workflow
Owner - KD
Denied
Denied
No Activity
8/29/2005 Hold (>2yr)
WPS Provider
9/4/2008 File Updated 09/04/2008
No Activity
11/8/2006 Hold (>2yr)
Denied
3/27/2007
QUEZON CITY
Denied
8/11/2010
Pangasinan
Denied
8/14/2009
RIZAL
SUBIC BAY
Professional 2 BRAVEHEART STREET GATEWAY PARK FREEPORT
Denied
1/17/2008
Denied
1/7/2011
BELTRAN,DIANNE,MD
BENGZON, ALFONSO U., M.D.
Professional
RM 232, MAKATI MEDICAL CENTER,
C/O TRUECARE MEDICAL CLINIC UNIT 18
GIL FERNANDO AVENUE, SAN ROQUE,
2/F NAVARRO BUILDING, CUT CUT 1ST,
TARLAC CITY
ROOM 331, MAKATI MEDICAL; CENTER,
NO. 2 AMORSOLO CORNER DELA ROSA
STREETS, LEGASPI VILLAGE
Institutional
BENGZON, ALFONSO U., MD
Professional
BENGZON, JOHN ANDREW
MICHAEL A., MD
Professional
BENIN, BENEDICTO S., MD
Professional
BENSO WINNER CORP
Institutional
BERATIO,LAKAN FLORENIO,U
Professional
BERBA, REGINA MD
Professional
BERDAN, RENE S., MD
Professional
BEREANS MARKETING
Professional
BULACAN
Denied
PANGASINAN
Denied
MUNTINLUPA
CITY
NO. 1 ARTHUR STREET, WEST BAJACBAJAC, OLONGAPO CITY
TAGAYTAY HOSPITAL SYSTEMS INC E
AGUINALDO HI WAY SILANG CROS
EXTENSION,
21 MARILAG STREET, UP VILLAGE,
DILIMAN
1623 BAMBANG CORNER M. NATIVIDAD
STREET, STA. CRUZ
MAKATI CITY
Denied
Denied
TARLAC
Denied
MAKATI CITY
Denied
MANILA
Denied
ZAMBALES
TAGAYTAY
CITY
Denied
PASIG CITY
Denied
QUEZON CITY
Denied
MANILA
Denied
Page 14
Status and Workflow
Owner - KD
No Activity
6/22/2006 Hold (>2yr)
WPS Provider
8/10/2005 File Updated 08/10/2005
WPS Provider
3/10/2008 File Updated 03/10/2008
WPS Provider
Denied
Denied
1/22/2007
4/27/2010
No Activity
Status and Workflow
Owner - KD
11/10/2004 Hold (>2yr)
10/30/2006
4/11/2011
MAKATI CITY
Institutional
Professional LONGOS STREET, STA. ANA
BENITEZ, GLENN B., MD
BENLYN MEDICAL SUPPLIES &
EQUIPMENT
QUEZON CITY
Status and Workflow
Owner - KD
Status and Workflow
Owner - KD
No Activity
Status and Workflow
Hold (>2yr)
Owner - KD
File Updated ON WPS
WPS Provider
File Updated added denied date on pds
WPS Provider
File Updated ON WPS
Status and Workflow
Owner - KD
No Activity
5/30/2006 Hold (>2yr)
WPS Provider
4/9/2007
11/5/2007
7/3/2006
7/3/2006
9/19/2005
3/24/2008
4/19/2010
6/18/2007
1/24/2011
10/13/2008
7/16/2007
7/16/2007
8/16/2010
9/29/2009
2/11/2008
3/28/2011
6/12/2006
6/17/2011
No Activity
7/6/2004 Hold (>2yr)
Status and Workflow
Owner - KD
9/4/2006
No Activity
7/19/2004 Hold (>2yr)
Status and Workflow
Owner - KD
9/18/2006
WPS Provider
4/30/2007 File Updated 04/30/2007
WPS Provider
2/23/2007 File Updated 02/23/2007
No Activity
Status and Workflow
Hold
(>2yr)
Owner - KD
8/11/2006
WPS Provider
7/23/2008 File Updated 07/23/2008
WPS Provider
9/17/2008 File Updated 09/17/2008
WPS Provider
5/19/2008 File Updated 05/19/2008
4/16/2011
7/2/2007
3/22/2010
5/21/2007
8/28/2006
2/17/2011
8/11/2008
4/6/2009
7/7/2008
BERGONIO, EMILY A., RN
BERLIN PHARMACY BRANCH 2
BERMAL, NANCY MD
Bermudez,Charito Cruz
Professional MISSION ROAD JARO
P. BURGOS AVENUE, SAN ROQUE,
Professional CAVITE CITY
CO Health Assoc Inc St Lukes 279 E
Professional Rodriguez Ave Sr
BERNA DRUG
Institutional
BERNABE, CORAZON B., MD
Professional
BERNADETTE D. AGUILAR
MEDICAL CLINIC ANGELES
Institutional
BERNAL CLINIC
Institutional
ROXAS STREET, SAN CARLOS CITY
BERNAL MATERNITY CLINIC
BERNARDO OCAMPO, MA.
CARMEN MD
BERNARDO, EDWIN MD
Professional ILANG, SAN CARLOS CITY
MANILA DOCTORS HOSPITAL, 667 U N
Professional AVENUE, ERMITA
TRUECARE MEDICAL CORPORATION, THE
MEDICAL CITY, ROOM 1011, MATI
Professional BUILDING, ORTIGAS AVENUE, UGONG,
BERNARDO, MA.OLGA, M.D.
Professional
BERNABE, MA. CORAZON B., MD
Professional
BERNABE, YVETTE EVE L., MD
Professional
BERNARDO, EDWIN C., MD
BERNARDO, EDWIN C., MD
BERNARDO, SERAFIN, M.D.
BERNARDO, VINCENTE V., MD
Bernardo,Edwin
BERROYA, MARIA ANNA G., MD
BEST CHOICE PHARMACY
Professional COR BALITE AND LAUREL STS
BEYOND PLAY THERAPY AND
LEARNING CENTER
Institutional
BF MATERNITY CLINIC INC.
Institutional
Bichara,Joseph
Professional Ste 104 G F Velasco Bldg Panganiban Dr
BICOLANDIA DRUG CORP
Denied
CAVITE
Denied
Institutional
Denied
Status and Workflow
Owner - KD
2/19/2007
No Activity
3/9/2006 Hold (>2yr)
WPS Provider
12/3/2007 File Updated 12/03/2007
PAMPANGA
Denied
11/29/2006
PANGASINAN
Denied
2/27/2006
PANGASINAN
Denied
11/12/2008
MANILA
Denied
7/7/2008
RIZAL
Denied
2/19/2011
4/16/2011
Denied
ZAMBALES
Denied
CAMARINES
SUR
Denied
WPS Provider
9/24/2008 File Updated 09/24/2008
PASIG CITY
Denied
5/7/2010
12/15/2008
11/29/2006
1/8/2007
02/27/2006
3/3/2008
11/12/2008
12/1/2008
07/07/2008
7/21/2008
WPS Provider
3/2/2009 File Updated 03/02/2009
4/6/2009
5/8/2006
Denied
No Activity
4/26/2004 Hold (>2yr)
Status and Workflow
Owner - KD
5/8/2006
Denied
WPS Provider
9/29/2008 File Updated 09/29/2008
Denied
QUEZON CITY
CATARMAN N
SAMAR
Denied
Denied
Camarines Sur
Denied
Camarines Sur
Denied
ALBAY
CAMARINES
SUR
Denied
Denied
Denied
Denied
Denied
BILAR, ENRIQUE S., MD
Professional ST. JAMES HOSPITAL, STA. ROSA
LAGUNA
Denied
BILOG-ROALES, MARIA ELVIE, MD
3/F ANITA THERESA BUILDING (ABOVE
Professional CHOWKING), SESSION ROAD
Denied
RIZAL
Denied
PASIG CITY
Denied
Page 15
4/7/2008
No Activity
4/26/2004 Hold (>2yr)
Denied
Pasig City
BAGUIO CITY
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
12/31/2007
Status and Workflow
Owner - KD
CEBU
BINUYA USON,ROBERTO,A
8/3/2009
ZAMBALES
PAMPANGA
MALALIM NA SAPA, BATINGAN,
BINANGONAN
G F EVER GOTESCO MALL ORTIGAS AVE
Professional EXT
6/19/2006
Status and Workflow
Owner - KD
WPS Provider
3/26/2008 File Updated 03/26/2008
WPS Provider
STE 103 CHONG HUA MEDICAL ARTS
CENTER, DON CELEXTINO CORNER
Professional LIORENTE STREET, CEBU CITY
Institutional
7/22/2010
Denied
BIGORNIA, RODOLFO-ROMAN T.,
MD
BINANGONAN MEDICAL CENTER
05/02/2006
2/19/2011
ZAMBALES
CAMARINES
SUR
2DC APARTMENT, CENTRO LAGUNDI,
MEXICO
No Activity
7/20/2009 Hold (>2yr)
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
Denied
NO. 250 BLOCK 4 SAN ANTONIO LOTE
MEXICO
PAMPANGA
Denied
B-15 L-13 BF RESORT DRIVE, BF RESORT
VILLAGE
HIGHWAY 1, NABUA
WPS Provider
WPS Provider
WPS Provider
PAMPANGA
MUNTINLUPA
CITY
Ranola Med Clinic Naga City Duplex 6
Professional Panganiban Dr
BICOL MEDICAL PLAZA BUILDING, RIZAL
Professional STREET, OLD ALBAY, LEGAZPI CITY
MERCURY DRUG JP RIZAL CMR ROTARY
Institutional RD IRIGA CITY
BICOLANDIA DRUG CORPORATION Institutional
BIG BONE TRADING
ILOILO CITY
MUNTINLUPA
CITY
PANGASINAN
PHILIPPINE CHILDRENS MEDICAL
Professional CENTER,
Bichara,Joseph Dominic
BICOL DIAGNOSTIC &
THERAPEUTIC DIGESTIVE
Denied
Quezon City
STO. NINO, GUAGUA
MEDIC-8 MEDICAL CLINIC, 104-A RIZAL
AVENUE, EAST TAPINAC, OLONGAPO
TOTAL REMEDIES CORPORATION, NO. 30
NATIONAL HIGHWAY, BARRIO BARRETO,
OLONGAPO CITY
NO. 87 NATIONAL HIGHWAY, BARRIO
BARRETTO, OLONGAPO CITY
CLINIC, SUITE 104 G/F VELASCO
BUILDING, PANGANIBAN DRIVE, NAGA
NO. 2355 UNIT 9, BARCEL BUILDING, STO.
ANGELES CITY
BERNABE, MA. CORAZON B., MD
RIZAL
WPS Provider
WPS Provider
WPS Provider
7/27/2009
02/11/2008
2/25/2008
7/10/2010
WPS Provider
3/8/2007 File Updated 03/08/2007
WPS Provider
WPS Provider
WPS Provider
WPS Provider
11/3/2008
5/11/2010
5/28/2007
1/29/2010
with denied date 7-13-09
ADDED DENIED DATE
ON WPS
3/18/2010
02/27/2006
4/24/2006
No Activity
4/14/2003 Hold (>2yr)
Status and Workflow
Owner - KD
6/6/2005
No Activity
9/28/2006 Hold (>2yr)
Status and Workflow
Owner - KD
11/6/2006
Status and Workflow
Owner - KD
5/29/2006
No Activity
3/9/2006 Hold (>2yr)
WPS Provider
6/5/2006 File Updated 06/05/2006
IntlSOS
Update
none
3/17/2008 Complete
No Activity
Status and Workflow
Hold (>2yr)
Owner - KD
7/31/2006
Pediatrics –
Please list any
7/8/2011 sub-
3/14/2005
6/15/2010
BIO SAFE
Institutional
199 BANAWE STREET
QUEZON CITY
Denied
BIOESSENCE FACIAL AND
SLIMMING CENTER
BIOESSENCE FACIAL AND
SLIMMING CENTER
3RD LEVEL, PH III, STA.LUCIA EAST
GRAND MALL, MARCOS HIGHWAY
RIZAL
Institutional CAINTA
LOWER GROUND FLOOR SM CITY HABAY
CAVITE
Professional BACOOR
Denied
Biological Health Center Inc
Professional 1691 Maria Orosa St Malate
Denied
BIOLOGICAL HOMEOPATHIC
HEALTH CENTER BAGUIO
BIOMED HEALTH SERVICES INC.
BIOMEDICS SYSTEMS SERVICES
BION, ALMA NENY C., MD
BIOTECH ONCOLOGY
BISHOP REGAN POLYCLINIC
BITENG, VIRGINIA Q., MD
Biteng,Virginia,
Blanco,Aldrin,D,Pt
BLANCO-RAMOS, JOSEPHINE MD
BLESSED SACRAMENT MEDICAL
CLINIC
Blessed Trinity
BLESSED TRINITY PEDIATRIC
CLINIC
BLESSED TRINITY PEDIATRIC
CLINIC
BLOCS MEDICAL EQUIPMENT
BLUE CROSS BLOOD
TRANSFUSION SERVICES
BLUE CROSS BLOOD
TRANSFUSION SERVICES
BLUE CROSS DIAGNOSTIC &
MEDICAL SUPPLIES
BMJ ORTHOTECH MEDICAL
SUPPLIES
Bobiles,Janet,MD
Bocalan,Rustica,C,MD
Bognot,Rona
BONDAD,JENNY,C
BONDOC, ALVIN C., MD
BONDOC, MARISSA PTRP
BONDOC-DELA CRUZ, VILMA MD
Institutional
Institutional
Manila
NO. 31 LEGARDA ROAD, BAGUIO CITY
15TH FLOOR, SUITE 1505, RICHVILLE
CORPORATE TOWER, MADRIGAL
BUSINESS PARK, ALABANG-ZAPOTE
BAGUIO
MUNTINLUPA
CITY
B4 L25 DONA ISIDORA STREET,
BARANGAY HOLY SPIRIT
Professional SUBDIVISION, MANDALAGAN, BACOLOD
Institutional
Institutional
12F SAN MIGUEL PROPERTIES CENTRE,
ST.FRANCIS SQUARE, ORTIGAS CENTRE
Denied
Denied
Denied
QUEZON CITY
Denied
NEGROS
OCCIDENTAL
Denied
MANDALUYON
G CITY
Denied
No Activity
6/5/2006 Hold (>2yr)
No Activity
8/31/2005 Hold (>2yr)
WPS Provider
WPS Provider
No Activity
6/6/2005 Hold (>2yr)
No Activity
9/9/2005 Hold (>2yr)
No Activity
6/13/2005 Hold (>2yr)
2/25/2008
LA UNION
Denied
5/9/2005
La Union
Denied
3/30/2009
UNIT 18, MARIKINA EAST CENTRE
Professional BUILDING, GIL FERNANDO AVENUE, SAN
Olongapo City
Denied
2/10/2010
Professional 924 IBAYO, SILANGAN, NAIC
CAVITE
Denied
Professional San Antonio 1091 Dra Salamanca St
Cavite City
1091 DRA. SALAMANCA STREET, SAN
ANTONIO CAVITE CITY
CAVITE
854 V. RAMA AVENUE, GUADALUPE, CEBU
CEBU
Professional CITY
Institutional
Professional 1784 ALVAREZ STREET, STA CRUZ
MANILA
Professional 1770 ALVAREZ STREET, STA. CRUZ
Status and Workflow
Owner - KD
5/9/2005
07/16/2008
9/1/2008
01/14/2009
1/26/2009
03/02/2009
4/13/2009
04/03/2008
6/2/2008
12/14/2005
3/20/2006
Denied
Denied
WPS Provider
Denied
Denied
Denied
BONGCO, JOSEFINA R., MD
Professional
BONIFACIO, JULIUS B., MD
Professional
No Activity
6/30/2005 Hold (>2yr)
No Activity
7/7/2005 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
Denied
Rizal
Professional
per email on 5-9-08 from
edward barin has provider
as a denied provider
because facility was
inspected and it only hosts
doctors clinic and
pharmacy. Can this
provider be certified as a
WPS Pending clinic. Can you advise us
Review/Action on this.
5/19/2008
WPS Provider
10/10/2005
WPS Provider updated pds with denied
File Updated date
10/23/2009
File Updated ON WPS
12/16/2010
9/26/2005
Denied
Professional
Denied
Cavite
Denied
Pampanga
Denied
already updated with
denied date 8-10-09
ADDED DENIED DATE
Status and Workflow
Owner - KD
Denied
WPS Provider
7/10/2006 File Updated 11/15/2005
ZAMBALES
Denied
ADDED DENIED DATE
WPS Provider ON WPS
MANILA
Denied
Page 16
5/5/2008
8/10/2009
added denied date on pds 10/26/2009
No Activity
3/31/2008 Hold (>2yr)
PAMPANGA
2/4/2008
Obstetrics &
Denied
ZAMBALES
9/19/2005
Denied
MANILA
PFC AMBULATORY MEDICINE AND
SURGERY CENTER $NO. 335 RIZAL
AVENUE CORNER 3RD STREET, WEST
TAPINAC, OLONGAPO CITY
OLONGAPO CITY
TERRACES, NO. 638 TM KALAW STREET,
Status and Workflow
Owner - KD
5/27/2011
Status and Workflow
Owner - KD
1369 RIZAL AVENUE, STA.CRUZ
888 Hlth Clinic Diag Ctr No 53 E Rodriguez
Professional Ave Taytay
LAGUNA
Professional SAN PABLO CITY 38 P ALCANTARA ST
PAMPANGA
Professional ANUNAS, ANGELES CITY
10/27/2008
2/15/2010
Denied
Professional Kanluran Binakayan Kawit
Professional Ext Angeles City
6/11/2007
Denied
MANILA
CAMARINES
Professional HIGHWAY 1, SAN FRANCISCO, IRIGA CITY SUR
Institutional
9/14/2009
WPS Provider
11/29/2007 File Updated 11/29/2007
WPS Provider
3/31/2008 File Updated 03/31/2008
WPS Provider
CAVITE
6/17/2011
Status and Workflow
Owner - KD
11/14/2005
WPS Provider
Denied
1091 DRA.SALAMANCA STREET, SAN
ANTONIO
Status and Workflow
Owner - KD
WPS Provider
12/25/2006 File Updated 11/30/2006
DAVAO DEL
NORTE
Institutional
3/26/2007
Status and Workflow
Owner - KD
10/10/2005
CHRIST THE KING COMPOUND,
MAGUGPO EAST, TAGUM CITY
LORMA MEDICAL CENTER CARLATAN,
Professional CITY OF SAN FERNANDO
Lorma Med Ctr Carlatan City Of San
Professional Fernando
Institutional
Status and Workflow
Owner - KD
WPS Provider
9/2/2008 File Updated 09/02/2008
6/17/2011
10/23/2009
4/14/2008
2/2/2009
10/23/2010
9/22/2008
BONIFACIO, JULIUS S., MD
BONTIGAO, MA. TERESA GRACE,
PTRP
BONZON, DOLORES D., MD
BORCES SERRANO,REINNA,R
BORINAGA-DOMINGUITO, PURA
MD
BORJA DENTAL CLINIC
BORJA, JERALD T., MD
Professional RODRIGUEZ AVENUE, TAYTAY
RM 209 MEDICAL ARTS BDG MANILA
Professional DOCTORS HOSPITAL, ERMITA
Bormate,Adolfo
BOROUGH MEDICAL CARE
INSTITUTE INC
BORROMEO, ANDREAS D., MD
BORROMEO, JOSE ROBERTO M.,
M.D.
BORROMEO, JOSE ROBERTO M.,
MD
Denied
PAMPANGA
Denied
MANILA
MATAAS NA
KAHOY
BATANGAS
Professional BRGY 3 LONGOS 8 JOSE RIZAL ST
SUITE 107 MACTAN DOCTORS HOSPITAL,
CEBU
Professional BASAK, LAPU LAPU CITY
ROBINSONS MALL GROUND FLOOR,
MISAMIS
ORIENTAL
Institutional CAGAYAN DE ORO CITY
NO. 3A FONTAINE EAST BAJAC BAJAC,
LAGUNA DOCTORS, P. GUEVARRA
BORJA, JOAQUIN PETER IV S., MD Professional STREET, STA. CRUZ
BORJA, LUIS P., DDS
RIZAL
ROBINSONS MALL GROUND FLOOR,
Professional CAGAYAN DE ORO CITY
2F 231 233 BLDG 280 SBMA DISPENSARY
Professional DEWEY AVE
ZAMBALES
LAGUNA
MISAMIS
ORIENTAL
Manila
SUBIC BAY
FREEPORT
L14, B3 ARTESUA STREET, NAGREVUKKE
QUEZON CITY
Professional SUBDIVISION, HOLY SPIRIT
QUEZON CITY
Professional SR.AVENUE
UNIT F 201 GALLERIA DE MAGALLANES,
Professional BARANGAY MAGALLANES
MAKATI CITY
Denied
Denied
Denied
Denied
Denied
Denied
Denied
Denied
Denied
Denied
Denied
Denied
BORROMEO, MARIA FRITZI M., MD Professional BRGY. PALANGINAN, IBA
ZAMBALES
RHCMC (ROYALE HEALTHCARE MEDICAL
CENTER) PHYSICAL THERAPY AND
REHABILITATION FACILITY, NATIONAL
BORROMEO, MARIA FRITZIE
ZAMBALES
Professional HIGHWAY, PALANGINAN, IBA
Denied
BORROMEO, MYRNA E., MD
Denied
BORROMEO, RALPH JOSEPH R.,
MD
Professional NO. 113-B K-7TH, KAMIAS ROAD
QUEZON CITY
BORROMEO, ROSA MARIA
NO. 61 SILIMAN AVENUE, DUMAGUETE
Professional CITY
NEGROS
ORIENTAL
CAMARINES
SUR
Borromeo,Maria Fritzie
Olongapo City
BOTE-NUNEZ, JONNIE MD
Professional BUILDING, NO. 146 MINDANAO AVENUE
SAN PABLO COLLEGES MEDICAL
CENTER, SAN PABLO CITY
QUEZON CITY
BOTICA JAVIER
Institutional
BOTICA QUIAMBAO
Professional SAN JOAQUIN STA ANA
BOTICA REAL
Professional NORTH ROAD, DUMAGUETE CITY
Botica Sto Cristo
Professional Old Public Marker F Tanedo St Poblacion
BOTICa UNO
Professional KM 1 CORNER RIZAL AVE 6TH ST
BOTIKA NATIN SA NAYHON
ZAMBALES
Professional SAMBALI CENTER ZONE V IBA
PAMPANGA
CAMARINES
SUR
CLINIC, 2ND FLOOR VELASCO BUILDING, CAMARINES
SUR
CONGRESSIONAL AVENUE, PASONG
CAVITE
Professional LAWIN, DASMARINAS,
ST PAUL'S HOSPITAL PLCC RM 310 3RD
ILOILO CITY
Professional FLR GEN LUNA ST
PASIG CITY
MARIKINA CITY
Page 17
BOYBOY, LYDIA F., MD
BRESNAN, ALMA M., MD
BRESNAN, ALMA M.D.
BRETHREN DRUG
BRIONES JORDAN,DONNA
DIVINA,L,MD
BRIONES, SORRAH
BRIONES, SORRAH FIEL, MD
Denied
Denied
Denied
Denied
Denied
LAGUNA
Denied
PAMPANGA
NEGROS
ORIENTAL
Denied
Tarlac City
CATBALOGAN
CITY
Denied
Denied
Denied
Denied
Denied
Denied
Denied
Denied
Denied
WPS Provider
12/7/2009
WPS Provider
9/8/2008 File Updated 09/08/2008
No Activity
1/9/2006 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
Status and Workflow
Owner - KD
ADDED DENIED DATE
ON WPS
10/6/2008
5/15/2006
4/4/2011
06/15/2006
10/23/2006
04/16/2007
7/30/2007
No Activity
8/28/2006 Hold (>2yr)
Status and Workflow
Owner - KD
9/11/2006
No Activity
3/12/2007 Hold (>2yr)
Status and Workflow
Owner - KD
3/26/2007
No Activity
Status and Workflow
Owner - KD
4/16/2007 Hold (>2yr)
7/30/2007
WPS Provider added denied date per last
11/16/2009 File Updated comment
12/7/2009
11/15/2010
No Activity
10/17/2005 Hold (>2yr)
Status and Workflow
Owner - KD
1/16/2006
No Activity
5/3/2004 Hold (>2yr)
Status and Workflow
Owner - KD
9/4/2006
No Activity
Status and Workflow
Owner - KD
2/20/2006 Hold (>2yr)
WPS Provider
1/12/2009 File Updated 01/12/2009
Status and Workflow
Owner - KD
No Activity
2/17/2006 Hold (>2yr)
WPS Provider
6/9/2008 File Updated 06/09/2008
No Activity
6/8/2005 Hold (>2yr)
No Activity
6/22/2006 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
1/6/2011
2/2/2009
1/10/2011
7/7/2008
9/15/2008
12/16/2010
Status and Workflow
Owner - KD
2/12/2007
Status and Workflow
Owner - KD
7/3/2006
SAME
6/4/2011
ADDED DENIED DATE
6/20/2011
12/22/2009
ADDED DENIED DATE
WPS Provider
8/4/2008 File Updated 08/04/2008
WPS Provider
WPS Provider
WPS Provider
2/25/2008
ADDED DENIED DATE
ON WPS
01/12/2008
ADDED DENIED DATE
ON WPS
6/4/2010
6/10/2011
5/7/2010
9/1/2008
1/24/2011
2/23/2009
8/27/2010
Denied
WPS Provider
3/2/2009 File Updated 03/02/2009
4/6/2009
Denied
WPS Provider
9/24/2008 File Updated 09/24/2008
10/13/2008
BRITANNIA MEDICAL CENTER
BROADWAY GEMS KALIN INC.
BROKENSHIRE MEMORIAL
HOSPITAL
Institutional
BLDG 3 ENCLAVE COMPLEX FIL AM
FRIENDSHIP HIWAY
PAMPANGA
ANGELES
Professional 201 SM CITY SAN JOSE, SAN FERNANDO
Institutional
MADAPO BROKENSHIRE HEIGHTS
PAMPANGA
DAVAO DEL
SUR
Denied
Denied
Denied
Bros Integtrated Clinic Inc
Rm 1A 2nd Flr Nodado Gen Hosp 23 Zabarte
Quezon City
Professional Rd Brgy Kaligayahan
Denied
Buccat,Mary Ann,Q,MD
Professional 30 Lisqueb Bacnotan
La Union
Denied
BUDOK,DOUGLAS,B
Professional 240 A LOPEA ST JARO
BUDUHAN,OCTAVIUS FRANCI,C
Professional SPL BLDG LE MA ST CORNER MALABIA
EDGARDO BUENAVENTURA CLINIC, SUITE
5 G/F, BROKENSHIRE INTEGRATED
Professional HEALTH INC., MADAPO HILLS, DAVAO
Rm 100 G F San Luis Terraces 638 T M
Professional Kalaw Ermita
IGNATIUS HEALTHCARE LINK, JECSONS
MEDICAL CENTER, MC ARTHUR
Professional HIGHWAY, TARLAC CITY
2/F CENTRO FELICIDAD BUILDING, 182
Professional SHOE AVENUE, STA. ELENA
75 ESTEBAN STREET, NEW KABABAE,
75 ESTEBAN STREET, NEW KABABAE,
756 RIZAL BOULEVARD, MALUSAK, SANTA
Professional ROSA
ILOILO CITY
Denied
BALANGA CITY
BATAAN
Denied
BUENAVENTURA, EDGARDO V.,
MD
Buenavista,Ria,L,MD
BUENO, ROSELLE D., MD
BUENVIAJE SKIN CLINIC
BUGAYONG PEDIATRIC CLINIC
BUGAYONG, ROLAND C., MD
BUILD BELAN, ALICIA MD
BULACAN MEDICAL MISSION
GROUP & HEALTH SERVICES
COOPERATIVE
BULACAN POLYMEDIC HOSPITAL,
INC.
BULAO, JOSSIE RN
BUNDALIAN DRUG STORE
NO. 98 J P RIZAL STREET, POBLACION,
BOCAUE
113 CAGAYAN VALLEY ROAD, STA.CRUZ
Institutional GUIGUINTO
Institutional
Institutional
GEN. LUNA STREET, SAN PABLO CITY
DAVAO DEL
SUR
Denied
Manila
Denied
TARLAC
Denied
ZAMBALES
Denied
ZAMBALES
Denied
LAGUNA
Denied
Status and Workflow
Owner - KD
No Activity
3/16/2009 Hold (>2yr)
WPS Provider
2/23/2009 File Updated 02/23/2009
WPS Provider
WPS Provider
WPS Provider
WPS Provider
3/23/2009
3/23/2009
Family
Practice;#Gen
eral Practice
(GP);#Internal
Medicine;#Ob
stetrics &
Gynecology;#
Pediatrics –
Please list any
1/20/2010 sub-
ADDED DENIED DATE
TO PDS
ADDED DENIED DATE
ADDED DENIED DATE
ON WPS
WPS Provider
8/1/2005 File Updated 08/01/2005
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
6/13/2011
10/26/2009
6/4/2011
1/21/2011
9/3/2007
General
03/16/2009
4/6/2009
07/16/2008
7/28/2008
03/02/2009
3/30/2009
03/02/2009
3/30/2009
10/15/2008
11/24/2008
Status and Workflow
Owner - KD
12/25/2006
Denied
No Activity
12/4/2006 Hold (>2yr)
WPS Provider
3/22/2004 File Updated 22-03-04
9/25/2006
Denied
1/24/2011
BULACAN
Denied
BULACAN
CAMARINES
SUR
LAGUNA
WPS Provider
Denied
No Activity
2/23/2007 Hold (>2yr)
Status and Workflow
Owner - KD
3/19/2007
No Activity
8/22/2006 Hold (>2yr)
Status and Workflow
Owner - KD
2/5/2007
ROOM 108A CEBU DOCTORS HOSPITAL
ANNEX, OSMENA BOULEVARD, CEBU
BUOT-COMPLETO, OPHELIA R., MD Professional CITY
CEBU
Denied
BURCE DENTAL CLINIC
BICOL
Denied
12/17/2007
Denied
15-11-07 CORRECTION
12/17/2007
BURCE-POOT, JANELINE C., DMD
BUSTOS, JUAN DE DIOS M., MD
BUSTOS, JUAN DE DIOS M., MD
BUSTOS, LOURDES HEDY S., MD
Professional QUEZON AVENUE, LEGAZPI CITY,
Professional QUEZON AVENUE, LEGAZPI CITY,
BICOL
OUR LADY OF PEACE & GOOD VOYAGE
MEDICAL AND DENTAL CLINIC 2454-A
STO. ENTIERRO STREET, STO.CRISTO,
MT. CARMEL MEDICAL CENTER, KM.78
McARTHUR HIGHWAY, BRGY. SAGUIN
Professional SAN FERNANDO CITY
2454-A STO. ENTIERO, STO. CRISTO,
PAMPANGA
BUSTOS,JUAN DE DIOS,M
Denied
PAMPANGA
Denied
PAMPANGA
Denied
Professional PASEO DE ROXAS VILLA ANGELA
BUTARDO, MAX GERONIMO T., MD Professional FOUNDATION, PANTAY DAYA, VIGAN CITY
2ND FLOOR CASA FILIPINO BLDG.
BUTLER, CAROLYN MD
Professional ALABANG TOWN CENTER, ZAPOTE ROAD,
ANGELES CITY Denied
ILOCOS SUR
MUNTINLUPA
CITY
Denied
C AND C LABORATORY
Professional SAN ROQUE
CAVITE CITY
Denied
C V M CLINICAL LABORATORY
Institutional
PAMPANGA
Denied
Cabacungan,Dulia Prima,L
Professional Hospitalk Affiliation Lumc Nazareno Agoo
SUITE 209 BORROMEO BLDG KAMUNING
Professional ST CAPITOL SITE
La Union
Denied
CEBU CITY
Denied
CABAHUG,ERNESTO,O,MD
CABAL, MD
CABALLA,CECILE,MD
Caballa,Warren,MD
CABALONA, ROMANITO
PLAZA LUMA ARAYAT
Professional A. MABINI STREET, BAYBAY
UNIT 211 2nd Flr Molvina Compl Marcos Hwy
Professional Brgy Mayamot Antipo
Unit 211 2nd Flr Molvina Compl Marcos Hwy
ACCUCARE MEDICAL ASSOCIATES, INC.
UNIT 211 2/F MOLVINA COMMERCIAL
Denied
No Activity
9/5/2005 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
Status and Workflow
Owner - KD
11/5/2007
02/13/2006
2/18/2008
ADDED DENIED DATE
ON WPS
5/19/2011
ADDED DENIED DATE
ON WPS
1/17/2011
5/4/2010
ADDED DENIED DATE
ON WPS
4/19/2010
09/01/2006
9/25/2006
updated with denied date
ADDED DENIED DATE
ON WPS
4/29/2011
10/23/2009
3/16/2011
LEYTE
Denied
Rizal
Denied
Rizal
Denied
No Activity
Status and Workflow
Owner - KD
11/7/2006 Hold (>2yr)
8/21/2006
4/29/2009 File Updated TO PDS
10/26/2009
10/26/2009
RIZAL
Denied
WPS Provider
9/15/2008 File Updated 09/15/2008
Page 18
10/27/2008
MUNTINLUPA
CITY
Denied
CABALUM GALILEA,MARGARET,J
HEALTHWAY MEDICAL CLINIC, FESTIVAL
Professional MALL ALABANG
RM 6 HEALTH PARTNERS II MED CL
Professional QUEZON ST
ILOILO CITY
Denied
Cabanilla,Benda,C,MD
Professional World Citi Med Ctr Aurora Blvd Cubao
Quezon City
Denied
CABALU, ARCALUCY M. MD
Professional BRGY. HOLY SPIRIT
NO. 141 COLAGO AVENUE, SAN PABLO
CABIGAN, AURELLA HAIDEE A., MD Professional CITY
CABANTING, GLENDA S., RN
CABIGAS, EMILIA S., MD
Professional
CABIGAS, EMILIA S., MD
Professional
CABIOS, CHARLTON, PTRP
Professional
CABREIRA, MA. CORAZON
ZENAIDA TERESITA Z.
Professional
CABREIRA, TERESITA MD
Professional
CABUDOY, LORNA C., MD
Professional
CABUJAT, ROEHL J., MD
Professional
CACAS, ROWENA G., MD
Professional
CACERES, RAMON JR. T., MD
Professional
CADACIO, GERALDINE D., MD
Professional
CADACIO, MANUEL D., MD
Professional
CAGAMPAN, CARMEN L., MD
SUITE 243, MEDICAL ARTS BUILDING, ST.
LUKE'S MEDICAL CENTER, NO. 279 E.
RODRIGUEZ SR. BOULEVARD
PROFESSIONAL PULMONARY SERVICES
MULTI-PURPOSE COOPERATIVE, ROOM
302 JDB PLAZA 65 MINDANAO AVENUE,
EXTENSION,
FIL-AMERICAN MEDICAL RETIREES CLINIC
INC., ROOM 205 2/F VELASCO BUIDLING,
PANGANIBAN DRIVE, NAGA CITY
FOUNDATION, PANTAY DAYA, VIGAN CITY
FOUNDATION, PANTAY DAYA, VIGAN CITY
No Activity
Status and Workflow
Owner - KD
6/12/2004 Hold (>2yr)
4/2/2007
9/6/2010
8/10/2009
QUEZON CITY
Denied
LAGUNA
Denied
No Activity
Status and Workflow
Hold
(>2yr)
Owner - KD
2/14/2006
4/21/2008
12/17/2010
QUEZON CITY
Denied
No Activity
10/29/2008 Hold (>2yr)
Status and Workflow
Owner - KD
11/10/2008
QUEZON CITY
Denied
No Activity
10/1/2008 Hold (>2yr)
updated tax id
10/13/2008
WPS Provider
10/6/2008 File Updated 10/06/2008
10/27/2008
PASIG CITY
Denied
WPS Provider
6/16/2008 File Updated 06/16/2008
8/4/2008
PASIG CITY
Denied
WPS Provider
7/23/2008 File Updated 07/23/2008
8/11/2008
PAMPANGA
Denied
WPS Provider
5/27/2011
QUEZON CITY
Denied
RIZAL
Denied
2/19/2011
CAMARINES
SUR
Denied
1/24/2011
ILOCOS SUR
Denied
WPS Provider
8/13/2008 File Updated 08/13/2008
3/23/2009
VIGAN CITY
Denied
QUEZON CITY
Denied
CAVITE 4103
Denied
CAGAYAN
Denied
CALAYAN SURGICENTRE
CORPORATION
Professional 50 CHICAGO STREET, CUBAO
ST. PAUL HOSPITAL BUILDING, HI-WAY
Professional ROAD, UGAC NORTEM TUGUEGARAO,
Professional RODRIGUEZ BOULEVARD,
RM 811 NTCH ST LUKES MED CTR E
Professional RODRIGUEZ SR AVE
Professional CLINIC, 051 BURGOS AVENUE,
SUITE 1701 MEDICAL PLAZA MAKATI,
DELA ROSA CORNER AMORSOLO
CALAYCAY, ADONIS A. MD
Professional NATIONAL ROAD, PALANGINAN, IBA
CAGAMPAN,MA CARMEN,L
CAGAYAN VALLEY IMAGING
CENTER INC.
CAGUIOA, PRISCILLA B., MD
CAINGHUG,VANESSA
KATHLEEN,B,MD
CAINGLET FAUNDO, ARVIN, MD
CAISIP, ALAIN C., PTRP
CAJUCOM, JULIUS MD
CALAYCAY, MARIA CECILIA MD
CALDERON-BALMORES, MARINA
DOLORES MD
CALIMBAS, EDNA R., MD
QUEZON CITY
Denied
QUEZON CITY
Denied
RIZAL
Denied
NUEVA ECIJA
4/20/2009
WPS Provider
12/24/2008 File Updated 12/24/2008
4/21/2011
2/7/2011
2/16/2009
12/17/2010
Denied
WPS Provider
7/23/2008 File Updated 07/23/2008
8/11/2008
MAKATI CITY
Denied
ZAMBALES
Denied
QUEZON CITY
Denied
Denied
BAGUIO CITY
Denied
QUEZON CITY
Denied
CALLEJA, JULIETA AGNES E., MD
QUEZON CITY
Denied
CALLERA, RONALDO MD
Professional 50 EVANGELISTA ST.
CAVITE
Denied
CALLO, LILIAN M., MD
12/22/2008
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
PASIG CITY
Denied
DR.LILIAN M. CALLO DENTAL CLINIC,
PADUA BUILDING RIZAL STREET, SAN
Professional ANTONIO
3/23/2009
10/29/2007
BATAAN
CALIMON, NERISSA C., MD
08/13/2008
Denied
Professional SAN JOSE, BALANGA CITY
NOTRE DAME DE CHARTRES BUIDING,
ST.LOUIS HOSPITAL OF THE SACRED
Professional HEART, ASSUMPTION EXTENSION
Professional PHILIPPINE HEART CENTER, EAST
TRISERVE HEALTHCARE, SUITE 817
NORTH TOWER, CATHEDRAL HEIGHTS
BUILDING, ST. LUKE'S MEDICAL CENTER,
Professional 279 E. RODRIGUEZ SR. BOULEVARD,
CALIMLIM, LEOPOLDO, MD
WPS Provider
WPS Provider
WPS Provider
WPS Provider
2/11/2008
WPS Provider
1/17/2008 File Updated 01/17/2008
WPS Provider
10/31/2005 File Updated 10/31/2005
3RD FLOOR PRIMER BUILDING, NATIONAL
ZAMBALES
Professional ROAD PALANGINAN, IBA
Professional NO. 1-A LEGASPI STREET, PROJECT 4
WPS Provider
11/29/2007 File Updated 11/29/2007
ZAMBALES
Page 19
Denied
WPS Provider
1/8/2008 File Updated 01/08/2008
WPS Provider
3/17/2008
1/28/2008
2/2/2010
No Activity
9/29/2003 Hold (>2yr)
Status and Workflow
Owner - KD
8/8/2005
No Activity
5/2/2005 Hold (>2yr)
Status and Workflow
Owner - KD
5/7/2007
No Activity
1/9/2006 Hold (>2yr)
Status and Workflow
Owner - KD
2/13/2006
WPS Provider
WPS Provider
8/27/2007 File Updated 08/27/2007
WPS Provider
12/17/2007 File Updated 12/17/2007
WPS Provider
No Activity
11/21/2005 Hold (>2yr)
1/28/2010
3/3/2008
2/18/2008
4/12/2010
Status and Workflow
Owner - KD
12/19/2005
CALMA, MARISSA MD
QUEZON CITY
Denied
Calma,Marlisa,N
Professional Caridad Bautista Hospital
Cavite City
Denied
CALMA,MARLISA,N,MD
Professional CARIDAD
CAVITE CITY
Denied
CAMACHO,MA LINDA,E
Professional FORTMED MEDICAL CLINIC STA ROSA
LAGUNA
Denied
Camacho,Reynaldo
Professional Wawa Abucay
Unit 211 2nd Flr Molvina Comp Marcos Hwy
Bataan
Denied
Rizal
Denied
Cavite
Denied
MANILA
Denied
CAVITE
Denied
WPS Provider
3/25/2009 File Updated 03/25/2009
WPS Provider
PAMPANGA
Denied
WPS Provider
CANASTILLO, EVEE U., MD
Professional 541 Malagasang Imus
VETHEALTH MEDICAL SERVICES, UNIT
102 P & R MANSION, NO. 1515 STO.
Professional SEPULCRO STREET CORNER QUIRINO
FLEETHEALTH MEDICAL CLINIC, P.
Professional BURGOS, CARIDAD , CAVITE CITY
PASIG CITY
Denied
Canastillo,Evee,U,MD
Manila
Denied
PAMPANGA
Denied
CEBU CITY
6000
Denied
PANGASINAN
Denied
PAMPANGA
Denied
Camara,Theresa Barbara
Camarce,Marvin,V
CAMPOS, SUSANA P., MD
CANASTILLO, EVEE MD
CANASTILLO, EVEE U., MD
CANCIO GENERAL MERCHANDISE Professional SAN JUAN BAUTISTA BETIS GUAGUA
CANETE,ROSARIO
CANILANG, MARGIE MD
CANIVEL, ROLAND L., MD
CANLAS, JOSEFINA P., MD
UNIT 404 405 CDC ADMIN BLDG
Professional KAMUNING ST OSMENA BLVD
MEDICAL CENTRUM DAGUPAN, A B
Professional FERNANDEZ EAST AVENUE, DAGUPAN
MANILA DOCTORS HOSPITAL, NO. 667 U N
Professional AVE, ERMITA,
CANLAS,MANUEL,M,MD
NO. 76 STO. ENTIERRO STREET, STO.
Professional CRISTO, ANGELES CITY
MOB 103 ASIAN HOSPITAL CTR CIVIC DR
Professional FILINVEST
2 AMORSOLO ST MAKATI MEDICAL
Professional CENTER
CANO III, EMILIO Ll., M.D.
CANLAS, RONALD MD
CANLAS,MANUEL,M,MD
CITY, ALABANG
GLOBAL MEDICAL NETWORK, SUITE 204
J&B BUILDING III, QUEZON CORNER
LEDESMA STREETS, ILOILO CITY,
FLOOR A B FERNANDEZ AVENUE EAST,
FLOOR A B FERNANDEZ AVENUE EAST,
Ave E Dagupan City
CANO, PENAFRANCIA C., MD
Professional
CANONERO, RAUOL R., MD
Professional
CANTO, ALEXIS MD
Professional
CANTO, GERALDIN MD
Professional
Canto,Alexis
Professional
CANTRELL, RICHARD L., PHD
BARANGAY NINOY AQUINO, 212A 1ST
Professional STREET, MARISO SUBDIVISION
MANILA
Denied
3/22/2010
4/27/2009
6/9/2011
5/27/2011
2/2/2009
ADDED DENIED DATE
ADDED DENIED DATE
ON WPS
6/10/2011
None
7/10/2011
02/11/2009
3/30/2009
WPS Provider
7/17/2010
2/19/2011
Ophthalmolog
4/27/2010 y
9/4/2006
Status and Workflow
Owner - KD
9/4/2006
5/4/2010
MUNTINLUPA
CITY
Denied
No Activity
5/7/2004 Hold (>2yr)
ILOILO
Denied
WPS Provider
PANGASINAN
Denied
WPS Provider
6/9/2008 File Updated 06/09/2008
PANGASINAN
Denied
Pangasinan
PAMPANGA
7/5/2010
4/30/2011
10/6/2008
Denied
10/27/2009
Denied
11/5/2007
Denied
Capitan,Aireen,M,MD
Capito,Roland,S,MD
Professional Manila Doctors Hospital 667 U N Ave Ermita
CAPITOL LABORATORY
Institutional
CAPIZ EMMANUEL HOSPITAL
Institutional
No Activity
Status and Workflow
Owner - KD
3/27/2006 Hold (>2yr)
WPS Provider
PASIG CITY
Denied
1/5/2009
Manila
Denied
1/28/2009
Manila
Denied
1/12/2009
BATAAN
Denied
11/13/2006
CAPIZ
Denied
2/17/2003
PAMPANGA
Denied
1/26/2011
QUEZON CITY
Professional 1979 DMMA DILIMAN
NO. 18 GONZAGA STREET, TUGUEGARAO
CAGAYAN
Professional CITY
NO. 18 GONZAGA STREET, TUGUEGARAO
CAGAYAN
Professional CITY,
MANILA
Professional HOSPITAL, GOV. FORBES, SAMPALOC
Makati Med Ctr Legazpi Village 2 Amorsolo
Makati City
Professional Cor Dela Rosa St
789 QUIRINO HWY SAN BARTOLOME
QUEZON CITY
Professional NOVALICHES
Page 20
2/26/2007
WPS Provider
5/19/2008 File Updated 05/19/2008
WPS Provider
Pasig City
Carandang,Ma Paz,C,MD
CARE MEDICAL AND INDUSTRIAL
GAS CENTER
04/16/2008
10/26/2009
Denied
Denied
CARANDANG, ENRIQUE H., MD
11/18/2009
ADDED DENIED DATE
TO PDS
ADDED DENIED DATE
ON WPS
No Activity
5/3/2004 Hold (>2yr)
MUNTINLUPA
CITY
QUEZON CITY
CARAG, CECIL A., MD
6/27/2011
Status and Workflow
Owner - KD
Professional LAGING HANDA 32 C SCOUT CASTOR ST
Ortigas Ave Ortigas Ave Ext Rm 1011 Mati
Professional The Med City
Americare Medical Clinic 710 Ermita Ctr Bldg
Professional 1350 Roxas Blvd Ermita
CAPULLA, FERNANDO H., MD
CARAG MEDICAL & DIAGNOSTIC
CLINIC
ADDED DENIED DATE
8/31/2010
Denied
CAPARAS, CYNTHIA
CAPSTONE HEALTH CARE CLINIC
2/22/2010
MAKATI CITY
Denied
Denied
ROXAS AVENUE, ROXAS CITY
0247 MCARTHUR HIGHWAY MABIGA
ADDED DENIED DATE
ON WPS
Denied
LEYTE
TENEJERO, BALANGA CITY
6/2/2008
PAMPANGA
MUNTINLUPA
CITY
Professional LOPEZ JAENA STREET, ORMOC CITY
CAPITAN, AIREEN M., ,MD
WPS Provider
WPS Provider
WPS Provider
IntlSOS
Update
6/2/2011 Complete
WPS Provider
04/07/2008
No Activity
Status and Workflow
Owner - KD
12/18/2006 Hold (>2yr)
CAPAHI, LOURDES R., MD
Caparas,Victor,L,MD
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
Denied
Denied
Denied
Denied
Denied
Denied
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
10/15/2008
ADDED DENIED DATE
10/6/2008
6/5/2006
10/4/2010
2/3/2010
2/2/2009
Diploma in
6/10/2011 Diabetes
11/9/2009
11/13/2006
02/17/2003
ADDED DENIED DATE
ON WPS
11/27/2006
8/29/2005
3/21/2011
No Activity
Status and Workflow
Hold
(>2yr)
Owner - KD
12/22/2005
4/2/2007
2/7/2011
2/7/2011
WPS Provider
11/21/2008 File Updated 11/21/2008
3/23/2009
WPS Provider
10/12/2009
3/21/2011
CARIAS,MARY JANE,B,MD
ECONOMIC ENTERPRISE BENGUET
Professional GENERAL HOSPITAL
LA TRINIDAD
BENGUET
Denied
CARINO,OSLER,F
Professional DIMASALANG ST
NAGA CITY
Denied
CARISMA,MA BELEN,O,MD
Professional EAST AVENUE STE 622 M A B
DALLAS MEDICAL GROUP INC., STO.
QUEZON CITY
Denied
RIZAL
Denied
WPS Provider
4/5/2010
PAMPANGA
Denied
WPS Provider
5/7/2010
Professional 1647 M Adriatico St
Professional EXTENSION
CARLOS, MA. CORAZON T., MD
CARLOS, MA. VICTORIA L., MD
CARLOS, MARCELA DIANALYN S.,
MD
Carlos,Ma Victoria
Carmen,Fely,R,DMD
CARNATE,JOSE,M,JR,MD
CARNATE,JR., JOSE M.MD
CARPIO DENTAL CLINIC BERNA
CARPIO, ANTONIO R., MD
Carpio,Rizaldy,C,MD
CARREON, RUBEN L., MD
CARRIAGA, GLIMAR Y., MD
Professional 667 UNITED NATIONS AVENUE, ERMITA
Institutional
Institutional
CASA MEDICAL , INC.
Institutional
Casanova,Caesar E Jr
Professional rm 3226 Nkti East Ave
CASAUL GENERAL HOSPITAL
Institutional
CASEJA LUNG CLINIC
Denied
6/8/2006
Pampanga
Denied
7/8/2009
Malate Manila
Denied
6/3/2009
PASIG CITY
QUEZON CITY
NO.91 TOMAS-SACO STREET, CAGAYAN
Professional DE ORO CITY
Rm 907 Tower Cathedral Hghts Bldg Cplx St
Professional Lukes Med Ctr 279
2/F ULTRASOUND DEPARTMENT,
Professional HOSPITAL, ESPAÑA, SAMPALOC
SUITE 118 HOLY CHILD HOSPITAL,
Professional DUMAGUETE CITY
CARUNUNG MEDICAL CLINIC
PAMPANGA
MANILA
CONGRESSIONAL AVENUE
BENEDICTO STREET, JARO, ILOILO CITY
SM SOUTHMALL, LOWER GROUND
FLOOR, EAST SIDE, ALABANG-ZAPOTE
NO. 16 TANDANG SORA AVENUE,
SANGANDAAN, NOVALICHES
NO. 33 GORDON AVENUE, PAG-ASA,
WPS Provider
WPS Provider
WPS Provider
Denied
Denied
Denied
MISAMIS
ORIENTAL
Denied
Quezon City
Denied
MANILA
NEGROS
ORIENTAL
Denied
ILOILO
Denied
Denied
Quezon City
Denied
QUEZON CITY
Denied
ZAMBALES
Denied
3/22/2011
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
No Activity
11/21/2005 Hold (>2yr)
No Activity
8/9/2005 Hold (>2yr)
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
added denied date on pds
10/5/2009
8/31/2009
ADDED DENIED DATE
ON WPS
Status and Workflow
Owner - KD
WPS Provider
6/21/2007 File Updated 06/21/2007
WPS Provider
No Activity
11/20/2006 Hold (>2yr)
WPS Provider
WPS Provider
Request
Certification/R
WPS Provider
Status and Workflow
Owner - KD
08/01/2005
denied date 8-17-09
NEED A RECERT
Denied
AVENIDA RIZAL EAST, LINGAYEN
EXTENSION,
CASIS, RHODERICK M., MD
Professional
CASIS, RHODERICK MD
Professional
CASIS, RODERICK MD
Professional
CASTELLANO, CLAIRE ANN
MERCEDES L., MD
Professional
Castellano,Claire Ann Merc,L,MD
8/17/2009
2/5/2007
Status and Workflow
Owner - KD
WPS Provider updated due to dup
9/8/2008 File Updated records
WPS Provider
7/27/2009
9/3/2007
3/23/2009
CAVITE
Denied
PANGASINAN
Denied
PASIG CITY
Denied
WPS Provider
6/9/2008 File Updated 06/09/2008
7/14/2008
WPS Provider
3/26/2008 File Updated 03/26/2008
4/7/2008
PASIG CITY
Denied
WPS Provider
7/23/2008 File Updated 07/23/2008
8/11/2008
PASIG CITY
Denied
Manila
Denied
Castillejos,Dell Kristie,O,MD
Professional GF Rhoi Bldg Bldg Nat Hwy Palanginan Iba
Zambales
Denied
Castillo Gonzales,Jose
Professional 207 Santolan Rd Regency Park Valencia
Quezon City
Denied
ST LUKE'S MEDICAL CENTER, E.
CASTILLO LEE, JEFFERSON R., MD Professional RODRIGUEZ SR., AVENUE
CASTILLO NOEL M., MD
12/9/2005
6/6/2005
Pasig City
Institutional
4/2/2007
Status and Workflow
Owner - KD
CASIPIT DENTAL CLINIC
Gastroenterol
12/8/2009 ogy
4/27/2010
Casimiro Querubin,Ma Luz
No Activity
10/31/2005 Hold (>2yr)
7/16/2007
No Activity
4/20/2005 Hold (>2yr)
Denied
3/13/2006
No Activity
Status and Workflow
Owner - KD
8/29/2005 Hold (>2yr)
10/10/2005
4/27/2010
Denied
PASIG CITY
4/4/2011
Status and Workflow
Owner - KD
11/14/2005
ZAMBALES
Denied
6/9/2011 Cardiology
5/27/2011
TOTAL LIFE CARE MEDICAL CENTER, 9
Professional LOWER KALAKLAN, OLONGAPO CITY
PARANAQUE
CITY
5/9/2011
ADDED DENIED DATE
CASEJA, RACHEL MD
SOUTH SUPER HIGHWAY MEDICAL
CENTER, KM 7 WEST SERVICE ROAD,
CASIMIRO, ROBERT C., MD
Professional SUCAT
CASIMIRO-QUERUBIN, MA. LUZ S.,
MD
CASIN, ROBERT A., MD
4/11/2011
QUEZON CITY
Denied
PASIG CITY
Denied
Page 21
WPS Provider
WPS Provider
WPS Provider
WPS Provider
No Activity
Hold (>2yr)
10/08/2008
1/24/2011
5/4/2010
2/2/2009
9/28/2009
denied date 8-3-09
already denied as of 8-1009
8/10/2009
Status and Workflow
Owner - KD
5/16/2005
WPS Provider
9/4/2008 File Updated 09/04/2008
8/3/2009 Dermatology
9/15/2008
CASTILLO, ERNESTO S., MD
CASTILLO, GERMAN
CASTILLO, GERMAR MD
CASTILLO, JOSEFINO C., MD
CASTILLO, LEONIDO C., MD
CASTILLO, NOEL MD
CASTILLO, REYNAN, PTRP
CASTRILLO-GONZALES, DINA P.,
MD
CASTRO MATERNITY AND
GENERAL HOSPITAL
CASTRO, BU C., MD
CASTRO, DAREN JOY
CASTRO-MAGNO, CRISTINA ANA
MD
CASUSI SKIN CLINIC
ZAMBALES
Professional BRGY. AMAGNA, SAN FELIPE
MANILA
PASIG CITY
TRISERVE HEALTHCARE CORPORATION,
QUEZON CITY
ROOM 2123 DELA SALLE MEDICAL
CENTER, CONGRESSIONAL AVENUE,
CAVITE
Professional BAGONG BAYAN, DASMARINAS
PASIG CITY
Denied
Denied
Denied
Denied
Denied
WPS Provider
8/13/2008 File Updated 08/13/2008
9/1/2008
CAVITE
Professional 92 INTERIOR ROAD, SAN JOSE VILLAGE
QUEZON CITY
SUITE 304 MEDICAL OFFICE BUILDING,
ASIAN HOSPITAL & MEDICAL CENTER,
2205 CIVIC DRIVE FILINVEST CORPORATE
ROOM 2, 2/F MBP BUILDING CORNER
Institutional UPPER MABINI STREET, SESSION ROAD
Denied
Denied
Denied
QUEZON CITY
Denied
MUNTINLUPA
CITY
Denied
BAGUIO CITY
Denied
Status and Workflow
Owner - KD
10/27/2008
No Activity
10/6/2008 Hold (>2yr)
WPS Provider
3/31/2006 File Updated 03/31/2006
No Activity
2/14/2005 Hold (>2yr)
8/10/2009
No Activity
10/11/2005 Hold (>2yr)
Status and Workflow
Owner - KD
9/3/2007
No Activity
8/25/2008 Hold (>2yr)
Status and Workflow
Owner - KD
11/3/2008
WPS Provider
6/21/2005 File Updated 06/21/2005
Status and Workflow
Owner - KD
Professional UNIT 262, 2/F SM CITY, LUNETA HILL
BAGUIO CITY
Denied
Catalan Chuson Pedia Clinic
Professional Macarthur Highway Calasiao
Pangasinan
Denied
Catalan Medical Clinic
Professional Bulihan Silang
Cavite
Denied
Catalan,Andrea,MD
CATALUNA-JOSE, ONELIA RUBY
MD
Professional Macarthur Highway Calasiao
Pangasinan
Denied
Professional MALHACAN, MEYCAUAYAN
BULACAN
Denied
No Activity
6/21/2005 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
11/12/2007 File Updated 11/12/2007
CAMARINES
SUR
Denied
WPS Provider
12/3/2008 File Updated 12/03/2008
CATANGUI, JOSEFINO R.,MD
CAMARINES
SUR
Denied
CATBAGAN, ADRIAN B., MD
SUITE 516 CIVIC DRIVE FILINVEST
Professional ALABANG
MUNTINLUPA
CITY
Denied
Catedral,Adah Grace,M,MD
Professional C O LLoilo Doctors Hospital W Ave Molo
LLoilo City
Denied
SUITE 901-903 NORTH TOWER
CATHEDRAL HEIGHTS BUILDING, ST.
CATHEDRAL HEIGHTS ORTHO
SPORTS MED ASSOCIATION
Institutional RODRIGUEZ SR. BOULEVARD
SUITE 901-903 NORTH TOWER
CATHEDRAL HEIGHTS ORTHO
SPORTS MED ASSOCIATION
Institutional LUKE'S MEDICAL CENTER, 279 E.
CATHEDRAL HEIGHTS
STES 901 903 REAR TWR CHB 237 E
ORTHOPAEDICS
Professional RODRIGUEZ SR BLVD ST LUK
Cathedral hgts Ortho Sports Medicine
St Lukes Med Ctr Ste 901 903 N T Chbc 279
Assoc
Professional E Rodriguez Sr Blvd
DIVINE MERCY WELLNESS CENTER,
CAUREL-ABBARIAO, MARITONI E.,
OLYMPIA BUILDING, WASHINGTON
MD
Professional STREET, TUGUEGARAO CITY,
DIVINE MERCY WELLNESS CENTER,
CAUREL-ABBARIAO, MARITONI E.,
OLYMPIA BUILDING, WASHINGTON
MD
Professional STREET, TUGUEGARAO CITY,
CAVITE EYE AND EENT CENTER
CAVITE RETIREES MEDICAL
SERVICES
552 EMILIO AGUINALDO HI-WAY, IMUS
DIVINE GRACE HOSP EPZA BYPASS RD
Professional TEJERO GEN TRIAS
Institutional
4/24/2006
Status and Workflow
Owner - KD
CASUSI, MARY JO JOSE, MD
CATANGUI, JOSEFINO R., MD
8/4/2008
4/9/2007
Professional GENERAL DELIVERY, DASMARINAS
BULACAN
Status and Workflow
Owner - KD
8/11/2008
WPS Provider
11/17/2006 File Updated 11/17/2006
M. PONCE STREET CORNER F. RUSTIA
STREET, BALIUAG
1/19/2009
WPS Provider
7/23/2008 File Updated 07/23/2008
No Activity
2/4/2008 Hold (>2yr)
6/26/2006
Denied
Institutional
No Activity
6/8/2006 Hold (>2yr)
WPS Provider
Status and Workflow
Owner - KD
Status and Workflow
Owner - KD
No Activity
12/5/2005 Hold (>2yr)
WPS Provider
10/5/2009 File Updated updated record
No Activity
7/9/2007 Hold (>2yr)
Status and Workflow
Owner - KD
2/28/2011
4/7/2005
4/7/2005
11/23/2009
7/6/2009
1/21/2008
4/20/2009
1/24/2011
2/20/2006
10/12/2009 Radiology
QUEZON CITY
Denied
QUEZON CITY
Denied
QUEZON CITY
Denied
Quezon City
Denied
WPS Provider
7/9/2007 File Updated 07/09/2007
WPS Provider
WPS Provider
9/17/2009 File Updated no updated needed
Denied
No Activity
11/5/2007 Hold (>2yr)
Status and Workflow
Owner - KD
4/20/2009
No Activity
11/5/2007 Hold (>2yr)
Status and Workflow
Owner - KD
4/20/2009
CAGAYAN
CAGAYAN
Denied
CAVITE
Denied
CAVITE
Denied
Page 22
No Activity
Status and Workflow
Owner - KD
7/21/2003 Hold (>2yr)
8/20/2007
8/20/2007
6/4/2010
10/5/2009
7/25/2005
4/4/2011
Cayanan,Claro,V
21 Unit Clp Complex Mercedes Ave San
Professional Miguel
CAYSASAY DRUG CORPORATION
Institutional
CB ROQUE OPTICAL CLINIC
CCAZZ SKIN & BODY CARE
CENTER
Institutional
Institutional
CCMG DIAGNOSTIC CENTER
Institutional
CEBU HOSPITAL
Institutional
ILLUSTRE AVENUE, LEMERY
AGENCY AND MALOLOS
UNIT 208 GARDEN HEIGHTS
CONDOMINIUM, E. RODRIGUEZ SR.
2/F RANDA BUILDING, 146 MINDANAO
AVENUE
OSMENA BLVD
CAUSWAGAN DRIVE, TALAMBAN, CEBU
CEBU NORTH GENERAL HOSPITAL Institutional CITY
HEALTHREACH MEDICAL CARE
CORPORATION, ROOM 817 NORTH
TOWER, CATHEDRAL HEIGHTS BUILDING
COMPLEX, ST. LUKE'S MEDICAL CENTER,
CEDRE, RECAREDO MD
Professional 279 E. RODRIGUEZ SR. BOULEVARD
LORD'S RAPHAEL MEDICAL SERVICES
INC., SUITE 116 NORTH TOWER
CATHEDRAL HEIGHTS BUILDING
CEFERINA GONZAGA, MARY ANN
MD
CELDRAN, MIGUEL F., MD
ROOM 410, ASIAN HOSPITAL & MEDICAL
CENTER, NO. 2205 CIVIC DRIVE,
Celestial IV,Alberto Frederick,M,MD
Professional
Cellona,Mark,C,MD
Professional
Ceniza,Agustin
Professional
CENIZAL, ARLEEN F., MD
Professional
CENTENO BERNARDO,JANET,MD
Professional
CENTER FOR DIABETES CARE
CENTER FOR SKIN RESEARCH
TESTING AND PRODUCT DEVT.
INC.
CENTER FOR SKIN RESEARCH
TESTING AND PRODUCTION DEVT
INC NES
CENTER PLAZA HEALTHCARE
CENTER
CENTERPORT MEDICAL SERVICES
INC
Professional CANIOGAN, CALUMPIT BULACAN
ROOM 2012, 20TH FLOOR,MEDICAL
PLAZA,CORNER AMORSOLO AND DELA
Institutional ROSA STREETS
Central Lifecare Diagnostic Center
CENTRAL LUZON DRUG REHAB
CENTER
CENTRO UNO PEDIATRIC CLINIC
CEPEDA, ARMANDO M., MD
CEPEDA, MARC ANTHONY C., MD
Cepeda,Marc Anthony,C,MD
CERVANTES, RONALD
East Ave Diliman
Unit 211 2ND Flr Molvina Compl Marcos Hwy
Brgy Mayamot Antipo
Chist the King Maternity & Lying In Hospital
No 130 Real St Pamplona 1
SAN NICOLAS CLINIC, SAN NICOLAS,
CONCEPCION
RM 504 MEDICAL TWR BLDG DAVAO
DOCTORS HOSPITAL E QUIRINO AVE
BRGY. AMAGNA, SAN FELIPE
Professional 4F VICTORIA BLDG 429 UN AVE ERMITA
Rubetan Bldg 1 Cv Starr Ave Philamlife
Professional Commercial Plz
Institutional
STO. NINO, MAGALANG
CENTRO 1, ORANI
LIONG FOUNDATION AND MEDICAL
Professional CENTER, HENSON STREET, ANGELES
Institutional
Denied
BULACAN
Denied
QUEZON CITY
Denied
CEBU
Denied
QUEZON CITY
Denied
WPS Provider
9/10/2008 File Updated 09/10/2008
10/6/2008
QUEZON CITY
Denied
WPS Provider
2/9/2009 File Updated 02/09/2009
3/16/2009
Denied
No Activity
2/5/2007 Hold (>2yr)
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
7/13/2009
Rizal
Denied
8/11/2009
Las Pinas City
Denied
5/6/2009
TARLAC
Denied
2/16/2009
DAVAO CITY
Denied
10/27/2010
BULACAN
Denied
5/14/2008
MAKATI CITY
LEGASPI
VILLAGE
MAKATI
Denied
ZAMBALES
Denied
MANILA
Denied
Las Pinas City
Denied
PAMPANGA
Denied
BATAAN
Denied
PAMPANGA
Denied
Denied
Makati City
Denied
QUEZON CITY
Denied
CAMARINES
SUR
Denied
MANILA
Denied
Denied
TARLAC
Denied
Professional Dasmarinas
BRGY DOLORES TAYTAY MANILA EAST
CHAN,RUFINIL,MD
Professional ROAD
1416 UNIT 4, ANGELINA BUILDING,
CHANDRA-JAMORA, VANESSA MD Professional FORBES STREET, SAMPALOC
Cavite
Denied
RIZAL
Denied
MANILA
Denied
CHANYUNGCO, JOEY NOEL S., MD Professional 297 J P RIZAL STREET, STA ELENA
CHANYUNGCO, MA CELESTE R.,
MD
Professional 297 J P RIZAL STREET, STA ELENA
Page 23
9/25/2006
12/3/2008
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
5/9/2011
3/19/2007
Denied
Denied
8/6/2007
Status and Workflow
Owner - KD
Quezon City
LEYTE
Chan,Editha,Md
9/17/2007
Denied
Denied
CHAN, YAMAMI MD
11/4/2005
CEBU CITY
MANILA
CHAN, ERNESTO E., MD
No Activity
2/23/2005 Hold (>2yr)
WPS Provider
8/20/2007 File Updated 08/20/2007
2/25/2008
Denied
Denied
VETHEALTH MEDICAL SERVICES, UNIT
102 P & R MANSION, NO. 1515 STO.
SEPULCRO STREET CORNER QUIRINO
Professional AVENUE, PACO
ROOM 19 OPD DIVINE WORD HOSPITAL,
AVENIDA VETERANOS AVENUE,
Professional TACLOBAN CITY
Status and Workflow
Owner - KD
1/29/2010
QUEZON CITY
Professional 710 Ermita Ctr Bldg 1350 Roxas Blvd Ermita Manila
CAMARINES
Professional VELASCO BUILDING, PANGANIBAN DRIVE, SUR
Professional 1122 GENERAL LUNA STREET, ERMITA
WPS Provider
WPS Provider
2/20/2006 File Updated 02/20/2006
No Activity
Status and Workflow
Owner - KD
8/8/2005 Hold (>2yr)
WPS Provider
5/16/2006 File Updated 05/16/2006
Denied
Professional San Lorenzo No 2 Amorsolo St
CHAN CASTILLO, MA THERESA MD Professional RODRIGUEZ SR. BOULEVARD
CHAN MILANTE, ROLLO MD
CHAN, AMBER L., MD
BATANGAS
PASIG CITY
Cesario,Rodrigo,G,MD
CHAN, ABNER L., MD
Denied
MUNTINLUPA
CITY
UNIT 2012 MED PLZ MAKATI AMORSOLO
Professional COR DELA ROSA ST
Institutional
Pasig City
11/10/2009
Gastroenterol
8/31/2009 ogy;#Internal
02/16/2009
ADDED DENIED DATE
ON WPS
05/14/2008
ADDED DENIED DATE
ON WPS
06/08/2006
ADDED DENIED DATE
ON WPS
3/16/2009
1/13/2011
6/9/2008
3/2/2011
3/2/2011
6/26/2006
7/23/2010
11/8/2009
05/21/2008
9/22/2008
01/09/2006
2/13/2006
WPS Provider
1/5/2009 File Updated 11/05/2008
WPS Provider
2/19/2011
2/2/2009
9/28/2009
WPS Provider
9/29/2008 File Updated 09/29/2008
2/2/2009
WPS Provider
Pulmonary
12/18/2009 File Updated added denied date on wps 2/12/2010 Disease
22-10-08 EXCLUDED
11/24/2008
WPS Provider
4/28/2008 File Updated 04/28/2008
7/14/2008
No Activity
8/29/2005 Hold (>2yr)
Status and Workflow
Owner - KD
7/11/2005
No Activity
2/25/2008 Hold (>2yr)
Status and Workflow
Owner - KD
4/14/2008
WPS Provider
10/13/2008 File Updated 10/13/2008
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
10/08/2008
ADDED DENIED DATE
ON WPS
12/15/2008
1/26/2009
2/8/2010
7/2/2010
06/21/2007
8/20/2007
2/21/2010
2/21/2010
CHAVEZ PHARMACY INC.
CHAVEZ, FLORENCIO R., MD
CHENG, FREDERICK A., MD
CHENG,FEDERICK,MD
Cheng,Frederick,MD
CHENG,SIDNEY,MD
Cheng,Sydney,Y
CHERRY FOOD-A-RAMA
P. BURGOS ST., BATANGAS CITY
ROOM 207 DOÑA SALUSTIANA MEDICAL
TOWER MANILA DOCTORS HOSPITAL,
NO. 712 P. ESTEBAN STREET, CARIDAD,
BATANGAS
Denied
MANILA
Denied
CAVITE
Denied
QUEZON CITY
Denied
Professional P Burgos Ave Caridad
Cavite City
Denied
Institutional
Institutional
CHEST AND GENERAL CLINIC
Institutional
CHILD AND PEDIA ENTERPRISES
Pasig City
CONGRESSIONAL AVENUE,
QUEZON CITY
Denied
Denied
PANGASINAN
Denied
Institutional
GUILIG ST., DAGUPAN CITY
NO. 513 PEDRO STREET, MAGSAYSAY
SUR, CABANATUAN CITY
NUEVA ECIJA
Denied
CHILD CARE, INC.
Institutional
CAPITOL DRIVE, BALANGA CITY
Denied
CHILDRENS MEDICAL HOSPITAL
Institutional
BONBON CALAPAN CITY
BATAAN
ORIENTAL
MINDORO
CHIN, GUILLERMO M., MD
Professional J P RIZAL STREET, PAGSANJAN
CHINESE GENERAL HOSPITAL AND
MEDICAL CENTER
Institutional 286 BLUMENTRITT ST. STA. CRUZ
CHINN, DOUGLAS MD
Professional ALABANG 17
Chio,Francisco,L,Jr,MD
CHOA'S FOR EVERYTHING
SUPERMART
Professional Ste 509 Hcong Hua Med Arts C J Llorente St
34 BARETTO STREET, EAST BAJACProfessional BAJAC, OLONGAPO CITY
Chong,Hua,H
CHRIS MED LAB, MEDICAL HOSP
SUPPLIES AND EQUIP
CHRISCHELLE MEDICAL AND
HOSPITAL SUPPLIES AND
GENERAL MERCHANDISE
Professional Fuente Osmena
CHRISEL SCI-LAB CENTER
CHRISTIAN MEDICAL
LABORATORY
CHU EENT CLINIC
CHUA, ESTELITA MD
CHUA, FERDINAND S., MD
CHUA, GERALD MD
Denied
Denied
Capital Site Cebu
City
Denied
ZAMBALES
Denied
Cebu City
Denied
Status and Workflow
Owner - KD
No Activity
6/23/2005 Hold (>2yr)
WPS Provider
8/22/2005 File Updated 08/22/2005
WPS Provider
6/9/2008 File Updated 06/09/2008
WPS Pending added denied date 10-197/16/2009 Review/Action 09 per last comment
WPS Provider
8/25/2008 File Updated 08/25/2008
MANILA
Denied
WPS Provider
9/9/2005 File Updated 09/09/2005
Professional P. BURGOS AVENUE, CAVITE CITY,
167 M H DEL PILAR STREET, POBLACION
Professional NORTE, PANIQUI
Denied
CAVITE
Denied
TARLAC
Denied
BAGUIO CITY
Denied
CEBU
Denied
HEALTHWAY MEDICAL CLINIC, 4TH
LEVEL, MARKET MARKET, FORT
Professional BONIFACIO GLOBAL CITY,
1/10/2011
5/28/2010
4/7/2005
Status and Workflow
Owner - KD
WPS Provider
2/25/2008 File Updated no update needed
WPS Provider
6/21/2007 File Updated 06/21/2007
2/14/2011
8/15/2005
8/20/2007
8/4/2008
10/19/2009
9/1/2008
8/29/2005
10/17/2005
3/10/2005
12/24/2007
1/19/2009
1/9/2006
9/21/2009
7/2/2007
No Activity
1/4/2007 Hold (>2yr)
Status and Workflow
Owner - KD
3/12/2007
Denied
No Activity
11/2/2005 Hold (>2yr)
Status and Workflow
Owner - KD
3/19/2007
MUNTINLUPA
CITY
Denied
WPS Provider
5/5/2010
PASIG CITY
Denied
WPS Provider
7/23/2008 File Updated 07/23/2008
TAGUIG CITY
PHILIPPINE ORTHOPEDIC CENTER, MARIA
Professional CLARA STREET, LOURDES I
Status and Workflow
Owner - KD
29-11-07 CORRECTION
WPS Provider
12/29/2008 File Updated 12/29/2008
No Activity
11/15/2005 Hold (>2yr)
6/9/2011
2/13/2006
MANILA
11/3/2010
01/09/2006
ADDED DENIED DATE
ON WPS
Institutional
158 BAMBANG STREET, STA.CRUZ
12/13/2010
1/22/2007
Denied
Institutional
5/4/2010
12/11/2006
Status and Workflow
Owner - KD
No Activity
9/9/2005 Hold (>2yr)
6/6/2005
Status and Workflow
Owner - KD
12/10/2007
MANILA
Professional 1314 M. ALVAREZ AVENUE, TALON V
CHUA, ERNESTO, M.D.
MANILA
MUNTINLUPA
CITY
No Activity
6/2/2003 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
ADDED DENIED DATE
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
1414 RIZAL AVENU, STA. CRUZ
CHUA, CRISTINA MD
CHUA, EDMUND F., MD
Denied
No Activity
11/28/2005 Hold (>2yr)
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
Institutional
CHUA CHONG NOEL, JULIET MD
CHUA, EDELEEN O., MD
LAGUNA
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
6/7/2005 File Updated 06/07/2005
GROUND LEVEL SM CITY BAGUIO
Professional SESSION ROAD
CHU, PAMELA MATILDO MD
Denied
No Activity
4/28/2003 Hold (>2yr)
Status and Workflow
Owner - KD
QUEZON CITY
QUEZON CITY
Professional NI. 74 DUNILL STREET, FAIRVIEW PARK
TRI OVERSEAS VETERANS HEALTHCARE
PROVIDER, ROOM 504 DOCTOR'S CLINIC,
VICTOR R. POTENCIANO MEDICAL
MANDALUYON
G CITY
Professional CENTER, 163 EDSA
Page 24
Denied
Denied
Denied
No Activity
3/31/2006 Hold (>2yr)
Status and Workflow
Owner - KD
WPS Provider
11/21/2008 File Updated 11/21/2008
8/11/2008
12/4/2006
12/15/2008
CHUA, JENNIFER A., MD
ROOM 240 CARDINAL SANTOS MEDICAL
Professional CENTER, WILSON STREET, GREENHILLS
ROOM 105 DOCTORS CLINIC, DR.
AMANDO L. GARCIA MEDICAL CENTER,
648 RIZAL STREET, BRGY. AGAPITO DEL
ROSARIO, ANGELES CITY
HIGHWAY, TARLAC CITY
ROOM A-103, CEBU DOCTORS HOSPITAL
OSMEÑA BOULEVARD, CEBU CITY
MANILA DOCTORS HOSPITAL 667 U N AVE
ERMITA
MANILA EAST ROAD BRGY DOLORES
ROAD
Chinese Gen Hosp 286 Blumentritt St Santa
Cruz
SAN JUAN
Denied
CHUA, JOCEL L., MD
Professional
CHUA, JOSE JR., Y., MD
CHUA, ROGELIO HAN CHING M.,
MD
Professional
CHUA,CARLOS,L,MD
Professional
CHUA,EARL,MD
Professional
Chua,Fernando,O
Professional
CHUA,MAGDALENA,D,MD
Professional 988 BENITEZ ST INT MIA BLVD STA CRUZ CAVITE CITY
Rm 378 MAB Cardinal Santos Med Wilson St
Metro Manila
Professional San Juan
Denied
Professional 808 RODRIGUEZ SR. AVENUE
Rm 214 Fu Yong Mansion 913 Ongpin St Sta
Professional Cruz
QUEZON CITY
Denied
CAMARINES
SUR
Denied
Chua,Philip,U
CHUA-GARCIA, LOURDES S., MD
CHUNG, ALEJANDRO N., MD
Ci Shou Wellness Ctr Inc
CIACICO,LEOPOLDO,Q,MD
Professional
PAMPANGA
Denied
TARLAC
Denied
CEBU
Denied
MANILA
Denied
RIZAL
Denied
Manila
Denied
Manila
PASSI CITY
ILOILO
Denied
Denied
Denied
CINCO, JUDE MD
Professional A PANES ST
31 23RD STREET, WEST BAJAC-BAJAC,
ZAMBALES
PASIG CITY
Circle J General Stores
Professional 14 Magsaysay Dr
Denied
CIERVO, MARGARITA J., MD
CITILAB DIAGNOSTIC CENTER AND
MEDICAL CLINIC
Institutional
CITIMED IMAGING ASSOCIATES,
INC.
CITIZEN'S MEDICAL & OPTICAL
CLINIC
City Of Candon Hospital
CITY TEMPLE HEALTH CARE
CENTER
CJV MEDICAL CLINIC
CKT DRUGSTORE & GEN.
MERCHANDISE
Institutional
Institutional
24-A 15TH AVENUE CORNER 2ND
CAMARILLA STREET, MURPHY, CUBAO
NO. 531 COMMONWEALTH AVENUE
1979 COMMONWELATH AVENUE, HOLY
SPIRIT
2710 Illocos Sur san Nicolas
DON BONIFACIO AVENUE, PULUNG
Professional MARAGUL, ANGELES CITY
ROOM 408, MEDICAL TOWERS MAKATI,
Institutional HERRERA STREET, LEGASPI VILLAGE
RICAFORT BUILDING, MAYOMBO
Professional DISTRICT, DAGUPAN CITY
Institutional
Olongapo City
QUEZON CITY
QUEZON CITY
QUEZON CITY
Clero Clinic Inc Paris
CLIMACO, CHERRIE R., MD
Clinic Systems Inc
CLINICA DAGUPAN
Institutional
CLINICA HOSPITAL, SAN FERNANDO
CLINICA ESTRADA
Professional PUBLIC MARKET BAYAMBANG
Denied
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
6/16/2011
9/30/2009
06/08/2006
3/19/2007
06/16/2008
ADDED DENIED DATE
TO PDS
6/23/2008
10/25/2009
ADDED DENIED DATE
6/4/2011
04/08/2009
Denied
10/27/2008
This provider was visited
and denied by Dr Barin on
6/22/2009. There is no
IntlSOS
reason to kick off another
InProgress
recertification.
WPS Provider need a recertification on
File Updated provider
WPS Provider
WPS Provider
Denied
WPS Provider
8/8/2005 File Updated 08/08/2005
WPS Provider
Denied
Status and Workflow
Owner - KD
Denied
No Activity
4/27/2006 Hold (>2yr)
WPS Provider
Denied
Status and Workflow
Owner - KD
Denied
PANGASINAN
Denied
8/9/2010
5/18/2009
8/11/2008
2/2/2010
No Activity
12/22/2005 Hold (>2yr)
PANGASINAN
PAMPANGA
Anesthesiolog
8/17/2009 y
Status and Workflow
Owner - KD
11/20/2006
11/29/2006
Page 25
ADDED DENIED DATE
denied date 8-17-09
ADDED DENIED DATE
ON WPS
No Activity
8/29/2005 Hold (>2yr)
Denied
Denied
12/22/2010
Status and Workflow
Owner - KD
10/30/2006
MAKATI CITY
Makati City
2/7/2011
No Activity
3/13/2006 Hold (>2yr)
9/12/2005
Denied
3/21/2011
Status and Workflow
Owner - KD
Denied
Denied
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
WPS Provider
7/23/2008 File Updated 07/23/2008
WPS Provider
PAMPANGA
INFRONT OF REGION I MEDICAL CENTER,
ARELLANO STREET, DAGUPAN CITY
PANGASINAN
CLINICA DEL SUENO SA
Denied
5/26/2008
5/6/2009
QUEZON CITY
Professional RUSTANS CUBAO, SUITE 3, 2ND FLOOR
2F 234 235 Sm Supercenter Muntinlupa Brgy
Muntinlupa City
Professional Tunasan
Institutional
Denied
No Activity
4/28/2008 Hold (>2yr)
Status and Workflow
Owner - KD
Denied
Institutional
Professional 219 N C Garcia St Bel Air Village
Denied
3/5/2007
Candon
Angeles City
Friendship TTE Bldg Brgy Anunas
Pampan
PRES. M A ROXAS AVENUE, CORNER
CLARK HEALTHCARE SPECIALIST,
NINOY AQUINO AVENUE, CLARK SPECIAL
INC.
PAMPANGA
Institutional ECONOMIC ZONE, CLARKFIELD
Total Remedies Corp No 30 Nat Hwy Barrio
Clavio,Joseph,A,MD
Zambales
Professional Barreto Olongap
Clark Central Medical Hospital
Denied
No Activity
1/24/2006 Hold (>2yr)
Status and Workflow
Owner - KD
No Activity
11/22/2004 Hold (>2yr)
No Activity
Status and Workflow
Owner - KD
2/7/2006 Hold (>2yr)
3/17/2008
6/22/2009 not applicable
9/24/2007
1/1/2007
12/1/2008
Dermatology;#
Internal
Medicine;#Ob
stetrics &
Gynecology;#
Orthopedic
Medicine;#Pe
diatrics –
Please list any
sub5/19/2011 specialties;#S
8/13/2007
6/22/2009
7/20/2009
4/16/2007
3/15/2010
2/12/2007
2/26/2007
8/23/2010
CLINICA MARIA AUSILIATRICE
CLINICA MIRANDA
Clinica Paiso Ramos Maternity Lying
in & Polyclinic
Institutional
JUAN LUNA STREET, BARANGAY STO.
CRISTO, TARLAC CITY
TARLAC
Professional IBANEZ STREET, ANGONO
Professional 102 Amang Rodriguez Ave
Clinica Pastor Rehabilitation Medicine Professional 34 B C Tirona St
CLINICA STO.DOMINGO
CLINIKA MED LABORATORY AND
DIAGNOSTIC CENTER
Institutional
STO.DOMINGO, CAPAS
RIZAL
Santolan Pasig
City
Denied
Batangas City
Denied
TARLAC
BAUAN
BATANGAS
Professional F MANGOBOS ST POBLACION I
2ND FLOOR G AND A BUILDING, 2303
CLINILAB MEDICAL SERVICES INC. Professional PASONG TAMO EXTENSION,
MAKATI CITY
Unit 4 Parian Commerical Ctr Commonwealth
Clinitech Diagnostics
Quezon City
Professional Ave Old Balara
CO, ANSBERT M.D.
Co,Homer,MD
Professional Angeles City
Denied
Denied
Denied
Denied
Denied
Denied
Denied
Status and Workflow
Owner - KD
Coeli,Kim Tan
Professional Rm 110 Olivarez Gen Hospital Sucat Rd
Paranaque City
Denied
Denied
Professional 22 Westpoint St Subdivision
PAMPANGA
Cubao Quezon
City
Professional 007 BONIFACIO DINALUPIHAN
BATAAN
Denied
Co Health Assoc Inc St L 279 E Rodriguez
Professional Ave Sr
Quezon City
Denied
Denied
No Activity
1/24/2006 Hold (>2yr)
WPS Provider
No Activity
4/10/2004 Hold (>2yr)
WPS Provider
No Activity
7/22/2009 Hold (>2yr)
MANILA
Denied
10/19/2005
RIZAL
Denied
12/10/2007
CAGAYAN
Denied
5/31/2004
Come,Jose,S,JR,MD
Cavite City
Denied
10/20/2009
COMMERZ TRADING
INTERNATIONAL INC.
Commerz Trading Intl Inc
Commerz Trading Int'l Inc
COMMUNITY DIAGNOSTIC AND
PHARMA INC
Institutional
31-B 3RD FLOOR ZETA BUILDING,
SALCEDO STREET, LEGASPI VILLAGE
MAKATI CITY
31 B 3rd Flr Zeta Bldg Salcedo St Legaspi
Professional Village
23 A 2nd Flr Zeta Bld Salcedo St Legaspi
Professional Village
Denied
Makati City
Denied
Makati City
Denied
Professional CAPITOL DRIVE SAN JOSE BALANGA CITY BATAAN
Denied
10/19/2009
Status and Workflow
Owner - KD
No Activity
Status and Workflow
Hold (>2yr)
Owner - KD
ADDED DENIED DATE
WPS Provider ON WPS
File Updated
WPS Provider
File Updated added denied date on wps
WPS Provider
File Updated
No Activity
8/15/2005 Hold (>2yr)
5/8/2006
10/5/2009
3/12/2007
11/9/2009
Status and Workflow
Owner - KD
COLOMA, MARIA LOURDES B., MD Professional ROOM 907 MEDICAL ARTS BLDG
C/O ACCUCARE ASSOCIATES UNIT 211
COLORADO-RODRIGUEZ,
2ND FLOOR MOLVINA COMMERCIAL
JENNIFER L., MD
Professional COMPLEX
34 AGUINALDO STREET, TUGUEGARAO
COMABATE, VALERIANO JR. F., MD Professional CITY
Professional Cavite Naval Hospital Fort San Felipe
9/7/2009
No Activity
Status and Workflow
Owner - KD
9/20/2005 Hold (>2yr)
10/17/2005
4/4/2011
WPS Provider
12/3/2008 File Updated 12/03/2008
2/16/2009
WPS Provider
1/2/2010
Pampanga
Denied
Colmenar,Manuel,MD
3/10/2008
No Activity
12/10/2007 Hold (>2yr)
WPS Provider
WPS Provider
Denied
SAN JUAN
Collantes,Epifania,MD
COLLIMATOR DIAGNOSTIC XRAY
SERVICES
Status and Workflow
Owner - KD
MUNTINLUPA
CITY
COBANKIAT, JOCELYN C., MD
COLLANTES, EPIFANIA V., MD
8/14/2006
No Activity
Status and Workflow
Owner - KD
4/12/2004 Hold (>2yr)
WPS Provider added denied date 10-54/29/2009 File Updated 09 to pds
MEDICAL ARTS BUILDING, CARDINAL
SANTOS MEDICAL CENTER, WILSON
Professional STREET, GREENHILLS
CYBERCARE, RIVERSIDE SUBDIVISION
Professional ANUNAS STREET, ANGELES CITY
No Activity
5/7/2004 Hold (>2yr)
Status and Workflow
Owner - KD
10/9/2006
11/27/2009
4/20/2011
8/3/2009
5/22/2006
2/19/2011
3/8/2010
Obstetrics &
1/4/2010 Gynecology
Status and Workflow
Owner - KD
11/21/2005
Status and Workflow
Owner - KD
No Activity
3/25/2009 Hold (>2yr)
WPS Provider
7/13/2009
8/25/2009
4/13/2011
Already denied on
4/13/2011.
COMMUNITY DIAGNOSTIC AND
PHARMA INC
Community Medical & Surgical Svcs
COMPANY E CORPORATION
CONCEPCION, JOHN MARK P.,
PTRP
CONCEPCION, LUISA D., MD
CONCEPCION, OLIVA MD
CONDES,ROMEO,PT
CONG, JOYCE SOCORRO G., MD
Professional CAPITAL DRIVE SAN JOSE BALANGA CITY BATAAN
Denied
Professional 429 A Don Juico Ave Clarkview
122 KALAYAAN AVENUE, CENTRAL
Professional DILIMAN
Professional CENTER, CONGRESSIONAL AVENUE,
Angeles City
Denied
QUEZON CITY
Denied
CAMARINES
SUR
Denied
CAVITE
Denied
ZAMBALES
Professional A B FERNANDEZ E BRGY PANTAL
Professional HOSPITAL, ERORECO, MANDALAGAN,
DAGUPAN CITY Denied
NEGROS
OCCIDENTAL
Denied
Page 26
Denied
IntlSOS
Update
4/20/2011 Complete
WPS Provider
WPS Provider
Not operating as a clinic
and no consultation
services as indicated in
taxonomy code.
7/11/2011
9/29/2009
03/31/2008
6/16/2008
WPS Provider
12/17/2008 File Updated 12/17/2008
WPS Provider
7/1/2005 File Updated 07/01/2005
No Activity
Status and Workflow
Owner - KD
4/20/2005 Hold (>2yr)
WPS Provider
3/20/2006 File Updated added denied date
3/9/2009
2/5/2007
6/6/2005
8/31/2010
5/27/2011
CONSOLIDATED INDUSTRIAL
GASES INC
CONSTANTINO, DANILO II V., MD
CONTRERAS, EDITHA C., MD
CONTRERAS, ESTEBAN JOSE B.,
MD
Institutional
MANDALUYON
G CITY
CIGI BLDG, SHERIDAN ST
CHRIST THE KING HOSPITAL, 130 REAL
Professional STREET, PAMPLONA
Denied
Professional ROSARIO
CAVITE
Denied
Professional DAIS STREET, PONTEVEDRA,
CAPIZ
Denied
BATANGAS
Denied
CONVE EI STORE
Professional BAUAN DOCTORS GENERAL HOSPITAL,
TDH BLDG RABE SUDB NATIONAL
Professional HIGHWAY 54 VISAYAN VILL
TAGUM CITY
Denied
Coque,Jocelyn,MD
Professional 924 Gandara St Binondo
Manila
Denied
CORNEJO, CHITO O., MD
Professional RTR HOSPITAL, TACLOBAN CITY
LEYTE
Denied
CONTRERAS, LIZA, E
CORNEJO-COMIA, NARCISA
SONIA, MD
CORNISTA, VINCENT R., MD
Coronado,Lorenzo Dennis,V
CORONEL, PATRICIA ANN S., MD
CORPUZ, BERLETTE G., MD
CORREA, CONSORCIO D.,MD
CORREA,RUSSELL,B
MARY MEDIATRIX MEDICAL CENTER, J P
Professional LAUREL HIGHWAY, LIPA CITY
169 OSMENA STREET, SAN ISIDRO, SAN
Professional MARCELINO
BATANGAS
Denied
ZAMBALES
Denied
Sta Cruz Laguna Denied
Professional P Guevarra St
CHONG HUA HOSPITAL, LLORENTE
CEBU
Professional STREET, CEBU CITY
Denied
PAMPANGA
Denied
OPD, DIVINE WORD UNIVERSITY,
Professional AVENIDA VETERANOS, TACLOBAN CITY
CROSSING EAST TAGAYTAY ROTUNDA
Professional TAGAYTAY HOSP AND MED CTR
LEYTE
TAGAYTAY
CITY
CORTES, JOSEFINO MEDERICO T.,
MD
Professional 53 UBAY STREET
ST. CLAIRE PSYCH CLINIC, NO. 630
MANGGA STREET, DONA FRANCISCA
CORTEZ, MARIA LOURDES C., MD Professional SUBDIVISION, BALANGA CITY
Denied
Denied
No Activity
9/27/2004 Hold (>2yr)
Status and Workflow
Owner - KD
11/20/2006
No Activity
5/12/2005 Hold (>2yr)
Status and Workflow
Owner - KD
12/31/2007
No Activity
9/9/2005 Hold (>2yr)
Status and Workflow
Owner - KD
10/30/2006
No Activity
Status and Workflow
Hold
(>2yr)
Owner - KD
10/31/2005
10/22/2007
12/1/2010
9/28/2010
10/25/2009
WPS Provider
Status and Workflow
Owner - KD
No Activity
7/7/2005 Hold (>2yr)
WPS Provider
1/8/2008 File Updated 01/08/2008
WPS Provider
WPS Provider
6/14/2005 File Updated 06/14/2005
12/9/2005
1/28/2008
3/29/2010 Surgery
3/10/2005
WPS Provider
11/15/2007 File Updated added denied date on pds 10/23/2009
Status and Workflow
Owner - KD
No Activity
10/19/2005 Hold (>2yr)
WPS Provider
3/20/2006
6/16/2011
Status and Workflow
Owner - KD
3/31/2008
QUEZON CITY
Denied
No Activity
3/27/2006 Hold (>2yr)
BATAAN
Denied
WPS Provider
5/11/2010
PAMPANGA
Denied
Status and Workflow
Owner - KD
12/9/2005
Muntinlupa City
Denied
COSALAN, EDWIN M.,MD
Professional Supermall Alabang Unit 3116 3rd Flr Festival
ROOM N2B13 ST.LOUIS UNIVERSITY
Professional HOSPITAL OF THE SACRED HEART
BAGUIO CITY
Denied
COSHUMING,JAMES
Professional BIO TAGUDIN
ILOCOS SUR
Denied
Costa,Rommel,MD
Cavite City
Denied
CORTEZ, WILLIE C., MD
Cortez,Irene Simon
COSTALES, ODESSA L., PTRP
NO.348 BULACAN STREET, MOUNTAIN
Professional VIEW, BALIBAGO ANGELES CITY
WILHELMINA MANIQUIS MEDICAL
CENTER, NO.31 GEN. EVANGELISTA
Professional STREET, MABOLO, BACOOR,
CAVITE
Denied
COSTSAVERS SUPERMARKET INC Professional STERN MALL SAN NICOLAS CANDON CITY ILOCOS SUR
Denied
COZ, MAUREEN M., MD
COZ, MAUREEN MD
PASIG CITY
Denied
Coz,Maureen
Crb Multi Specialtiy Clinic Corp
CREATIVE SPIRIT CONSULTANTS
Credo,Junabeth,C,MD
CRESENCIO, EFREN MD
CRESENCIO, EFREN N., MD
CRIS N WIN ENTERPRISE
Professional G F Ever Gotesco Mall Ortigas Ave Extension Pasig City
No 299 Northwing Sm City Cebu N
Cebu City
Professional Reclamation Area Mabolo
47F XAVIERVILLE AVENUE, LOYAL
QUEZON CITY
Professional HEIGHTS
Professional No 37 Hibbord Ave Bantayan Dumaguete City
C/O FIL-AMERICAN RETIREES CLINIC
SUITE 205, 2ND FLOOR, VELASCO
Professional BUILDING, PANGANIBAN DRIVE, NAGA
Institutional
NO. 490C MAGSAYSAY AVENUE
Denied
Denied
Denied
No Activity
6/17/2005 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
No Activity
11/21/2005 Hold (>2yr)
IntlSOS
Update
5/7/2010 Complete
2/3/2010
02/22/2006
ADDED DENIED DATE
ON WPS
Status and Workflow
Owner - KD
11/12/2007
none
WPS Provider
10/20/2008 File Updated 10/20/2008
WPS Provider
WPS Provider
WPS Provider
1/21/2009 File Updated 01/21/2009
Denied
CAMARINES
SUR
Denied
WPS Provider
4/28/2008 File Updated 04/28/2008
CAMARINES
SUR
Denied
BAGUIO CITY
Page 27
Denied
No Activity
11/29/2006 Hold (>2yr)
7/31/2010
updated on 6-15-09
added denied date and
WPS Provider changed certification
9/14/2009 File Updated status to denied
Negros Oriental
6/3/2006
Status and Workflow
Owner - KD
6/15/2010
4/16/2011
11/3/2008
10/30/2009
11/23/2009
2/9/2009
9/21/2009
8/4/2008
1/24/2011
4/23/2007
Crismer Clinic & Pharmacy
Professional Pasilio B Imus Public Market
ROOM 307 3RD FLOOR, MEDICAL
TOWERS BUILDING, HERRERA CORNER
CRISOSTOMO, SOTERO JR. C., MD Professional ORMAZA STREETS
RM 225, NEW WING BLDG., MAKATI
CRISOSTOMO, THELMA
MEDICAL CENTER, NO.2 AMORSOLO ST.
DIMALANTA, MD
Professional LEGASPI VILLAGE
CROSS OF NAZARENE HEALTH
PROV CLINIC
Institutional ROOM 501, 169 EASTGATE CENTER, EDSA
CRUCES MEDICAL & PEDIATRIC
BONIFACIO STREET, BARANGAY 11,
CLINIC
Institutional LAOAG CITY
CRUCES-AGUINALDO, EGDONA
MD
CRUCILLO, RENATO V., DMD
CRUZ MEDICAL AND DENTAL
CLINIC
CRUZ, ANTONIO M.
CRUZ, BELINDA A., MD
CRUZ, CATRINI Q., MA, MD
CRUZ, DANILO M., MD
CRUZ, FORTUNE D., MD
CRUZ, LIZA ASUNCION M., MD
CRUZ, MA. LIZA ASUNCION, M.D.
CRUZ, MARCELO JR. A., MD
CRUZ, NOEL MD
CRUZ, OLIVIA L., MD
CRUCES MEDICAL & PEDIATRIC CLINIC,
BONIFACIO STREET, BARANGAY 11,
Professional LAOAG CITY
Imus Cavite
Denied
MAKATI CITY
Denied
MAKATI CITY
MANDALUYON
G CITY
Denied
Denied
ILOCOS NORTE Denied
ILOCOS NORTE Denied
Professional NO. 20 OSORIO STREET, MENDEZ,
CAVITE
9 UNIT D-A BONIFACIO AVENUE, CAINTA
1 SAMPAGUITA STREET, MINDANAO
Professional AVENUE
Institutional
Professional NO. 4959 ANTONIO S. ARNAIZ AVENUE
RIZAL
Denied
QUEZON CITY
Denied
MANILA
Professional NO. 1248 ANDALUCIA STREET, STA. CRUZ MANILA
FEU-NRMF HOSPITAL, REGALADO
Professional STREET CORNER DAHLIA STREET, WEST QUEZON CITY
MEDICAL CITY CLINIC, STA. LUCIA EAST
Professional GRANDMALL, CAINTA
Denied
Denied
Denied
QUEZON CITY
Denied
RIZAL
Denied
QUEZON CITY
Professional 356 C. CRUZ STREET, CAINTA
Professional SUBDIVISION, BARANGAY ANUNAS,
Denied
Denied
CRUZ, PATRICIA LORNA O., MD
Professional 601 MA. CHRISTINA STREET, SAMPALOC
MANILA
Denied
Cruz,Jose Nicholas,M
Cruz,Melchor Rene,A,MD
Cruz,Misael,MD
CRUZ,OLIVER,MD
CRUZ-CONDUCTO, CHRISTINE
LEONOR M., MD
CRUZ-MARTINEZ, LOURDES MD
PAMPANGA
Denied
Professional 601 Ma Cristina St Sampaloc
UNIT 2 JOSE AND PAULA BLDG 224
Professional MCARTHUR HWY
37 Mab St Lukes Med Ctr 279 E Rodriguez Sr
Professional Blvd
Manila
MABALACAT
PAMPANGA
Denied
Quezon City
Denied
Professional Quezon City Med Ctr Aurora Blvd
UNIT 211 2ND FLR MOLVINA BLDG
Professional MARCOS HWY MAYAMOT ANTIPOLO
Quezon City
Denied
Pampanga
Denied
RIZAL
Denied
Professional QUEZON AVENUE
ROOM 446 MEDICAL ARTS BUILDING
Professional E.RODRIGUEZ, SR.AVENUE
QUEZON CITY
QUEZON CITY
Page 28
Denied
Denied
Denied
3/10/2005
9/10/2007
No Activity
4/27/2006 Hold (>2yr)
Status and Workflow
Owner - KD
11/13/2006
Status and Workflow
Owner - KD
No Activity
Hold (>2yr)
WPS Provider
12/17/2008 File Updated 12/17/2008
No Activity
4/5/2006 Hold (>2yr)
9/10/2007
11/4/2005
3/23/2009
Status and Workflow
Owner - KD
6/26/2006
Status and Workflow
Owner - KD
4/23/2007
No Activity
4/2/2007 Hold (>2yr)
WPS Provider
7/7/2008 File Updated 07/07/2008
Status and Workflow
Owner - KD
No Activity
3/10/2005 Hold (>2yr)
WPS Provider
12/22/2005 File Updated 12/22/2005
8/4/2008
7/24/2006
6/12/2006
No Activity
5/24/2004 Hold (>2yr)
Status and Workflow
Owner - KD
9/4/2006
Status and Workflow
Owner - KD
7/16/2007
WPS Provider
3/14/2005 File Updated 03/14/2005
Denied
1/9/2006
No Activity
5/16/2006 Hold (>2yr)
Denied
Denied
9/18/2006
Status and Workflow
Owner - KD
PAMPANGA
NUEVA ECIJA
CRUZ,JOHN HARVEY
WPS Provider
12/29/2003 File Updated 29-12-03
WPS Provider
5/23/2005 File Updated 05/23/2005
WPS Provider
5/16/2006 File Updated 05/16/2006
Denied
MABINI STREET, QUEZON DISTRICT,
Professional CABANATUAN CITY
Cruz,Cristino Besani,O
WPS Provider
8/1/2005 File Updated 08/01/2005
RIZAL
DOOR NO. 3, YPL BUILDING, VETERANOS,
LEYTE
Professional TACLOBAN CITY
11/9/2009
No Activity
5/30/2005 Hold (>2yr)
CRUZ, PAMELA FAYE P.
CRUZ, RAMON JR., MD
WPS Provider
No Activity
9/15/2005 Hold (>2yr)
Status and Workflow
Owner - KD
12/18/2006
Status and Workflow
Owner - KD
No Activity
12/11/2006 Hold (>2yr)
WPS Provider
6/4/2008 File Updated 08/29/2008
No Activity
9/27/2004 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
4/9/2007
Status and Workflow
Owner - KD
ADDED DENIED DATE
ON WPS
added certified date on
wps
updated on 6-15-09
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
1/22/2007
9/29/2008
8/21/2006
12/10/2010
Adult and
3/1/2011 Invasive
5/27/2010
7/15/2010
No Activity
3/20/2006 Hold (>2yr)
Status and Workflow
Owner - KD
4/2/2007
No Activity
1/4/2005 Hold (>2yr)
Status and Workflow
Owner - KD
3/28/2005
Status and Workflow
Owner - KD
CUA LIM, FELICIDAD
APARTMENT E, J. DIZION COMPOUND,
DON MANUEL AVENUE, DON BONIFACIO,
CHILDREN'S CLINIC, NO. 3 A. BONIFACIO
STREET, ROSARIO RODRIGUEZ
Professional MONTALBAN
ROOM 237, 1122 MEDICAL CENTER
Professional MANILA, GEN. LUNA STREET, ERMITA
Cua Ong,Lolita,L
Professional F Tanedo St
Tarlac City
Denied
CUA, DELFIN G.,MD
CAVITE
Denied
MANILA
Denied
WPS Provider
4/15/2009 File Updated 04/15/2009
MANILA
Denied
CUEVAS, EMMY P.
Professional 965 CPL CAJIGAS STREET, CAVITE CITY
Professional TERRACES, NO. 638 TM KALAW STREET,
BLOCK 5 LOT 19, SAMANTHA HEIGHTS
Professional SUBDIVISION, BULAC, STA. MARIA
WPS Provider
WPS Provider
7/7/2008 File Updated 07/07/2008
WPS Provider
WPS Provider
9/20/2005 File Updated 09/20/2005
BULACAN
Denied
Cuico Atienza Skin Centre
CUICO-ATIENZA EYE & SKIN
CLINIC
Professional 20 Magsaysay Dr olongapo city
NO. 20 MAGSAYSAY DRIVE, OLONGAPO
Professional CITY
zambales
Denied
ZAMBALES
Denied
WPS Provider
WPS Provider
6/2/2008 File Updated 06/02/2008
WPS Provider
WPS Provider
Denied
No Activity
11/17/2006 Hold (>2yr)
Status and Workflow
Owner - KD
Denied
WPS Provider
CRUZ-ONG, MARIA ARCHEE, PT
CRUZ-VILLANUEVA, ARLENE MD
CUARESMA, SIEGFRIED MD
CUAYO-JUICO, CYNTHIA MD
CUISON CAR & VAN RENTAL
ENTERPRISES
CUNAN, ARNEL D., MD
Professional
CUSTODIO, MA ANA P., MD
Professional
CUYCO,RONALD,E,MD
Professional
Professional
Institutional
ST.MICHAEL MEDICAL CENTER, 220
MOLINO II, BACOOR
K118 A SM CITY PAMPANGA, LAGUNDI,
MEXICO
ROOM N2B6 SLU HOSPITAL ANNEX ,
ASSUMPTION ROAD
RM 3226 NATIONAL KIDNEY INSTITUTE
QUEZON AVE
D H S Drugstore
D. R. D. BACUD CLINIC
DABATOS, ARTHUR JR. R., MD
DADO, MARIE MICHELLE A., MD
DADO, MARIE MICHELLE A., MD
DAEZ,MA LOURDES,O,MD
Dagdagan,Aileen
DALANGIN, FRANCISCO P., MD
DALAY, CARINA MD
DANCEN MEDICAL SUPPLIES
DANE DEGALA-CASTILLO
PHARMACY
Danguilan,Jose Luis,J,MD
DANIEL V DUNGCA MEDICAL
SERVICES
DANILO OLITOQUIT MEDICAL
CLINIC
MANILA
Denied
HEART/LUNG/PAIN STATION, OSPA
FARMERS' MEDICAL CENTER, CANProfessional ADIENG, ORMOC CITY
Denied
10/17/2005
PAMPANGA
Denied
4/6/2009
BAGUIO CITY
Denied
10/13/2008
QUEZON CITY
Denied
12/28/2010
Denied
QUEZON
Denied
QUEZON CITY
G/F WPMSI ROOM, BAUTISTA HOSPITAL,
Professional 375 P. BURGOS AVENUE, CAVITE CITY
NO. 34 SAMPAGUITA STREET CORNER
Professional 10TH AVENUE, BRGY. 101
Institutional
BRGY. 25 PASION STREET,LAOAG CITY
STALL 1 LRT STATION RIZAL AVENUE
COR BAMBANG STA. CRUZ
STALL 1 LRT STATION RIZAL AVENUE
Professional COR BAMBANG STA. CRUZ
Denied
QUEZON CITY
LEYTE
HEALTH ASSOCIATES SUITE 601 NORTH
TOWER, CATHEDRAL HEIGHTS,
Professional E.RODRIGUEZ SR.,
No Activity
2/16/2007 Hold (>2yr)
CAVITE
Angeles City
Professional 03 Visitacion Pampang
517 MCARTHUR HIGHWAY, CAMACHILES,
PAMPANGA
Institutional MABALACAT
DANA A. JIMENEZ MEDICAL CLINIC Institutional
DANCEN MEDICAL SUPPLIES
Denied
57 DON JUICO AVENUE RIVERSIDE SUBD.
PAMPANGA
NO.1 WESTPOINT ST CORNER AURORA
CYBERCARE INC
Institutional BOULEVARD, CUBAO
CYNTHIA ARANILLA'S SKIN CLINIC
MERCHANT STREET, BRGY. IV, LUCENA
& FACIAL
Professional CITY
Denied
RIZAL
NO. 523 BELEN HOMESITE, STO. CRISTO,
PAMPANGA
Institutional ANGELES CITY
PAMPANGA
CUNANAN, ANGELA D., RT
CUNSUMER'S DESIRE TRADING
CORPORATION
CYBERCARE HEALTHCARE
PROVIDER INC
PAMPANGA
Denied
Denied
Denied
Denied
CAVITE
Denied
PASIG CITY
Denied
Pampanga
CALOOCAN
CITY
Denied
QUEZON CITY
Denied
Denied
ILOCOS NORTE Denied
MANILA
Denied
No Activity
8/23/2004 Hold (>2yr)
No Activity
9/1/2002 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
7/21/2008
8/17/2009
2/13/2006
5/18/2009
2/6/2010
6/16/2008
9/28/2009
1/22/2010
1/8/2007
5/27/2011
Status and Workflow
Owner - KD
11/5/2007
04/06/2009
4/20/2009
10/13/2008
ADDED DENIED DATE
ON WPS
11/10/2008
1/17/2011
Status and Workflow
Owner - KD
7/31/2006
Status and Workflow
Owner - KD
3/1/2005
5/25/2010
already updated
ADDED DENIED DATE
ON WPS
10/16/2009
3/11/2011
No Activity
3/27/2006 Hold (>2yr)
No Activity
5/23/2005 Hold (>2yr)
Status and Workflow
Owner - KD
No Activity
Status and Workflow
Owner - KD
1/8/2005 Hold (>2yr)
WPS Provider
4/22/2008 File Updated 04/22/2008
WPS Provider
11/17/2008 File Updated 11/17/2008
Status and Workflow
Owner - KD
No Activity
7/3/2003 Hold (>2yr)
WPS Provider
Denied
1/24/2006
ZONE I, IBA
C O Capitol Medical Center III Scout
Professional Magbanua Paligsahan
ZAMBALES
Denied
2/23/2007
Quezon City
Denied
10/21/2009
Professional 48 IFUGAO ST LA VISTA SUBD DILIMAN
MT CARMEL GENERAL HOSPITAL,
Institutional LUCENA CITY
QUEZON CITY
Denied
5/24/2010
Denied
3/20/2006
QUEZON
Page 29
Pediatrics –
Please list any
5/25/2010 sub-
Status and Workflow
Owner - KD
12/11/2006
MANILA
Institutional
No Activity
Hold (>2yr)
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
4/30/2007
5/7/2007
8/6/2007
10/4/2010
5/27/2010
5/5/2008
12/15/2008
8/29/2005
7/4/2011
No Activity
Status and Workflow
Hold (>2yr)
Owner - KD
11/14/2005
File Updated ON WPS
5/8/2010
WPS Provider
File Updated
12/16/2009
File Updated ON WPS
8/9/2010
WPS Provider
4/10/2006
ROOM 10 BENGUET LABORATORIES,
Professional LOWER GF, SM CITY BAGUIO, LUNETA
Rm 210 Notre Dame De Chartress 25 Gen
Professional Luna Rd
DANTER HEALTH CARE SERVICES Institutional
QUEZON CITY
Denied
DAR, MELANIE VICTORI, MD
BAGUIO CITY
Denied
Baguio City
Denied
Dar, Melanie Victoria
DARAGA MEDICAL AND DIABETIC
CLINIC
BURGOS ST.ILAWOD 3 VELASCO
SUBDIVISION,BAGUMBAYAN, DARAGA
Institutional
DARLYNS FAMILY PHARMACY
Professional CENTRO 1 ORANI
DARVIN, MARIA RUTCHELLE SAN
GABRIELLE, MD
G/F MEDICAL TOWERS , 103 RUFINO
DATINGALING,ANTERO,C,MD
Professional LEMERY
ST MICHAEL HOSPITAL 220 MOLINO II
Professional BACOOR
DAUZ, LEA NINA I., PTRP
DAYACAP,EDUARDO,C,MD
DAYAO, LORENA G., MD
DAYRIT, LIBERTY L., MD
DAYRIT, LIBERTY MD
DAYRIT,GREG DAVID
DE BORJA, MARTHA R., MD
DE CASTRO, CONRADO B., MD
DE CASTRO, FELICISIMO MD
DE CASTRO, JORGE M., MD
DE DIOS GOSE, MAYVELYN
DE GUIA GODINO,ELIZABETH,MD
DE GUZMAN FAMILY MEDICINE &
PEDIATRIC CLINIC
ALBAY
Denied
BATAAN
Denied
MAKATI CITY
Denied
BATANGAS
Denied
CAVITE
MEDHAUS MEDICAL SERVICES, ROOM
302 DON SANTIAGO BUILDING, TAFT
MANILA
PAMPANGA
NO.57 DON JUICO AVENUE, RIVERSIDE,
Professional JUAN LUNA STREET, TARLAC CITY
Professional HENSON STREET, ANGELES CITY
CAPITOL MEDICAL CENTER, SCOUT
Professional MAGBANUA, PALIGSAHAN
1122 MEDICAL CENTER MANILA, GEN.
Professional LUNA STREET, ERMITA
STE 506 MEDICO BLDG SAN MIGUEL AVE
Professional ORTIGAS CTR
NO. 50 14TH STREET, EAST TAPINAC,
DE GUZMAN LUNA, JUDITH TELLIE
NO. 331 KATIPUNAN AVENUE, LOYOLA
MD
906 MAGILIW LANE, STA. RITA,
DE GUZMAN, ARMANDO MD
Denied
Denied
Denied
PAMPANGA
Denied
QUEZON CITY
Denied
Denied
7/23/2007
MANILA
Denied
7/7/2008
PASIG CITY
Denied
7/13/2010
ZAMBALES
Denied
8/25/2008
BAGUIO CITY
Denied
DE GUZMAN,LORA MAE,A,MD
Professional 109 DEL PILAR STREET
De Guzman,Niel,M,PT
Professional 2F Carlson plz Lapu Cor N Torres St Agdao
DE GUZMAN-CABALLA, CECILE L.,
MD
DE GUZMAN-JUBILIA, ARACELI B.,
MD
UNIT 211, 2ND FLOOR, MOLVINA
COMMERCIAL COMPLEX, BARANGAY
Professional MAYAMOT, MARCOS HIGHWAY,
ROOM 2010 MEDICAL ARTS TOWER,
No Activity
Status and Workflow
Owner - KD
8/29/2005 Hold (>2yr)
QUEZON CITY
Professional NO. 15 KAYANG STREET
Professional Apt 3 Don Juico Ave Anunas
8/21/2006
8/4/2008
DE GUZMAN, MA. VICTORIA
De Guzman,Jeffrey,M
No Activity
9/27/2004 Hold (>2yr)
Status and Workflow
Owner - KD
Denied
Denied
DAVAO DEL
SUR
Denied
DAVAO DEL
SUR
Denied
QUEZON CITY
Denied
Angeles City
CABANATUAN
CITY
Denied
Davao Del Sur
Denied
RIZAL
PANGASINAN
Page 30
Denied
Denied
Denied
10/4/2010
8/6/2007
PAMPANGA
ZAMBALES
10/27/2008
No Activity
7/17/2006 Hold (>2yr)
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
07/23/2007
8/6/2007
07/07/2008
ADDED DENIED DATE
ON WPS
7/21/2008
08/25/2008
9/29/2008
Status and Workflow
Owner - KD
No Activity
3/20/2006 Hold (>2yr)
WPS Provider
8/20/2007 File Updated 08/20/2007
Status and Workflow
Owner - KD
WPS Provider
5/12/2008 File Updated 01/02/2008
12/10/2007
7/26/2010
4/2/2007
4/27/2009
6/26/2006
10/15/2007
10/1/2007
3/23/2009
4/14/2008
10/30/2009
ADDED DENIED DATE
ADDED DENIED DATE
ON WPS
No Activity
2/22/2006 Hold (>2yr)
9/15/2008
12/29/2008
No Activity
9/15/2005 Hold (>2yr)
WPS Provider
4/6/2009 File Updated 04/06/2009
WPS Provider
WPS Provider
WPS Provider
WPS Provider
1/10/2011
08/04/2008
Status and Workflow
Owner - KD
No Activity
9/5/2005 Hold (>2yr)
12/9/2005
Status and Workflow
Owner - KD
10/31/2005
WPS Provider
8/25/2008 File Updated updated tax id number
Denied
11/9/2010
Status and Workflow
Owner - KD
Denied
Denied
DE GUZMAN, VICENTE MD
WPS Provider
10/6/2008 File Updated 10/06/2008
QUEZON CITY
QUEZON CITY
12/11/2006
No Activity
Status and Workflow
Owner - KD
9/20/2005 Hold (>2yr)
12/25/2005
11/18/2010
No Activity
9/27/2005 Hold (>2yr)
MANILA
DE GUZMAN, NIEL M., PT
04-04-05 FORMERLY
BARRAMEDA MEDICAL
AND SURGICAL CLINIC
ADDED DENIED DATE
ON WPS
Denied
NO. 13 B. MORCILLA STREET,
Professional POBLACION, PATEROS
DE GUZMAN, NEIL M., PTRP
WPS Provider
WPS Provider
TARLAC
DE GUZMAN, JEFFRIE F.
EDGARDO BUENAVENTURA CLINIC, SUITE
5, GROUND FLOOR BROKENSHIRE
INTEGRATED HEALTH, INC. MADAPO
Professional HILLS, DAVAO CITY
JABEZ MEDICAL & DIAGNOSTIC CLINIC,
2ND FLOOR CARLSON'S PLAZA BUILDING
LAPU-LAPU & N. TORRES STREET,
Professional AGDAO, DAVAO CITY
WPS Provider
3/8/2010
WPS Provider
10/13/2008 File Updated 10/13/2008
11/10/2008
WPS Provider
10/30/2009
Status and Workflow
Owner - KD
6/21/2011
Physical
4/12/2011 Therapy
2/19/2011
4/30/2007
DE JESUS, ARVIN L.,MD
ROOM 226 PERPETUAL SUCCOUR
Professional HOSPITAL, F.CAYCO STREET
DE JESUS, NERISSA M.D.
Professional
DE JESUS, ROGER MD
Professional
DE JESUS,MERLYN
Professional
De La Calzada,Wilson,C,MD
Professional
DE LA CRUZ, MELCHOR, MD
DE LA CRUZ, NICANOR B., MD
De La Cruz,Beatriz,MD
MANILA
SR.AVENUE
TOTAL MED SUBIC CORPORATION, UNIT
A2 BUILDING A, SUBICVEST
COMMERCIAL, SUBIC BAY GATEWAY
MEZZANINE A DON SANTIAGO BLDG 1344
TAFT AVE
Rm 104 A S General Hospital National
Highway Tuyan
Professional 661 RIZAL STREET, ANGELES CITY
QUEZON CITY
Denied
ZAMBALES
Denied
Naga City
DE LARA-TORDESILLAS, ETHEL
CHRISTINE MD
1/9/2006
Status and Workflow
Owner - KD
2/2/2009
NO. 133 MC ARTHUR HIGHWAY,
Professional SALUYSOY, MEYCAUAYAN
BULACAN
UNIT 218 MARIAN MEDICAL ARTS
DE LEON LAT, MARIA CRISTINA MD Professional BUILDING, WEST FAIRVIEW
UNIT 31 32 LOWER GRD LEVEL SM CITY
DE LEON PANDANAN,AILEEN
Professional BACOOR
DE LEON, BEN ROD V., MD
Denied
Denied
QUEZON CITY
BACOOR
CAVITE
Denied
Denied
Denied
Denied
BAGUIO CITY
Denied
DE LEON, EVA C., MD
Professional ABANAO CENTER, ABANAO SQUARE
ULTRASOUND DEPARTMENT, OUR LADY
OF LOURDES HOSPITAL, 46 P. SANCHEZ
Professional STREET, STA. MESA
MANILA
Denied
DE LEON, FLOR
Professional POBLACION, BALIUAG
BULACAN
Denied
DE LEON, FROILAN ANTONIO, MD
Professional HOSPITAL, ESPANA, SAMPALOC
DE LEON, MARIA ISABEL M.
DUAVIT, M.D.
DE LEON, ROBERTO MD
DE LEON, VIRGINIA, MD
DE LEON,CAMILLE,C,RN
MANILA
MUNTINLUPA
CITY
75-18TH CORNER IBARRA STREET, EAST
Professional BAJAC-BAJAC , OLONGAPO CITY
DE LOS REYES, MARY ANNE B.,
MD
RM 814 N MAB ST LUKES MED CTR E
MV SANTIAGO MEDICAL CTR BRGY DE
Professional OCAMPO TRECE
DE LOS REYES, MARY ANNE MD
AVENGOZA MEDICAL CLINIC, DOOR 4
NAGA-MONTANA ARCADE, OLD MOTHER
SETON HEOSPITAL COMPOUND, NAGA
Professional CITY
DE LEON,EDWIN,C,JR,MD
DE LEON,JASMYN
De Los Santos,Maribeth,T,MD
DE LUNA, ARIEL L., MD
DE LUNA, MARIETTA B., MD
DE LUZURIAGA,MAE LINDA
GUILLERGAN RUIZ
Univ of the E Ramon Magsaysay Memorial
Professional Medical ctr Aurora Blvd
MEDICAL CENTER MANILA, NO. 1122
Professional GENERAL LUNA STREET, ERMITA
SPEC HOSP ERORECO SUBDIVISION
Professional MANDALAGAN BACOLOD CITY
ZAMBALES
CAMARINES
SUR
MABALACAT
PAMPANGA
QUEZON CITY
Denied
Denied
Denied
Denied
Denied
Denied
MARTIRES CITY Denied
CAMARINES
SUR
CAMARINES
SUR
9/4/2006
Status and Workflow
Owner - KD
La Union
De La Paz,Adriano,Md
No Activity
5/31/2004 Hold (>2yr)
Status and Workflow
Owner - KD
11/4/2009
Denied
6/3/2006
Denied
PAMPANGA
DE LA PAZ,ADRIANO,G,MD
No Activity
11/7/2005 Hold (>2yr)
WPS Provider
10/20/2008 File Updated 10/20/2009
WPS Provider
WPS Provider
METRO MANILA Denied
PAMPANGA
Denied
Status and Workflow
Owner - KD
Denied
No Activity
12/8/2003 Hold (>2yr)
No Activity
7/10/2006 Hold (>2yr)
WPS Provider
4/16/2011
No Activity
5/3/2007 Hold (>2yr)
Status and Workflow
Owner - KD
5/14/2007
No Activity
Status and Workflow
Owner - KD
9/25/2006 Hold (>2yr)
11/27/2006
3/21/2011
No Activity
3/28/2007 Hold (>2yr)
Status and Workflow
Owner - KD
WPS Provider
10/2/2007 File Updated 10/02/2007
WPS Provider
11/17/2008 File Updated 11/17/2008
8/13/2007
3/10/2008
12/1/2008
No Activity
1/15/2007 Hold (>2yr)
Status and Workflow
Owner - KD
4/30/2007
No Activity
5/3/2004 Hold (>2yr)
Status and Workflow
Owner - KD
9/4/2006
No Activity
4/20/2005 Hold (>2yr)
Status and Workflow
Owner - KD
5/16/2005
No Activity
Status and Workflow
Owner - KD
12/26/2005 Hold (>2yr)
ADDED DENIED DATE
WPS Provider INSTEAD OF CERTIFIED
3/30/2011 File Updated DATE
WPS Provider
Status and Workflow
Owner - KD
No Activity
7/12/2004 Hold (>2yr)
Quezon City
Denied
added Univ of the East
Ramon Magsaysay
WPS Provider Memorial Medical Ctr to
7/30/2009 File Updated address
RIZAL
Denied
MANILA
NEGROS
OCCIDENTAL
Denied
Page 31
6/7/2010
10/30/2009
ADDED DENIED DATE
WPS Provider FROM SUB ID A103 4-161/24/2011 File Updated 11
Denied
Denied
2/2/2009
WPS Provider
WPS Provider
10/11/2005 File Updated 10/11/2005
WPS Provider
2/11/2008
Registered
3/16/2011 Nurse
6/29/2011
7/13/2010
1/24/2011
8/7/2006
8/10/2009
12/7/2009
6/12/2006
5/27/2011 Psychiatry
DE PERALTA-BANDONG,
MICHELLE RN
Professional
DE VERA, MICHELLE J., MD
Professional
DE VERA, MICHELLE JOY B., MD
Professional
DE VERA, MICHELLE JOY B., MD
Professional
DE VERA,MICHELLE JOY,B,MD
Professional
DE VERA,MICHELLE,J,MD
Professional
DE VEYRA, ERNESTO JR. A., MD
De Villa Leelin,Thelma,MD
De Villa,Victor,S,MD
DEBUQUE, EUSEBIO MD
Declaro,Faye,G
DEE HWA LIONG FOUNDATION
AND MEDICAL CENTER
DEGUIT, JERMAINE I., PTRP
DEL CARMEN-REBURIANO, FLOR
MD
ROOM 1119 MEDICAL ARTS TOWER, THE
MEDICAL CITY , ORTIGAS AVENUE
605 NTCHBC ST LUKES MED CTR E
RODRIGUEZ SR AVE
CHBC NT 605 ST LUKES MED CTR E
RODRIGUEZ ST QUEZON NCR PHIL
Professional NO. 547 PEDRO GIL, ERMITA
Ste 319 Makati Med Ctr No 2 Amorsolo St
Professional Legaspi Village
Denied
RIZAL
Denied
QUEZON CITY
Denied
QUEZON CITY
Denied
MANILA
Denied
Makati City
Denied
Camarines Sur
Denied
SAPANG MAISAC, MABALACAT
PAMPANGA
Denied
Institutional
2F EAST AVENUE MEDICAL CENTER,
EAST AVENUE
MCARTHUR HWY
HOSPITAL, ERORECO, BACOLOD CITY
MEDICAL CENTER PARANAQUE, DR. A.
SANTOS AVENUE, SUCAT
DEL MUNDO, DANIEL III, T., MD
Professional
DEL POSO, WILLIAM E., MD
SAN ISIDRO HOSPITAL 119 QEUZON
Professional AVENUE, SAN ISIDRO, ANGONO,
Professional
Institutional
QUEZON CITY
QUEZON CITY
MABALACAT
PAMPANGA
NEGROS
OCCIDENTAL
PARANAQUE
CITY
RIZAL
TANZA
CAVITE
QUEZON CITY
ST. FERDINAND BUILDING, B. MENDOZA
Professional STREET, SAN FERNANDO
1838 ST CLARES MED CTR DIAN ST
DEL ROSARIO,ALODIA,L
Professional PALANAN
ROOM 111 GROUND FLOOR, ST.
DEL ROSARIO'S CLINIC FOR
FERDINAND BUILDING, B. MENDOZA
CHILDBIRTH & WOMEN'S DISEASE Institutional STREET, SAN FERNANDO
DEL ROSARIO, LUISA Q., MD
DELA CRUZ MEDICAL CLINIC
DELA CRUZ PAULE CLINIC
BRANCH 1
Institutional
DELA CRUZ, ARMIEL MD
Professional
DELA CRUZ, NICANOR B., MD
Professional
Professional
Professional
DELA CRUZ, VILMA,b,MD
DELA CRUZ,AMIEL
CORNELIO,E,MD
Professional
Dela Cruz,Ma Dulce
Professional
Professional
Dela Cruz,Raymond
Professional
Dela Cruz,Raymond,A
Professional
Denied
Professional
DELA CRUZ,REYNALDO,C,MD
PASIG CITY
DEL MAR, MARY GRACE S., PTRP
DELA CRUZ, REYNALDO C., MD
Denied
Professional
DEL ROSARIO, BILLARDO H., M.D.
Denied
Baguio City
Professional Baguio Med Ctr Governor Pack Rd
QUEZON CITY
DEL CASTILLO, GILBERTO MD
DEL CASTILLO,MARIA MONINA
AN,F,MD
DEL ROSARIO HOSPITAL
RIZAL
dee hwa liong foundation medical center
annex,henson st,brgy agapito del rosario
angeles city
KIDNEY FDN OF THE PHILIPPINES
MEDICAL CITY HOSPITAL
Rm 205 2 F Musmdc Ef Square Bldg Mcarthur
Hwy Urdaneta City
Ext Angeles City
Ext Angeles City
WPS Provider
WPS Provider
WPS Provider
WPS Provider
11/18/2010
Denied
9/20/2005
Denied
4/12/2006
Denied
Denied
ADDED DENIED DATE
6/15/2011
Status and Workflow
Owner - KD
2/26/2007
WPS Provider
10/6/2008 File Updated 10/06/2008
Denied
Denied
6/15/2011
WPS Provider
3/2/2009 File Updated 03/02/2009
WPS Provider
11/30/2006
6/15/2011
ADDED DENIED DATE
6/10/2009 File Updated with denial date of 7-27-09
Denied
4/16/2011
2/19/2011
No Activity
12/11/2006 Hold (>2yr)
WPS Provider
No Activity
11/15/2005 Hold (>2yr)
2/19/2011
ADDED DENIED DATE
ON WPS
Status and Workflow
Owner - KD
No Activity
Status and Workflow
Hold (>2yr)
Owner - KD
File Updated ON WPS
WPS Provider
WPS Provider
09-08-07 CORRECTION
8/10/2009
7/29/2009 Pathology
3/23/2009
2/1/2010
5/31/2010
10/27/2008
2/19/2007
7/23/2007
General
2/22/2010
3/25/2010
11/26/2007
No Activity
7/8/2005 Hold (>2yr)
Status and Workflow
Owner - KD
9/26/2005
No Activity
5/3/2004 Hold (>2yr)
Status and Workflow
Owner - KD
9/4/2006
PAMPANGA
Denied
MAKATI CITY
Denied
No Activity
Status and Workflow
Owner - KD
3/20/2006 Hold (>2yr)
Denied
WPS Provider
3/20/2006 File Updated 03/20/2006
PAMPANGA
13-14 MANGOSTEEN STREET,TRINIDAD
VILLAGE,CALIBUTBUT BACOLOR
RM 216 EVANGELINE MACAPAGAL
MCARTHUR HIWAY LOURDES SUR EAS
EXTENSION,
DUQUIT, MABALACAT
ROOM 102 MEDICAL ANNEX BUILDING,
WILSON STREET, GREENHILLS
Denied
2/26/2007
4/21/2011
2/26/2007
ANGELES CITY Denied
No Activity
Status and Workflow
Owner - KD
10/6/2003 Hold (>2yr)
10/24/2005
11/15/2010
PASIG CITY
Denied
WPS Provider
8/13/2008 File Updated 08/13/2008
PAMPANGA
Denied
PAMPANGA
Metro Manila
Denied
Denied
WPS Provider
11/29/2006 File Updated 11/29/2006
PAMPANGA
MANDALUYON
G CITY
Denied
12/29/2008
Denied
6/15/2010
Pangasinan
Denied
4/22/2009
Pampanga
Denied
5/11/2009
Pampanga
SAN JUAN
Professional RM 102 MAB CSMC WILSON GREENHILLS METRO
Denied
5/18/2009
Denied
11/4/2010
Page 32
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
updated provider record
due to dup records on
sharepoint
ADDED DENIED DATE
ON WPS
9/1/2008
5/31/2010
3/12/2007
1/26/2009
7/19/2010
6/22/2009
denied date 8-17-09
denied date 8-17-09
ADDED DENIED DATE
ON WPS
8/17/2009
8/17/2009
1/21/2011
DELA MERCED, ROLANDO MD
MUNTINLUPA
CITY
Professional 92 RIZAL STREET
DELA ROSA-AMORANTO, ROGELIO
MERCADO MEDICAL CENTER, TANAUAN
MD
Professional CITY
DELA TORRE QUINTOS, RICARDO
JOSE II, MD
DELA TORRE QUINTOS, RICARDO
JOSE II, MD
DELGIC PLAYSTATION CENTER
DELOS SANTOS ABELLA, EFREN
MD
BATANGAS
Professional WILSON STREET, GREENHILLS,
SAN JUAN
MAKATI CITY
Professional STREETS, LEGASPI VILLAGE
PROFUGO STREET, LUCENA CITY
QUEZON
LA UNION
Institutional
PUBLIC MARKET SAN RAMON,
DELOS REYES, ALELI ALBANO MD Professional DINALUPIHAN
DELOS REYES, NELLY P.,MD
DELOS SANTOS
MANGASER,ARLYNN,A,MD
DELOS SANTOS,EDITHA,A,RN
DELOS SANTOS-MANGASER,
MARIA ARLYNN A., MD
DE-LUNA, NINIA R., DDS
Delvo,Josilito,MD
DENTAL FOCUS CENTER FOR
COSMETIC & ORTHODONTIC
DENTISTRY
DENTISTA, INC
DENURA, MIKAELA SUZETTE O.,
MD
DENURA, MIKAELA SUZETTE O.,
MD
DEPAKAKIBO-JALBUENA, LUCITA
MD
DEPARTMENT OF PEDIATRICS
FOUNDATION MANILA DOCTORS
HOSPITAL
DERMATOLOGY CLINIC
DERMCLINIC IN METRO MANILA
DERMCLINIC INC.
DERMCLINIC INC.
DERMCLINIC, INC.
DERMSITE
BATAAN
Denied
Denied
Denied
Denied
Denied
Denied
Denied
No Activity
8/9/2005 Hold (>2yr)
Status and Workflow
Owner - KD
9/26/2005
No Activity
5/2/2006 Hold (>2yr)
Status and Workflow
Owner - KD
7/10/2006
No Activity
1/24/2006 Hold (>2yr)
Status and Workflow
Owner - KD
3/19/2007
No Activity
5/23/2006 Hold (>2yr)
Status and Workflow
Owner - KD
3/19/2007
No Activity
7/7/2005 Hold (>2yr)
Status and Workflow
Owner - KD
1/8/2005
No Activity
2/7/2006 Hold (>2yr)
Status and Workflow
Owner - KD
7/31/2010
3/13/2006
Professional 1412 TABACUHAN STA RITA
ROOM 307 & 308, J & F BUILDING, Q
Professional PLAZA COMPLEX, FELIX AVENUE, CAINTA RIZAL
2ND LEVEL SM SUPER CENTER - MOLINO,
CAVITE
Professional MOLINO IV, BACOOR, CAVITE
Denied
Denied
No Activity
Status and Workflow
Owner - KD
2/8/2004 Hold (>2yr)
7/31/2006
6/21/2010
11/11/2010
11/15/2010
WPS Provider
8/16/2007 File Updated 08/16/2007
10/15/2007
Denied
Denied
WPS Provider
8/16/2007 File Updated 08/16/2007
RADI'S MEDICAL CLINIC, 661 RIZAL
OSPITAL NG TONDO ABAD SANTOS
Professional TONDO
PAMPANGA
Denied
MANILA
OLONGAPO
CITY
Denied
Camarines Sur
2ND LEVEL SM SUPER CENTER - MOLINO,
CAVITE
Professional MOLINO IV, BACOOR, CAVITE
UNIT 20 PARK SQUARE 2, AYALA CENTER MAKATI CITY
HOLY CHILD HOSPITAL, LEGASPI ST.
NEGROS
ORIENTAL
Institutional
HOLY CHILD HOSPITAL, LEGASPI ST.
NEGROS
ORIENTAL
NO. 189 HECHANOVA STREET, LAPAZ,
ILOILO
Professional MANILA DOCTORS HOSPITAL UN AVENUE
GOVERNOR ABLAN AVENUE CORNER D.
Institutional SAMONTE STREET, LAOAG CITY
1178 SCOUT MAGBANUA COR QUEZON
Professional AVE PALIGSAHAN
2 F SM CITY CEBU, NORTH
RECLAMATION, SAN JOSE DELA
Professional MONTANA CORNER M.J. CUENCO, CEBU
LG F SM BACOOR TIRONA, HI WAY
Professional CORNER AGUINALDO HI WAY, BACOOR
Institutional
Institutional
JLC MILLER 5TH FLOOR CHAMPAC,
LEGASPI VILLAGE
MANILA
Dermskin Facial and Skin Care Center Professional P Burgos Corner A Flores Sts
DESEMBRANA, GIFT O., MD
Professional MARCOS HIGHWAY, BRGY. MAYAMOT,
Desquitado,Buenaventura
Healthway Med Clinic Festival Supermall 2nd
Erlinda,E,MD
Professional Level
DESTURA, RAUL V., MD
Denied
Denied
Denied
Denied
Denied
ILOCOS NORTE Denied
QUEZON CITY
Denied
CEBU
Denied
CAVITE
Denied
MAKATI CITY
4TH LEVEL UNIT 413-A AYALA CENTER,
CEBU CITY
Denied
Denied
10/15/2007
No Activity
9/12/2005 Hold (>2yr)
No Activity
11/21/2005 Hold (>2yr)
Status and Workflow
Owner - KD
1/30/2006
updated due to dup
records
12/12/2005
No Activity
2/17/2006 Hold (>2yr)
Status and Workflow
Owner - KD
12/12/2005
No Activity
1/19/2006 Hold (>2yr)
Status and Workflow
Owner - KD
WPS Provider
WPS Provider
WPS Provider
ADDED DENIED DATE
ON WPS
12/11/2006
ADDED DENIED DATE
ON WPS
WPS Provider
8/18/2008 File Updated 08/18/2008
WPS Provider
10/20/2008 File Updated 10/20/2008
No Activity
12/27/2004 Hold (>2yr)
No Activity
3/22/2005 Hold (>2yr)
WPS Provider
9/11/2006
12/11/2010
6/4/2007
12/13/2010
10/27/2008
1/12/2009
Status and Workflow
Owner - KD
1/1/2007
Status and Workflow
Owner - KD
4/4/2005
CEBU
Denied
San Pablo City
Denied
RIZAL
Alabang
Muntinlupa
Denied
Denied
WPS Provider
RIZAL
Denied
Page 33
7/13/2009
1/13/2010
2/19/2011
5/25/2009
2/19/2011
DE-VILLA, VICTOR S., MD
DIAL MED SALES & SERVICES
DIAMOND MEDICAL ACCESS
CLINIC
DIANALYN G. SAZON MD CLINIC
DIAZ, GREG A., MD
DIAZ, GREG A., MD
DIAZ, ROY M., MD
DIETHELM PHILIPPINES INC.
DIGITALIS MEDICAL CLINIC
BAGUIO MEDICAL CENTER, GOVERNOR
Professional PACK ROAD,
Institutional
Institutional
BAGUIO CITY
ROOM 501 DON SANTIAGO BLDG., NO.
1344 TAFT AVENUE ERMITA
MANILA
30-5A S R LIM DIAMOND SUBDIVISION,
PAMPANGA
NO. 1089-A HENSON STREET, LOURDES
NORTH WEST, ANGELES CITY
INC., SUITE 205 2ND FLOOR VELASCO
MOTHER SETON HOSPITAL, C/O FILAMERICAN MEDICAL RETIREES CLINIC
Institutional
Institutional
Institutional
BARANGAY MAMPLASAN, BINAN
DIMAYUGA, CESAR MD
CAMARINES
SUR
DIOMAMPO, ORLANDO I., MD
1/24/2011
PAMPANGA
Denied
5/7/2010
MUNTINLUPA
CITY
DISCOVERY DRUG LAS PINAS INC Professional 103 GLORIA DIAZ STREET TALON
DISE HOSPITAL EQUIPMENT
RENATAL
DITANGCO, ROSANNA, MD
Divinagracia,Charise
DIVINAGRACIA,RUTH MARIE
DIVINE GRACE HOSPITAL AND
MATERNITY CENTER
DIVINE GRACE MED CTR
PHARMACY
Divine Guideance Drugstore
DIVINE MERCY MISSION CLINIC
FOR CHILDREN INC.
DIVINE MERCY THE HOME THAT
CARES INC
DIVINE MERCY WELLNESS
CENTER, INC.
DIVINE SHEPHERD MEDICAL
CENTER
Dizon Legaspi,Gerardo
DIZON, DANILO S., MD
PUROK 15 L. STREET, STA. LUCIA
ROOM 411 FEU NMRF MEDICAL CENTER,
DAHLIA STREET CORNER REGALADO
Professional AVENUE, WEST FAIRVIEW,
Phil Healthcare Provider Us M Ste 102 Clinica
Professional Rinconada Guev
Professional RODRIQUEZ SR BLVD
Institutional
Denied
Denied
Denied
Denied
Denied
Denied
Denied
6/6/2005
No Activity
9/12/2005 Hold (>2yr)
Status and Workflow
Owner - KD
10/1/2007
No Activity
10/17/2005 Hold (>2yr)
Status and Workflow
Owner - KD
12/31/2007
WPS Provider
4/3/2008 File Updated 04/03/2008
Status and Workflow
Owner - KD
No Activity
12/19/2005 Hold (>2yr)
WPS Provider
7/5/2006 File Updated 07/05/2006
No Activity
5/3/2004 Hold (>2yr)
4/30/2007
PAMPANGA
Denied
QUEZON CITY
Denied
Iriga City
Denied
Denied
Professional Bufer Bldg Avatec Rd Mayamot
LOT 8 BLOCK 9 DOLORES HOMESITE,
Institutional CITY OF SAN FERNANDO
Antipolo City
Denied
PAMPANGA
MANDALUYON
G CITY
Denied
LIMQUICO BUILDING, ARELLANO CORNER
BONIFACIO STREET, TUGUEGARAO CITY CAGAYAN
654 MALABANIAS ROAD, PLARIDEL I,
ANGELES CITY
PAMPANGA
Manila
Professional 1344 Taft Avenue Malate
Professional FOUNDATION, PANTAY DAYA, VIGAN CITY ILOCOS SUR
Page 34
Denied
Denied
Denied
Denied
Denied
Denied
1/29/2007
Status and Workflow
Owner - KD
Status and Workflow
Owner - KD
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
7/17/2006
9/4/2006
Denied
No Activity
5/11/2006 Hold (>2yr)
6/9/2008
Status and Workflow
Owner - KD
LAS PINAS
GEN TRIAS DRIVE, ROSARIO
CAVITE
2F DIVINE GRACE MED CTR EPZA TEJERO GENERAL
TRIAS CAVITE
Professional BYPASS RD
Institutional
No Activity
4/7/2003 Hold (>2yr)
Status and Workflow
Owner - KD
No Activity
11/3/2006 Hold (>2yr)
WPS Provider
Institutional
Institutional
3/5/2007
Denied
Denied
515 KATARUNGAN STREET, PLAINVIEW
No Activity
1/4/2007 Hold (>2yr)
Status and Workflow
Owner - KD
MANILA
QUEZON CITY
Institutional
6/12/2006
Professional NO. 1122 GEN. LUNA STREET, PACO
No Activity
12/22/2005 Hold (>2yr)
Status and Workflow
Owner - KD
Denied
CAVITE
No Activity
11/22/2004 Hold (>2yr)
Status and Workflow
Owner - KD
11/20/2006
CAMARINES
SUR
NO. 2732 NEW PANADEROS STREET, STA.
DIMAYUGA, JOSE GIOVANNI E., MD Professional ANA
MANILA
S-7 GROUND FLOOR, NO. 1344 DON
DIOKNO, GREGORIO JR. L., MD
MANILA
Professional SANTIAGO BUILDING, TAFT AVENUE,
DIOMAMPO, ORLANDO I., M.D.
Denied
5/22/2006
1/24/2011
BATAAN
NGO'S CROSSING MENDEZ, TAGAYTAY
CITY
Denied
No Activity
5/11/2006 Hold (>2yr)
Status and Workflow
Owner - KD
11/5/2007
Denied
29 HILDA ST. NEPO MART, ANGELES CITY PAMPANGA
Institutional
Denied
LAGUNA
ORION ST. MICHAEL HOSPITAL, RIZAL
DIMAILIG, NERISSA CUNANAN, MD Professional STREET WAKAS, ORION
DIMARANAN OPTICAL
PAMPANGA
Denied
12/15/2008
9/14/2010
6/5/2006
2/16/2009
2/1/2010
ADDED DENIED DATE
ON WPS
06-06-05
ADDED DENIED DATE
ON WPS
4/11/2011
6/18/2007
11/22/2010
12/21/2009
03/20/2006
7/17/2006
01/07/2009
3/23/2009
Status and Workflow
Owner - KD
1/31/2005
No Activity
1/14/2005 Hold (>2yr)
WPS Provider
3/16/2009 File Updated 03/16/2009
WPS Provider
3/30/2009
5/14/2010
1/17/2011
DIZON, REBECCA MD
Professional 279 E RODRIGUEZ SR AVENUE
DIZON, REBECCA MD
ST. CATHERINE OF ALEXANDRA
FOUNDATION & MEDICAL CENTER NO.
4163 RIZAL STREET EXTENSION,
CITY TEMPLE HEALTH CARE CENTER,
DON BONIFACIO AVENUE, PULUNG
Professional MARAGUL, ANGELES CITY
DIZON, REBECCA R., MD
DIZON, REYNALDO S., MD DPBA
DIZON, WALTER OMAR R., MD
DIZON,FLORENCIO,C
D'MARK MULTI SALES
CORPORATION
QUEZON CITY
No Activity
2/24/2003 Hold (>2yr)
6/6/2005
Status and Workflow
Owner - KD
5/26/2008
PAMPANGA
Denied
No Activity
1/28/2008 Hold (>2yr)
PAMPANGA
Denied
WPS Provider
9/12/2005 File Updated 09/12/2005
ST. DOMINIC MEDICAL CENTER EMILIO
Professional AGUINALDO HIGHWAY, TALABA, BACOOR CAVITE
FOUNDATION & MEDICAL CENTER, NO.
PAMPANGA
Professional 4163 RIZAL STREET EXTENSION,
MCARTHUR HI WAY SAN FRANCISCO
PAMPANGA
Professional 502 JUAN LUNA STREET, BINONDO
Denied
Status and Workflow
Owner - KD
MANILA
Denied
Denied
No Activity
7/25/2006 Hold (>2yr)
5/27/2009
Denied
2/22/2011
Denied
2/9/2009
Dobles Dizon,Christine
Denied
3/12/2010
Doctor,Christian,M
Professional 1556 Fabie St
Denied
10/29/2009
DOCTOR'S BLOOD CENTER
DOLAR SAYO, ANDREA M., MD
NO. 1348 B. AGONCILLO STREET, ERMITA MANILA
GREAT SAVIOUR INTERNATIONAL
ILOILO CITY
Professional HOSPITAL, SOLIS STREET, BRGY. TAPInstitutional
UNIT B027 LOWER GROUND LEVEL BLF
BUILDING, BACOLOD CITY
DOLLANO CENTRE MEDICA
Institutional
Doloroso,Alfonso,A
Professional 2nd Fl San Lorenzo Arcade 924 Pasay Rd
DOMINADO, DIOSDADO D., MD
DOMINGO, DELVO JR. B., MD
DOMINGO, ERNESTO D., MD
DOMINGO, ERNESTO O., MD
DOMINGO, GISELLE G., MD
DOMINGO, GISELLE MD
Domingo,Inocencio,A,MD
DOMINGUEZ, JACQUELINE MD
Paco Manila
NEGROS
OCCIDENTAL
Makati Metro
Manila
MOTHER & CHILD HOSPITAL, NO. 75
Professional KESSING STREET, OLONGAPO CITY
25 MEZZANINE. MEDICAL CENTER
Professional MANILA, 1122 GEN. LUNA STREET, PACO
MEDICAL CITY, ROOM 1011, MAT1
Professional BUILDING, ORTIGAS AVENUE, UGONG
Professional GIL FERNANDO AVENUE, SAN ROQUE
Ignatius Hlthcare Link Jecsons Med Ctr
Professional Mcarthur Hwy Tarlac
Professional BARRETTO, OLONGAPO CITY
Denied
Denied
Denied
Denied
ZAMBALES
Denied
CAMARINES
SUR
Denied
MANILA
Denied
SAN JUAN
Denied
PASIG CITY
Denied
Tarlac
Denied
ZAMBALES
Denied
DOMINGUEZ, MERCEDES B., DDM
DOMINGUEZ DENTAL OFFICE, NO 3
RICHVILLE TOWERS, ZAPOTE ROAD,
MUNTINLUPA
CITY
Denied
Dominguez,Jacqueline,MD
Manila
Denied
DONATO-TAN, MAY S. MD
Donavanik Fores,Edgardo
RM.406 PHILIPPINE HEART CENTER, EAST
QUEZON CITY
Professional AVENUE, DILIMAN
3F Circular Makati Med Ctr Amorsolo St
Makati City
Professional Legaspi Village
Denied
Denied
No Activity
11/2/2005 Hold (>2yr)
WPS Provider
No Activity
1/24/2006 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
No Activity
2/22/2006 Hold (>2yr)
WPS Provider
No Activity
1/4/2005 Hold (>2yr)
WPS Provider
CAVITE
Denied
3/30/2011
Dr Danilo G Jarina Clinic
Dr David Don Navarro Surgical
Specialty Clinic
Professional 1013 Va Rm 213 Medical Towers
Makati City
Denied
7/30/2009
Professional Sta Rita 1663 G Payapa St Balic Balic
Olongapo City
Denied
5/11/2009
DR EDGARDO S TIMBOL CLINIC
Institutional
PAMPANGA
Denied
12/7/2005
DR EDGARDO S TIMBOL CLINIC
DR ELEANOR L RONQUILLO
MEDICAL CLINIC
Professional
ANGELES CITY Denied
2/22/2011
PASIG CITY
Denied
3/22/2011
Dr Francel V Villarin Medical Clinic
Professional
Angeles City
Denied
10/9/2009
Makati City
ZAMBALES
2205
Denied
5/26/2009
Denied
2/8/2011
ANGELES CITY Denied
11/29/2010
Professional
Professional MCARTHUR HI WAY BALIBAGO
Page 35
3/23/2009
6/7/2010
11/27/2009
Status and Workflow
Owner - KD
1/8/2007
2/2/2009
9/1/2006
1/11/2010
Status and Workflow
Owner - KD
WPS Provider
4/6/2009 File Updated 04/06/2009
Professional 55 MEDICION I A IMUS
DR JUAN DE DIOS M BUTOS
DR LUIS MARIANO UY DENTAL
CLINIC
02/09/2009
WPS Provider
6/2/2008 File Updated 02/20/2008
WPS Provider
7/30/2008 File Updated 07/30/2008
7/7/2005
Dr Francisco L Erana And Associates Professional
5/16/2011
updated providers sub id
WPS Provider and added spec as gen
9/20/2004 File Updated practice
Denied
Professional
10/12/2009
ADDED DENIED DATE
ON WPS
No Activity
10/26/2006 Hold (>2yr)
WPS Provider
12/24/2008 File Updated 12/24/2008
ILOILO
ALEXANDER ST VILLA GLORIA
AUF MEDICAL CENTER MCARTHUR HI
WAY
RM 1003 MEDICAL ARTS TOWER ORTIGAS
AVE UGON
Med Ctr Malabinas Rm NO 4 Opd Divine
Shepherd
Ste 303 313 3rd Flr Mmc No 2 Amorsolo St
Legaspi Village
BRGY SAN JOSE SAN NARCISO 144
POSADAS ST
Status and Workflow
Owner - KD
10/23/2006
Status and Workflow
Owner - KD
LABORATORY DEPARTMENT, WEST
VISAYAS STATE UNIVERSITY MEDICAL
CENTER, E.LOPEZ STREET,JARO ILOILO
Professional CITY
DOTOLLO, ROMEO A MD
DPV THERAPY AND
REHABILITATION CLINIC
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
9/24/2007
8/28/2006
3/23/2009
9/8/2008
3/12/2007
5/11/2009
12/10/2007
ADDED DENIED DATE
ON WPS
2/11/2008
01/08/2008
1/28/2008
Status and Workflow
Owner - KD
Rehabilitation
3/21/2011 Medicine
4/2/2007
9/28/2009
Status and Workflow
Owner - KD
No Activity
Status and Workflow
Hold (>2yr)
Owner - KD
WPS Provider ADDED CERTIFIED
File Updated DATE
WPS Provider
File Updated already updated
WPS Provider
File Updated
WPS Provider
File Updated ON WPS
File Updated ON WPS
WPS Provider
File Updated
File Updated denied date 8-10-09
File Updated ON WPS
File Updated ON WPS
2/21/2005
10/5/2009
1/9/2006
6/21/2011
9/7/2009
6/1/2009
4/24/2006
5/19/2011
4/4/2011
1/4/2010
8/10/2009
4/11/2011
2/14/2011
DR MONTANO RAMOS HOSPITAL
Institutional
Dr Rb Tan Dental Clinic
Professional Unit 20 Park Square 2 Ayala Ct
Dr Socorro Bandong Medical Clinic
DR VINCENT S LUGUE MEDI AL
CLINIC
DR YANGAS HOSPITAL AND
PHARMACY
DR. ALFREDO P. VALDEZ JR.
MEDICAL CLINIC
Professional Ste 108 Mactan Doctors Hosp
DR. BALDEVISO MEDICAL CLINIC
Institutional
NO.46 BUKIDNON ST,BAGO BANTAY
PAMPANGA BULAON RESETTLEMENT
Professional 252 P BURGOS ST POBLACION BOCAUE
VALLEJOS BUILDING, JP RIZAL CORNER
Professional HERNANDO STREETS, LAOAG CITY
Institutional
Institutional
Institutional
Institutional
DR. JESUS UY DENTAL CLINIC
Institutional
DR. JOSE P. RIZAL HOSPITAL AND
NATIONAL MEDICAL RESEARCH
CENTER
Institutional
DR. LOURDES R. CAPAHI CLINIC
DR. MARIO MADELA PURA
MEDICAL CLINIC
DR. MIRIAM S. ARENAS PEDIATRIC
CLINIC
DR. RICARDO D SONGCO MEDICAL
CLINIC
DR. RICARDO D. SONGCO MED
CLINIC
DR. ROSEMARIE Y. MALIWAT
MEDICAL CLINIC
DR. SABAL BLOOD BANK
DR. SANDRA CHUA SALAZAR
CHILDREN CLINIC
DR. YANGA'S HOSPITAL, INC.
DR.HERNAND B. TULUD MEDICAL
CLINIC
DRA SUSAN L CASIPIT DENTAL
CLINIC
DRA V S MAKEOVER AND
WELLNESS CLINIC
DRA V'S MAKEOVER AND
WELLNESS CLINIC
DREAM MT CARMEL MEDICAL
CENTER
DREAM SMILE DESIGN CENTER &
DENTAL CLINIC
DRS. SARMIENTO PHARMACY &
SKIN CLINIC
DULAY, MANUEL GERARDO, JR.
M.D.
DUMALUAN EENT AND MEDICAL
CLINIC
Institutional
Institutional
11 BANAWE ST.
Denied
BULACAN
Denied
Denied
Denied
Denied
CEBU
Denied
PAMPANGA
PARANAQUE
CITY
Denied
LAGUNA
Denied
QUEZON CITY
Denied
Denied
No Activity
9/1/2002 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
3/11/2010
updated provider
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
No Activity
8/16/2004 Hold (>2yr)
9/25/2006
No Activity
8/10/2005 Hold (>2yr)
Status and Workflow
Owner - KD
12/18/2006
WPS Provider
11/8/2005 File Updated 11/08/2005
WPS Provider
3/4/2009 File Updated 03/04/2009
WPS Provider
10/24/2005 File Updated 10/24/2005
WPS Provider 01-09-02; Formerly:
9/1/2002 File Updated Children's Medical Center
QUEZON CITY
Denied
PANGASINAN
Denied
DBB-B (DASMARINAS BAGONG BAYANAREA B), DASMARINAS
CAVITE
Denied
LOPEZ JAENA STREET, ORMOC CITY
LEYTE
Denied
WPS Provider
WPS Provider
3/27/2006 File Updated 03/27/2006
Denied
02-05-06 NOT LOCATED
WPS Provider IN PHILIPPINE
2/5/2006 File Updated TERRITORY
SABAL DOCTORS HOSPITAL, 292 DON A.
VELEZ STREET,CAGAYAN DE ORO CITY
PAMPANGA
Denied
PAMPANGA
Denied
PAMPANGA
Denied
MISAMIS
ORIENTAL
Denied
Institutional
CITICARE TUGUEGARAO, INC, 34
AGUINALDO STREET, TUGUEGARAO CITY CAGAYAN
Denied
Institutional
POBLACION, BOCAUE
Denied
92.1 MOTHER OF PERPETUAL HELP
HOSPITAL, STO.ENTIERO
ST.,STO.CRISTO,ANGELES CITY
BULACAN
Status and Workflow
Owner - KD
No Activity
3/13/2006 Hold (>2yr)
WPS Provider
File Updated remove dollar signs
WPS Provider
11/6/2007 File Updated 06/11/2007
WPS Provider
3/27/2006 File Updated 03/27/2006
No Activity
8/29/2005 Hold (>2yr)
Denied
8/18/2003
Professional 33 TONTON W LINGAYEN
PANGASINAN
Denied
6/10/2010
Professional 41 MAGSAYSAY DR OLONGAPO CITY
ZAMBALES
Denied
9/16/2010
Professional 41 MAGSAYSAY DRIVE OLONGAPO CITY
ZAMBALES
Denied
9/22/2010
Professional DREAM PLAZA PUROK 6 MATAIN SUBIC
1515 RIZAL AVENUE, WEST TAPINAC,
NO. 466 RIZAL STREET, SAN NICOLAS,
ZAMBALES
Denied
9/8/2010
ZAMBALES
Denied
3/16/2009
PAMPANGA
Denied
1/29/2007
DUMANA,PETER JAY
Professional ALABANG ZAPOTE RD ALABANG
MUNTINLUPA
CITY
TAGBILARAN
CITY
MUNTINLUPA
CITY
DUMANA,PETER VINCENT,S,MD
Professional 1314 M ALVEREZ AVE TALON V
Professional BELDEROL ST COGON DIST
Page 36
Denied
Denied
Denied
5/22/2006
11/29/2004
4/12/2010
6/5/2006
5/21/2007
3/31/2008
11/22/2004
12/3/2007
5/1/2006
Status and Workflow
Owner - KD
10/31/2005
No Activity
Status and Workflow
Owner - KD
3/27/2006 Hold (>2yr)
PAMPANGA
5/18/2009
No Activity
10/11/2005 Hold (>2yr)
WPS Provider
4/27/2006 File Updated 04/27/2006
4/2/2007
WPS Provider
WPS Provider
2/27/2006 File Updated 02/27/2006
10/30/2006
7 KAMUNING ROAD
SPECIALIST GROUP HOSPITAL AND
TRAUMA CENTER TAPUAC DISTRICT,
Denied
6/12/2006
Status and Workflow
Owner - KD
11/14/2005
Denied
PAMPANGA
3/2/2011
Status and Workflow
Owner - KD
LAGUNA
PUNA ITANAC
9/21/2010
7/28/2008
Denied
MAGSAYSAY STREET, POBLACION 3
10/19/2009
06/09/2008
TARLAC
348 BULACAN ST., MT. VIEW, BALIBAGO,
ANGELES CITY
1846 P DEGUZMAN ST. CLARO M. RECTO,
1056 P. DE GUZMAN, BARANGAY CLARO
Professional M. RECTO, ANGELES CITY,
1993 MAC ARTHUR HIGHWAY, BALIBAGO
Institutional
1/17/2005
742 SAN MIGUEL
POB III, MADREDEJOS STREET,
NAGCARLAN
Institutional
Institutional
Makati City
Basak Lapulapu
City
SAN
FERNANADO
8238 SGT. F. YABUT STREET, GUADALUPE
NUEVO
MAKATI CITY
ROOM 401, MEDICAL ARTS CENTER,
CHONG HUA HOSPITAL, J. LLORENTE
STREET, CEBU CITY
DR. AMANDO GARCIA MEDICAL CENTER,
RIZAL STREET, AGAPITO DEL ROSARIO,
DR. EDGARDO S. TIMBOL CLINIC
DR. EDNA L. SASING LAO MEDICAL
NO. 24 CAIRO STREET, MULTINATIONAL
CLINIC
Professional VILLAGE, BRGY. MOONWALK
DR. ERWIN ANGELES MEDICAL &
STROKE REHAB CENTER
Institutional NO. 1007 CAILLES STREET STA. CRUZ
DR. GENARO M. PANGAN CLINIC
DR. JENG M. CARIAGA ARCENA
XRAY CLINIC
DR. JESUS C. DELGADO
MEMORIAL HOSPITAL
Denied
ILOCOS NORTE Denied
DR. CRISOSTOMO B. DY MEDICAL
CLINIC
Institutional
DR. FE DEL MUNDO MEDICAL
CENTER FOUNDATION, PHILS. INC. Institutional
QUEZON CITY
Status and Workflow
Owner - KD
3/24/2008
3/2/2011
Status and Workflow
Owner - KD
8/29/2005
ADDED DENIED DATE
ON WPS
9/4/2010
ADDED DENIED DATE
ON WPS
11/22/2010
ADDED DENIED DATE
ON WPS
11/22/2010
ADDED DENIED DATE
ON WPS
10/27/2010
No Activity
Hold (>2yr)
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
WPS Provider
No Activity
Status and Workflow
Owner - KD
4/26/2004 Hold (>2yr)
4/20/2009
5/21/2007
5/8/2006
2/7/2011
8/9/2010
5/19/2011
DUMANTAY PEDIATRIC CLINIC
Institutional
BURGOS CORNER PILAR POBLACION
NORTE, PANIQUI
TARLAC
Denied
Denied
PAMPANGA
Denied
Status and Workflow
Owner - KD
PAMPANGA
Denied
No Activity
2/13/2006 Hold (>2yr)
WPS Provider
Denied
1/15/2010 File Updated & added on sharepoint
3/8/2010
ILOCOS NORTE Denied
Status and Workflow
Owner - KD
7/30/2007
ILOCOS NORTE Denied
DUNGCA,DANIEL,V,MD
Professional 48 IFUGAO ST LA VISTA SUBD DILIMAN
QUEZON CITY
DUQUE, ALEX MD
DUQUE'S BONE & JOINT ORTHO
CLINIC
ROOM 102 DR. AMANDO L. GARCIA
Professional MEDICAL CENTER, RIZAL STREET,
DUQUEZ-SERRANO, ETHIEL MD
DURAN,RAYMUND,I,MD
DURANTE, MARCELINO L., MD
DY BATAC,ANGELA,MD
DY LIACCO,JACINTO URSUA,MD
DY, BAMBI M., MD, FPDS
DY, BUN YOK O., MD
DY, CRISOSTOMO B.,MD
Professional Rizal St
Angeles City
57 A. ANDRES CASTRO STREET, LAOAG
Professional CITY
RM 1212 MEDICAL PLAZA BLDG
Professional AMORSOLO ST LEGASPI VILLAGE
MAKATI CITY
Professional AVENUE
QUEZON CITY
Professional 630 RIZAL ST
702 MEDICAL ART CENTER 644 TM
Professional KALAWQ
Denied
Denied
ANGELES CITY Denied
LIFE ALERT CLINIC,295 EL GRANDE
AVENUE, PHASE III BF HOMES
Professional PARANAQUE( Tel: 825-0793)
ROOM 703 TYTANA PLAZA BUILDING,
Professional ORENTE STREET
ROOM 401, MEDICAL ARTS CENTER,
CHONG HUA HOSPITAL, J.LLORENTE
Professional STREET, CEBU CITY
PARANAQUE
CITY
Denied
MANILA
Denied
CEBU
Denied
Dy,Tony
E C PUGEDA MEDICAL CLINIC AND
LABORATORY
Professional MARSEILLA ST ROSARIO
Camarines Sur
Denied
CAVITE
Denied
EAG MEDICAL CLINIC
MANILA
Denied
Institutional
511 MF JHOCSON STREET, SAMPALOC
No Activity
5/16/2006 Hold (>2yr)
WPS Provider
No Activity
Status and Workflow
Owner - KD
9/9/2005 Hold (>2yr)
WPS Provider
Status and Workflow
Owner - KD
No Activity
5/23/2005 Hold (>2yr)
WPS Provider
6/5/2006 File Updated 06/05/2006
No Activity
10/6/2005 Hold (>2yr)
WPS Provider
WPS Provider
8/16/2007 File Updated 08/16/2007
AKLAN
Denied
Ebba,Edgardo,E
ROXAS AVENUE, KALIBO
Ust Hospital Sampaloc Rm 2011 Mab Gov
Professional Forbes St
Manila
Denied
Ebora,Ronimieh Ann
Camarines Sur
Denied
Denied
Status and Workflow
Owner - KD
ECHALUSE, ESPERANZA D., MD
ECLARIN, RICARDO E., MD
ECLARIN, RICARDO E., MD
ECLARIN,RICARDO,E
EDEJER, ILIRMO, MD
EEI MEDICAL LABORATORY &
XRAY SERVICES
EFONDO,DULCENEA,A
Efondo,Wenifredo,MD
EISMA PEDIATRIC CLINIC
EJAH MEDICAL DIAGNOSTIC
CLINIC
EL NINO PHARMACY
ELAZEGUI LANZANAS MED CLIN
AND LAB
Institutional
NATIONAL HIGHWAY, BRGY. STO
Professional DOMINGO, SAN MARCELINO
ZAMBALES
ANGELES UNIVERSITY FOUNDATION
MEDICAL CENTER, MACARTHUR
NO. 55 JONES STREET, NEW ASINAN,
PAMPANGA
Denied
ZAMBALES
OLONGAPO
CITY
Denied
Professional 1847 RIZAL AVE WBB
ROOM H, 2ND FLOOR, LOTS 9 & 10
Professional GREENWOOD CENTRAL BUSINESS PARK, ZAMBALES
Denied
Professional KAPT. VICTOR STREET, BRGY. III, SILANG
14 5 KATHERINE ST STA MARIA II
Professional BALIBAGO
NO. 1515 RIZAL AVENUE, WEST TAPINAC,
Institutional OLONGAPO CITY
Denied
Professional GEN LUNA ST CANGATBA
Institutional
1614 RIZAL AVENUE, 339 ZONA 34 STA
CRUZ
CAVITE
Denied
ANGELES CITY Denied
Pampanga
Denied
ZAMBALES
PORAC
PAMPANGA
Denied
MANILA
Denied
Denied
CALAMBA CITY Denied
ELEAZAR,JOEL,G,MD
Professional ELAZEGUI POLYCLINC RIZAL ST
RM 804 N TOWERS CATHEDRAL HTS
Professional BLDG COMPLEX BLD
CAVITE CITY
Denied
Eleccion,Anna Liza,C,MD
Professional Nazareth Gen Hosp Perez Blvd
Dagupan City
Denied
ELECTRO-SOUND CENTER INC.
Institutional
PASIG CITY
Denied
ORIENT SQUARE, EMERALD AVENUE
Page 37
1/24/2005
8/9/2010
2/18/2008
3/8/2010
6/28/2010
7/24/2006
7/19/2010
7/12/2010
6/11/2007
12/25/2006
Status and Workflow
Owner - KD
10/31/2005
No Activity
Status and Workflow
Owner - KD
12/1/2003 Hold (>2yr)
WPS Provider
EASTERN BASIC PHARMACY
4/24/2006
No Activity
Status and Workflow
Owner - KD
1/14/2005 Hold (>2yr)
DUMLAO, JOCELYN JUDITH C., MD,
AIRWAYS BUILDING, PACO ROMAN
FPOGS
Professional STREET, LAOAG CITY
Duques Bone & Joint Orthopaedic
Clinc
No Activity
3/27/2006 Hold (>2yr)
Status and Workflow
Owner - KD
No Activity
11/26/2008 Hold (>2yr)
2/1/2010
10/26/2010
9/10/2007
5/21/2007
Cardiology;#In
3/22/2010 ternal
1/29/2010
12/8/2008
No Activity
Status and Workflow
Owner - KD
12/4/2006 Hold (>2yr)
5/14/2007
3/25/2011
3/25/2011
WPS Provider
12/10/2007 File Updated 12/10/2007
12/24/2007
WPS Provider
10/15/2008 File Updated 10/15/2008
11/24/2008
5/9/2011
WPS Provider per phil spreadsheet
11/16/2009
WPS Provider
6/12/2007 File Updated 06/12/2007
7/23/2007
5/20/2011
No Activity
Status and Workflow
Hold
(>2yr)
Owner - KD
9/9/2005
9/19/2005
4/19/2011
1/24/2011
WPS Provider
10/30/2009
WPS Provider
8/3/2007 File Updated 08/03/2007
9/3/2007
ELIGUE OPTICAL CLINIC
Denied
Ellah Medical Clinic
NO.2 CAPT.NAZARENO STREET, NAIC
CAVITE
PHILIPPINE CHILDREN'S MEDICAL
Professional CENTER AGHAM ROAD CORNER QUEZON QUEZON CITY
Suite 802 South Tower CHBC Bldg., St.
Professional Luke's Medical Center, 279 E. Rodriguez Sr. Quezon City
EM EL MEDICAL LABORATORY
EMB MEDICAL SUPPLY &
EQUIPMENT
Professional PARIAN MEXICO
5 BAMBANG STREET CORNER RIZAL
Institutional AVENUE, STA CRUZ
PAMPANGA
Denied
MANILA
Denied
ELISES, JOEL S., MD
Institutional
EMBESTRO, ANTONIO JR. P., MD
EMERGENCY RESCUE UNIT
FOUNDATION
EMERGENCY RESCUE UNIT
FOUNDATION INC
Professional RIZAL STREET, LEGASPI CITY
2ND FLR METROBANK BLDG R RAMOS ST
Professional GEN MAXILOM AVE
SOLIDBANK BLDG, F. RAMOS STREET,
Professional CEBU CITY
C/O HEALTH VISIONS CORPORATION,
EMJET HEALTH PROVIDER CLINIC Institutional NO.267 REAL STREET, PAMPLONA TRES
DISTRICT 15 LOT 16 BLK 47 PANDACAQUI
EMST POLYCLINIC
Professional RESIDENTIAL AREA, MEXICO
SUITE 617 PHILIPPINE HEART CENTER,
ENCARNACION, DELFIN V., MD
Professional EAST AVENUE
Denied
Denied
ALBAY
Denied
CEBU CITY
Denied
CEBU
Denied
PAMPANGA
Denied
QUEZON CITY
Denied
ENCARNACION, ELMER R., MD
Professional NO. 3 CAMELA STREET, ACUNA VILLAGE
QUEZON CITY
Denied
ENCARNADO,KYLE,B,MD
Professional ILUSTRE AVE LEMERY
BATANGAS
Denied
ENRICUSO, ROLANDO L., MD
ENRILE, RICARDO C., MD
ENRIQUEZ CLINIC
ENRIQUEZ SPECIALIST CENTER
ENRIQUEZ, ARIEL D., MD
ENRIQUEZ, MA. CONCEPCION,
M.D.
ENRIQUEZ, RESTITUTO T., MD
ENRIQUEZ,ROMEO
ENTROPY MARKETING
ENVIRONMENTAL PROTECTION
OF ASIA FOUNDATION INC.
ESAGUNDE, ROMULO URGEL MD
ESB HEALTH CARE
OPERATING ROOM, 2/F PERPETUAL
SUCCOUR HOSAPITAL, GORORDO
Professional AVENUE, LAHUG, CEBU CITY
ROOM 105 UST HOSPITAL, ESPANA
Professional STREET, SAMPALOC
Institutional MCARTHUR HIGHWAY, ANGELES CITY
372 M.GREGORIO STREET, SAN ANTONIO,
Institutional CAVITE CITY
CEBU
Denied
MANILA
Denied
PAMPANGA
Denied
CAVITE
Denied
PAMPANGA
Denied
QUEZON CITY
372 M GREGORIO STREET, SAN ANTONIO
CAVITE
ST CATHERINE ALEX FND MED CTR 4163
PAMPANGA
Professional RIZAL ST EXT ANGELES CITY
Denied
No Activity
12/22/2005 Hold (>2yr)
No Activity
5/17/2004 Hold (>2yr)
5/12/2011
Professional 54 DON JUICO STREET, ANGELES CITY
OUR LADY OF THE PILLAR MEDICAL
Professional CENTER, BAYAN LUMA II, IMUS
LAUT BUILDING, DIVERSION ROAD, BRGY.
Professional SAN ANTONIO, NABUA
PAMPANGA
Denied
9/24/2008
CAVITE
CAMARINES
SUR
Denied
11/15/2005
Denied
5/19/2008
ILOILO
Denied
1/15/2008
Professional
ESGUERRA MENDOZA, GEMMA
Professional
ESGUERRA, ACHILLES MD
Professional
Professional
Professional
ESGUERRA, ACHILLLES C., MD
Professional
ESGUERRA, CARLOS PONCIANO
R., MD
Professional
Esguerra,Carlos Ponciano,R
Pasig City
Denied
Esguerra,Marlow,T
Professional Ermita Manila Doctors Hospital 667 Un
Manila
Denied
4/27/2010
7/12/2010
8/27/2010
4/30/2007
5/30/2011
Status and Workflow
Owner - KD
7/24/2006
Status and Workflow
Owner - KD
9/4/2006
10/10/2005
2/20/2006
WPS Provider
Professional 10 NALUGOD ST STO NINO
ESCOTA, RAMON III, MD
ADDED DENIED DATE
ON WPS
No Activity
2/27/2006 Hold (>2yr)
WPS Provider
8/17/2005 File Updated 08/17/2005
WPS Provider
1/9/2006 File Updated 01/09/2006
6/24/2010
Professional
3/16/2009
No Activity
8/29/2005 Hold (>2yr)
WPS Provider
Denied
ESCOTA, RAMON III, MD
12/10/2008
Status and Workflow
Owner - KD
1/9/2006
OLONGAPO CITY
OLONGAPO CITY
2 9TH STREET, EAST TAPINAC,
OLONGAPO CITY
EXTENSION,
BUILDING, ORTIGAS AVENUE, UGONG,
2ND FLOOR MOLVINA COMMERCIAL
9/17/2007
No Activity
Status and Workflow
Owner - KD
6/5/2006 Hold (>2yr)
8/7/2006
10/23/2010
10/23/2010
WPS Provider
4/26/2004 File Updated 26-04-04
9/4/2006
WPS Provider
8/20/2008 File Updated 08/20/2008
9/15/2008
WPS Provider
11/7/2008 File Updated 11/07/2008
2/23/2009
Denied
ESCANLAR, FRENIE VICTORIO MD Professional RIZAL STREET, BRGY. WEST, OTON
ESGUERRA-PRINCESA, MARIA
CONCEPCION R., MD
No Activity
9/5/2005 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
Status and Workflow
Owner - KD
Status and Workflow
Owner - KD
9/4/2006
No Activity
Status and Workflow
Hold (>2yr)
Owner - KD
2/20/2006
File Updated ON WPS
9/6/2010
WPS Provider
File Updated ADDED DENIED DATE
6/30/2011
WPS Provider
1/5/2009
File Updated ON WPS
9/20/2010 Neurology
WPS Provider
File Updated updated with denied date 10/23/2009
WPS Provider
2/18/2008
No Activity
4/30/2008 Hold (>2yr)
Status and Workflow
Owner - KD
ZAMBALES
Denied
ZAMBALES
Denied
ZAMBALES
Denied
WPS Provider
4/28/2008 File Updated 04/28/2008
WPS Provider
8/4/2008 File Updated 08/04/2008
WPS Provider
11/27/2007 File Updated 11/27/2007
2/11/2008
WPS Provider
7/23/2008 File Updated 07/23/2008
8/11/2008
PASIG CITY
Denied
PASIG CITY
Denied
RIZAL
Denied
QUEZON CITY
Page 38
Denied
WPS Provider
1/28/2009 File Updated 01/28/2009
WPS Provider
1/10/2008 File Updated 01/10/2008
WPS Provider updated denied date to 88/14/2009 File Updated 31-09 per spreadsheet
WPS Provider
No Activity
6/8/2005 Hold (>2yr)
Status and Workflow
Owner - KD
5/12/2008
5/12/2008
8/18/2008
3/23/2009
2/19/2011
3/3/2008
10/30/2009
2/12/2007
ESPINA, AIDA E., MD
ESPINA, JACQUELINE J., MD,
FPPS, FPSDBP
ESPINA, PAUL
ROOM 401 B CHONG HUA MEDICAL ARTS
CENTER, J. LLORENTE STREET, CAPITOL
CEBU
Professional SITE, CEBU CITY
SUITE 408, MEDICAL ARTS CENTER,
CHONG HUA HOSPITAL, J. LLORENTE
Professional STREET, CAPITOL SITE, CEBU CITY
NO. 335 RIZAL AVENUE CORNER 3RD
ESPINA,JOSE F MD
Professional
ESPINO, MAE L., MD
Professional
Espino,Antonio,B,II
Professional
Espino,Antonio,MD
Professional
ESPINO,GARIBALDI,M,MD
Professional
ESPINOSA, AMOR MD
ESPINOSA, BRENDA M., MD
ANESTHESIA OFFICE,CHONG HUA
HOSPITAL, DON MARIANO CUI STREET,
FUENTE OSMENA, CEBU CITY
SUBDIVISION, MANDALAGAN, BACOLOD
Western Pacific Med Srv Inc Rm Nazareth
Gen Hosp 203 Perez Bl
Ave E Dagupan City
FB SORIANO DELA TORRE MED CLIN 51
BURGOS AVE CABANATUAN CITY
75-18TH CORNER IBARRA STREET, EAST
Professional BAJAC-BAJAC, OLONGAPO CITY
BRENDA ESPINOSA HEART CLINIC,
Professional NATIONAL HIGHWAY CATBANGEN, SAN
Denied
CEBU
Denied
ZAMBALES
Denied
CEBU
Denied
NEGROS
OCCIDENTAL
Denied
Dagupan City
Denied
Pangasinan
Denied
NUEVA ECIJA
Denied
ZAMBALES
Denied
LA UNION
Denied
ESPINOSA, FLORENCE MD
ST. LUKE'S MEDICAL CENTER, NO. 279 E.
QUEZON CITY
Denied
Espinoza,Mabini,M
Professional No 4 20th St Wbb
Olongapo City
Denied
ESPIRITU JR., GALICANO G., MD
ESPIRITU, DOROTEO J.L. JR., MD
ESPIRITU, GALICANO G., MD
UNIT 18 MARIKINA EAST CENTRAL
Professional BUILDING, NO. 83 GIL FERNANDO
NO. 322 M. GREGORIO STREET, SAN
Professional ANTONIO, CAVITE CITY
CAVITE
Denied
ADDED DENIED DATE
ON WPS
Status and Workflow
Owner - KD
No Activity
9/20/2005 Hold (>2yr)
WPS Provider
Status and Workflow
Owner - KD
No Activity
4/24/2006 Hold (>2yr)
WPS Provider
4/2/2007 File Updated 04/02/2007
No Activity
5/22/2006 Hold (>2yr)
Status and Workflow
Owner - KD
Denied
MANILA
Denied
MANDALUYON
G CITY
Denied
ESTANISLAO, EDGARDO MD
CLINICA MANILA, 2/F SM MEGAMALL
Professional BUILDING A
PAMPANGA
Denied
ESTANISLAO, EDGARDO P., MD
Professional M H DEL PILAR STREET, TARLAC CITY,
TARLAC
Denied
ESTANISLAO, RAMON LUIS A., MD
ANESTHESIOLOGY DEPARTMENT,
EVANGELISTA HOSPITAL, PACITA, SAN
Professional PEDRO
LAGUNA
Esteban,Eva Marie,P
Professional 74 National Hi Way Matain
Subic Zambales Denied
ROOM 1 2ND FLOOR, SPECIALTY CLINIC,
ILOILO
Professional NO. 106 TIMAWA AVENUE, ILOILO CITY
Professional EENT CLINIC, AGO
ST. VINCENT GENERAL HOSPITAL,
OSMENA BOULEVARD SAMBAG 1, CEBU
Professional CITY
LA UNION
CEBU
Page 39
Denied
Denied
Denied
Denied
9/29/2009
2/9/2011
No Activity
Status and Workflow
Owner - KD
4/20/2005 Hold (>2yr)
5/16/2005
WPS Provider added certified date per
4/13/2009 File Updated phil spreadsheet
11/16/2009
Cavite City
Professional NO. 2422-B SUTER STREET, STA. ANA
5/27/2011
Ophthalmolog
12/28/2009 y
Estabillo Nardo,Rosita,MD
ESTOCONING, MARY ABIGAIL
DIOLA, MD
ADDED DENIED DATE
Denied
ESPIRITU,LOURDES,M
ESTILLORE, DELFIN C., MD
WPS Provider
WPS Provider
WPS Provider
WPS Provider
Professional 168 P Cruz ST
Professional 322 M GREGORIO ST
ESTEPAR, ROBERTO A., MD
No Activity
8/10/2005 Hold (>2yr)
12/31/2007
Status and Workflow
Owner - KD
11/21/2005
Denied
ESPIRITU,DEBORAH,V
ESTANDARTE-REYES, SEIAN
MARIE MD
No Activity
7/5/2006 Hold (>2yr)
WPS Provider
12/17/2007 File Updated 12/17/2007
CAVITE CITY
MANDALUYON
G CITY
Professional SM SOUTHMALL, REAL STREET, ALMANZA LAS PINAS CITY Denied
8/13/2007
Status and Workflow
Owner - KD
11/27/2006
No Activity
Status and Workflow
Owner - KD
6/20/2006 Hold (>2yr)
3/29/2011 File Updated DATE
WPS Provider
ESPIRITU, HANNAH ROWENA R.,
MD
ESTALILA, RUDY E.
WPS Provider
11/17/2006 File Updated 11/17/2006
No Activity
9/28/2006 Hold (>2yr)
No Activity
9/9/2005 Hold (>2yr)
10/12/2009
3/9/2009
5/28/2007
7/10/2006
2/19/2007
6/21/2011
6/11/2010
7/6/2009
Status and Workflow
Owner - KD
12/11/2006
Status and Workflow
Owner - KD
WPS Provider
12/21/2006 File Updated 12/21/2006
WPS Provider
8/27/2007 File Updated 27-08-07
No Activity
3/8/2007 Hold (>2yr)
WPS Provider
2/19/2007
Status and Workflow
Owner - KD
2/12/2007
3/19/2007
10/22/2007
5/28/2007
10/28/2009
No Activity
8/17/2006 Hold (>2yr)
Status and Workflow
Owner - KD
11/13/2006
No Activity
1/9/2006 Hold (>2yr)
Status and Workflow
Owner - KD
12/18/2006
No Activity
10/26/2005 Hold (>2yr)
Status and Workflow
Owner - KD
2/20/2006
ESTRA, MYRNA S., MD
ESTRADA,TITUS LEO,C,MD
QUEZON CITY
ESTRADA,TITUS LEO,C,MD
Professional PUBLIC MARKET BAYAMBANG
LEON GUERRERO ST DAVAO CITY SAN
Professional PEDRO HOSPITAL
ESTRELLA, MA. CORAZON DULCE
C., MD
VELASCO BUILDING, PANGANIBAN DRIVE, CAMARINES
SUR
Professional NAGA CITY
ESTRELLA-SESE, MARIE LYN R.,
MD
ESTRERA, DAHLIA VIRGINIA O.,
M.D.
ETN BEAUTY CONCEPTS INC
EURO PACIFIC HEALTH CARE
DISTRUBTOR INC
DAVAO DE SUR Denied
QUEZON CITY
Denied
QUEZON CITY
PASIG CITY
VAMENTA BOULEVARD, CARMEN,
EVANGELISTA-RICARTE, EDNA MD Professional CAGAYAN DE ORO CITY
EVANGELISTA-SAMONTE, CRISTY
MD
EVZ PHARMACY - MISSION ROAD
BRANCH
Professional MISSION ROAD, JARO, ILOILO CITY
EXECUTIVE OPTICAL INC MARKET
SPACE 232 2 F MARKET MARKET
MARKET BRANCH
Professional BONIFACIO GLOBAL CITY
F Santos Medical Clinic
Institutional
F.B.MEDICAL CLINIC
Institutional
Grd Flr Pangasinana Med Ctr Nable St
5047-F RIZAL STREET, ANGELES CITY
UNIT 6 C OCEAN TOWER 2044 ROXAS
Professional BLVD
FABELLA, JESSELE F.
FACE TO FACE ULTRACOUND
CORP
FAJARDO APOSTOL MEDICAL
SURGICAL OPTIONAL CLINIC INC. Professional G F ZENCO BUILDING, SESSION ROAD,
NATIONAL KIDNEY & TRANSPLANT
FALLER, RONALD ANTHONY S., MD Professional INSTITUTE, EAST AVENUE
FAMILIA SISON ,MATERNITY AND
NO. 46 CONSEJO STREET, URDANETA
CHILDRENS CLINIC
Professional CITY
FANTO, MYRNA MD
FAP DENTAL CARE CLINIC
FAR EAST HEALTH SERVICE
FAR EAST MEDICAL EQUIPMENT
TRADING
Institutional
EMBASSY PLAZA, A. MABINI STREET,
ERMITA
CHERRY FOODARAMA CONGRESSIONAL
AVENUE, BAHAY TORO,
Professional BARRETTO, OLONGAPO CITY
Institutional
Institutional
STALL 314 LOWER GROUND FL SM
SOUTHMALL ALMANZA
Denied
RIZAL
Denied
Pasig City
Denied
MISAMIS
ORIENTAL
Denied
Denied
Denied
Denied
QUEZON CITY
Denied
ILOILO
Denied
TAGUIG CITY
Denied
Dagupan City
Denied
PAMPANGA
Denied
QUEZON CITY
Denied
MANILA
Denied
BAGUIO CITY
Denied
QUEZON CITY
Denied
PANGASINAN
Denied
MANILA
Cavite
Professional Blk 30 Lot 5 SSQ Village Pk 2 Gen Trias
NATIONAL HIGHWAY, BARRIO BARRETTO,
ZAMBALES
Institutional
Denied
Unit 18 Marikina E Ctr Bld 83 Gil Fernando
Eustaquio,Salvador Clemen,M,MD
Marikina City
UNIT 105 DEL PILAR PLACE, M. H. DEL
EVACARE MEDICAL CLINIC
PANGASINAN
Professional PILAR STREET, DAGUPAN CITY
ST. FERDINAND BUILDING, B. MENDOZA
EVANGELISTA, JUDY IRENE M., MD Professional STREET, STO. ROSARIO, SAN FERNANDO PAMPANGA
Family Medicine and Geriatric Clinic
Denied
Professional 5 PINE STREET WEST FAIRVIEW
Eustaquio,Clemente,M
FAMILY MEDICINE & GERIATRIC
CLINIC
Denied
Denied
EUSTAQUIO, SALVADOR
CLEMENTE M., MD
EUSTAQUIO, CLEMENTE
SALVADOR M., MD
Denied
QUEZON CITY
2/F TALAVERA BLDG., GOV. LUNA
LA UNION
Institutional STREET, SAN FERNANDO
MADONNA & CHILD SPECIALTY CLINIC,
P&J BUILDING, JP RIZAL BOULEVARD
Professional CORNER E.RODRIGUEZ AVENUE
INC., UNIT 18 MARIKINA EAST CENTRE
EUROPA, AMELIA V., MD
PANGASINAN
Denied
Denied
Denied
Denied
QUEZON CITY
Denied
ZAMBALES
Denied
003 REGALADO AVENUE SM FAIRVIEW B,
LAGRO NOVALICHES
QUEZON CITY
Page 40
Denied
No Activity
Status and Workflow
Owner - KD
5/5/2008 Hold (>2yr)
6/9/2008
Internal
8/23/2010 Medicine
9/30/2010
15-10-08 PROVIDER IS A
LICENSED PHYSICAL
WPS Provider THERAPIST NOT A
10/15/2008 File Updated DOCTOR OF MEDICINE 11/17/2008
No Activity
6/8/2005 Hold (>2yr)
Status and Workflow
Owner - KD
2/12/2007
Status and Workflow
Owner - KD
6/29/2009
No Activity
6/10/2009 Hold (>2yr)
WPS Provider
12/22/2005 File Updated 12/22/2005
No Activity
5/2/2005 Hold (>2yr)
WPS Provider
No Activity
3/12/2007 Hold (>2yr)
4/16/2011
2/19/2011
2/9/2010
7/13/2009
ADDED DENIED DATE
6/9/2011
04/27/2007
6/4/2007
Status and Workflow
Owner - KD
8/6/2007
No Activity
Status and Workflow
Owner - KD
6/8/2005 Hold (>2yr)
WPS Provider
3/13/2006 File Updated 13-03-06
22-10-08 EXCLUDED
WPS Provider
5/12/2008 File Updated 05/12/2008
WPS Provider
10/16/2006 File Updated 10/16/2006
WPS Provider
3/10/2008 File Updated 03/10/2008
No Activity
4/16/2007 Hold (>2yr)
WPS Provider
5/24/2011
Status and Workflow
Owner - KD
11/21/2005
WPS Provider
WPS Provider
WPS Provider
6/12/2006
Status and Workflow
Owner - KD
2/12/2007
3/8/2011
4/11/2011
7/6/2009
4/7/2008
11/24/2008
8/2/2010
6/9/2008
8/20/2007
3/31/2008
6/4/2007
1/7/2010
WPS Provider
8/18/2008 File Updated 08/18/2008
9/1/2008
Status and Workflow
Owner - KD
11/20/2006
No Activity
4/27/2006 Hold (>2yr)
WPS Provider
No Activity
Hold (>2yr)
No Activity
9/12/2005 Hold (>2yr)
Status and Workflow
Owner - KD
6/9/2011
4/24/2006
Status and Workflow
Owner - KD
11/21/2005
TRADING
Institutional
FARMACIA BAGO BANTAY
Professional 75 BUKIDNON STREET,
FARMACIA DALAWAMPU
Farmacia De Sara
Institutional
G/F SM CITY NORTH EDSA, CARPARK
PALAZA
BAUAN
Institutional
FARMACIA FATIMA
Denied
QUEZON CITY
Denied
BATANGAS
Professional 2 Angel Salcedo St
FARMACIA DIVINA GRACIA
QUEZON CITY
Sara Iloilo
STALL 22 SUPERMARKET, SAN
FERNANDO CITY
Denied
MANILA
Denied
FARMACIA FATIMA
Professional 1448 TAFT AVE ERMITA
MANILA
Denied
FARMACIA GRACIA
Professional STALL 4 AND 5 PUBLIC MARKET IMUS
CAVITE
Denied
FARMACIA MALABANAN
Professional PUBLIC MARKET, PADRE GARCIA
Denied
FARMACIA NAZAREA
Professional SAN BUENA BUHI BRANCH,
BATANGAS
CAMARINES
SUR
FARMACIA ROSEJEM INC
Professional 1458 TAFT AVE
FARMACIA WILMA INC.
Professional 1458 TAFT AVENUE
MANILA
Denied
FATIMA CLINIC
Professional 1444 TAFT AVENUE
MANILA
Denied
Denied
FAUSTINO-SAMANIEGO, ALICIA MD Professional 797 P BURGOS AVENUE, CAVITE CITY
FB SORIANO DELA TORRE MED
CLINIC
Institutional 51 BURGOS AVE CABANATUAN CITY
CAVITE
Denied
NUEVA ECIJA
Denied
Fegarido,Rafael Ma,T
Iloilo City
Denied
ANGELES CITY
STE 135 MAB ST LUKES MED CTR 279 E
RODRIGUEZ SR BLVD KALUSU
cagayan de oro medical center Nacalaban
Corner Tiano Bros St Cagayan De Oro City
RODRIGUEZ SR BLVD
MEDICAL CENTRUM DAGUPAN, A.B.
FERNANDEZ EAST, DAGUAPN CITY
FELICIANO, CHRISTINE M., MD
Professional
FELICIANO, RAOUL MD
Professional
FELICIANO,REBECCA,R
Professional
Feliciano,Tedd,D,MD
Professional
FELIPE,BENJAMIN,JR,MD
FELONILA C. CANTO MEDICAL
HEALTHCARE
Professional
FERDIZ MEDICAL CLINIC
Professional SAN PEDRO GUAGUA
Institutional
FERIAN DRUGSTORE
Institutional
MCARTHUR HIGHWAY, SAN FRANCISCO
FERJ S PHARMACY
Professional MISSION RD JARO
FERJS PHARMACY II
Professional GENERAL LUNA STREET, ILOILO CITY
2ND FLOOR P TUAZON BLVD COR 13TH
FERN DIAGNOSTIC CENTER
Professional AVE CUBAO
HOSPITAL, SOLIS STREET, BRGY. TAPFERNANDEZ DE LEON, JAPHET MD Professional OC, MOLO, ILOILO CITY
FERNANDEZ, ALBERT F. MD
NO.57 DON JUICO AVENUE, (PERIMETER
ROAD, CLARKFIELD), RIVERSIDE
PAMPANGA
Denied
RIZAL
Denied
QUEZON CITY
Denied
Misamis Oriental Denied
QUEZON CITY
Denied
PANGASINAN
Denied
PAMPANGA
Denied
FERNANDEZ, GLADYS MS
12/8/2008
12/17/2008
1/26/2009
WPS Provider
12/17/2007 File Updated 12/17/2007
2/25/2008
No Activity
7/10/2006 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
Status and Workflow
Owner - KD
04/22/2008
ADDED DENIED DATE
denied date 8-24-09
ADDED DENIED DATE
ON WPS
02/03/2008
ADDED DENIED DATE
ON WPS
12/8/2010
ILOILO
Denied
WPS Provider
9/29/2008 File Updated 09/29/2008
Denied
PANGASINAN
Page 41
Denied
2/2/2009
6/16/2008
Ear, Nose and
6/27/2011 Throat (ENT)
8/24/2009
11/3/2010
3/10/2008
7/17/2010
No Activity
Status and Workflow
Hold (>2yr)
Owner - KD
11/10/2004
File Updated ON WPS
10/26/2010
WPS Provider
5/4/2009
File Updated ON WPS
1/17/2011
Denied
PAMPANGA
8/31/2010
No Activity
Status and Workflow
Owner - KD
10/24/2005 Hold (>2yr)
11/14/2005
12/22/2010
WPS Provider
QUEZON CITY
Denied
CASA MEDICA INC., LOWER GROUND
Professional FLOOR, SM SOUTHMALL, ALMANZA
11/26/2008
3/2/2009
CAVITE
4/7/2008
7/28/2008
Denied
1/24/2011
04/03/2008
ADDED DENIED DATE
ON WPS
ILOILO
FERNANDEZ, ALBERT MD
FERNANDEZ, EDWINA S., MD
03/26/2008
9/16/2010
Denied
8/7/2006
2/23/2009
Denied
CAVITE
7/29/2009
01/21/2009
ADDED DENIED DATE
ON WPS
ILOILO CITY
Denied
4/7/2005
8/25/2008
8/30/2004
PAMPANGA
3/30/2009
06/04/2008
Denied
FERNANDEZ, ALBERT F., MD
Professional 661 RIZAL STREET, ANGELES CITY
No Activity
12/22/2005 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
Status and Workflow
Owner - KD
PAMPANGA
PROHEALTH MEDICAL SERVICES, NO. 50
ALIMA STREET, BARANGAY ALIMA,
Professional BACOOR
FERNANDEZ, ARTURO M., MD
Status and Workflow
Owner - KD
No Activity
6/9/2003 Hold (>2yr)
Denied
Professional 88 Corner San Jose Locsin St Molo
No Activity
8/1/2006 Hold (>2yr)
WPS Provider
3/2/2009 File Updated 03/02/2009
Denied
LA UNION
FAUNDO, ARVIN C., MD
Status and Workflow
Owner - KD
11/27/2006
No Activity
Hold (>2yr)
Status and Workflow
Owner - KD
NEED TO VERIFY IF
PROVIDER BELONGS
TO GROUP OR IS A
SOLO PROVIDER?
HAVE PROVIDER ALSO
WPS Pending BUILT UNDER
2/28/2005 Review/Action PHL004588 A003.
WPS Provider
3/9/2006 File Updated denial added
No Activity
12/8/2003 Hold (>2yr)
3/23/2009
2/14/2005
6/22/2011
10/27/2010
Status and Workflow
Owner - KD
1/9/2006
Status and Workflow
Owner - KD
1/15/2007
No Activity
1/4/2007 Hold (>2yr)
WPS Provider
8/13/2008 File Updated 08/13/2008
9/8/2008
ROOM 12 NORTH WING , ILOILO
Professional DOCTOR'S HOSPITAL WEST AVENUE
FERNANDEZ, MARK ARJAN R., MD Professional MAYAMOT, ANTIPOLO CITY
FERNANDEZ, GRACE J.,MD
FERNANDEZ, OSCAR URBANO B.,
MD
Professional NO. 1571 PASAJE ROSARIO STREET
Fernandez,Glenda,S,MD
FERNANDEZ-REYES, ROSERFINA,
MD
C/O DALLAS MEDICAL GROUP INC.,
MERCEDES MEDICAL CENTER, 076 STO.
FERNANDO, ELMER C., MD
ILOILO
Denied
5/16/2011
RIZAL
Denied
2/19/2011
Denied
No Activity
2/2/2006 Hold (>2yr)
WPS Provider
3/23/2009 File Updated added denied date on pds
9/29/2009
PAMPANGA
Denied
2/19/2011
PAMPANGA
Denied
WPS Provider
5/7/2010
Denied
Status and Workflow
Owner - KD
8/7/2006
MANILA
Denied
Pangasinan
CAMARINES
SUR
CAMARINES
SUR
Fernando,Judith,MD
PLAZA MEDICA, PANGANIBAN DRIVE,
Professional TRIANGULO, NAGA CITY
Unit 404 405 Cbc Admin Bldg Kamuning St
Professional Osmena Blvd
FERRER, GENEDINA A., MD
Professional 1/F SOLID GOLD BUILDING, ANABU, IMUS
FERNANDO, ROY C., MD
FERNANDO, ROY MD
Fernando,Hernando
F-GAS TRADING
FIDEL MARIA, BELINDA C., MD
FIELD'S CARE CENTER
DRUGSTORE
FIL-AMERICAN MEDICAL AND
SOCIAL SERVICES, INC.
FILARDO CAYETANO, JAIME JR.,
MD
MD
MD
Institutional
NO 21-21ST ST EAST BAJAC-BAJAC,
OLONGAPO CITY
Institutional
49 BAYANIHAN PARK CLARK FIELD,
ANGELES CITY
Institutional
55 M CASTRO STREET, NAGA CITY
Denied
Cebu City
Denied
CAVITE
Denied
QUEZON CITY
PAMPANGA
CAMARINES
SUR
NO. 1417 D MAYHALIGUE STREET, STA.
MANILA
Professional CRUZ
METROPOLITAN MEDICAL CENTER, NO.
Professional 1357 G. MASANGKAY STREET, STA. CRUZ MANILA
Professional AVENUE, PINYAHAN
Denied
Pangasinan
ZAMBALES
NO. 58 MT. VERNON STREET, FILINVEST
Professional 1, BATASAN HILLS
QUEZON CITY
Denied
Denied
Denied
Denied
Denied
Denied
Professional NO.30 SAN AGUSTIN STREET, ILOILO CITY ILOILO
2ND FLOOR NENITA I BUILDING, 8124 DR. PARANAQUE
CITY
Professional A. SANTOS AVENUE,
Denied
First Choice Diagnostic Ctr
Denied
FIRST PROVIDER PHARMA INC.
FIRST PROVIDER PHARMA INC.
FIRST PROVIDER PHARMA, INC.,
FIRST PROVIDER PHARMA, INC.,
DRUGSTORE
FIRSTLITE HEALTHCARE INC
FIRSTLITE HEALTHCARE INC
FITNESS FIRST
FITREHAB
FIVE STAR MEDICAL CLINIC
Cavite
Professional 1443 Rizal Ave Sta Cruz
2/F SAVERS MALL, MAC ARTHUR
Institutional HIGHWAY, BALIBAGO, ANGELES CITY
2/F SAVERS MALL, MAC ARTHUR
Professional HIGHWAY, BALIBAGO, ANGELES CITY
50. GEN EVANGELISTA STREET, BRGY.
Professional ALIMA, BACOOR
No Activity
1/9/2006 Hold (>2yr)
12/4/2006
Status and Workflow
Owner - KD
10/24/2005
No Activity
9/30/2005 Hold (>2yr)
WPS Provider
5/31/2004 File Updated 31-05-04
Status and Workflow
Owner - KD
No Activity
10/12/2005 Hold (>2yr)
WPS Provider
6/8/2006 File Updated 06/08/2006
No Activity
8/28/2006 Hold (>2yr)
No Activity
10/10/2005 Hold (>2yr)
WPS Provider
3/30/2009 File Updated 03/30/2009
6/6/2007
PAMPANGA
Denied
5/14/2008
CAVITE
Denied
5/21/2008
updated provider address.
denied date 8-17-09
3/19/2007
3/19/2007
8/10/2009
8/17/2009
05/14/2008
6/23/2008
4/12/2010
06-02-06 CORRECTION
WPS Provider OF SPECIALTY CODE
2/6/2006 File Updated PREVIOUSLY CODE: 51
WPS Provider
6/2/2008
11/10/2008
1/24/2010
Status and Workflow
Owner - KD
No Activity
10/23/2006 Hold (>2yr)
WPS Provider
1/28/2009 File Updated 01/28/2009
No Activity
5/5/2003 Hold (>2yr)
5/18/2009
6/2/2008
Denied
Denied
3/19/2007
06/06/2007
WPS Provider
10/22/2008 File Updated 10/22/2008
Denied
Page 42
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
Denied
ZAMBALES
LOT 4 A MAGALANG ROAD, STO. CRISTO,
ANGELES CITY
PAMPANGA
Status and Workflow
Owner - KD
8/7/2006
Status and Workflow
Owner - KD
10/22/2007
Denied
Denied
8/25/2008
Status and Workflow
Owner - KD
PAMPANGA
MANILA
9/21/2009
4/10/2004
4/27/2009
Denied
10/30/2009
No Activity
Hold (>2yr)
Denied
NO. 445 KAINGEN, BACOOR
CAVITE
MEDICAL CENTER 279 E. RODRIGUEZ SR.
QUEZON CITY
Institutional BOULEVARD
MEDICAL CENTER 279 E. RODRIGUEZ SR.
QUEZON CITY
Institutional
Denied
9/1/2008
Status and Workflow
Owner - KD
Manila
Institutional
ROBINSON'S PLACE MANILA, LEVEL 3, N.
Institutional ADRIATICO STREET, ERMITA
UNIT 10 AYC COMPLEX, NATIONAL
Professional HIGHWAY, STO. TOMAS SUBDIVISION,
No Activity
5/9/2006 Hold (>2yr)
WPS Provider
8/4/2008 File Updated 08/04/2008
WPS Provider
WPS Provider
WPS Provider
7/28/2008 File Updated 07/28/2008
Denied
FIRMEZA, ANA LIZA E., MD
FIRST ASSOCIATED MEDICAL
DISTRIBUTION CO. INC.
First Hygienic Medical Equip &
Supplies Co
Status and Workflow
Owner - KD
10/23/2006
Status and Workflow
Owner - KD
1/29/2007
4/13/2009
6/6/2005
FIVE STAR MEDICAL CLINIC
FLAMINIANO, ROBERTO MD
FLAMINIANO,ROBERTO,MD
FLANDES, JOSE M., MD
FLEETHEALTH MEDICAL CLINIC
FLORENCIO, MARY QUEEN MD
FLORENCIO,QUEENIE,MD
FLORENDO, MADELINE DE VERA,
M.D.
FLOREN'S HOSPITAL EQUIPMENT
& MEDICAL SUPPLIES
LOT 4A BLOCK 6 MAGALANG ROAD,
Professional STO.CRISTO, ANGELES CITY
Professional ZAMORA ST SAN ROQUE
FLORES,JONEE,MD
Professional CONFESOR STREET
FLORIDA MEDICAL CLINIC
FLORO, RODRIGO B., M.D.
FMC RENALCARE CORP
TARLAC
Denied
TARLAC CITY
Denied
RIZAL
Denied
MUNTINLUPA
CITY
Flores,Ernesto,Jr,Pt
FLORES CLINIC
Denied
CAVITE
Professional P. BURGOS AV CARIDAD , CAVITE CITY
Denied
MEDICAL CITY, ROOM 1011, MAT1
PASIG CITY
Professional BUILDING, ORTIGAS AVENUE, UGONG
Denied
1705 BAMBANG STREET, STA CRUZ
DW 109, HOLY CHILD HOSPITAL, LEGASPI
Institutional STREET, DUMAGUETE CITY
MEDICAL SPECIALIST BUILDING, ST. A.
Professional CATALINA STREET, DUMAGUETE CITY
FLORES CLINIC
PAMPANGA
Institutional
Institutional
NO.1 SONGCO ST POBLACION
FLORIDABLANCA
Denied
MANILA
NEGROS
ORIENTAL
NEGROS
ORIENTAL
Denied
Pampanga
LEGANES
ILOILO
Denied
PAMPANGA
ASIAN HOSPITAL AND MEDICAL CNETER, MUNTINLUPA
CITY
Professional 2205 CIVIC DRIVE, FILINVEST, ALABANG
2257 DON CHINO ROCES AVE EXT BRGY
MAKATI CITY
Professional MAGALLANES
Denied
Denied
Denied
Denied
Denied
Denied
FONTANILLA, REGINA C., MD
Professional ORTIGAS AVENUE
PASIG CITY
Denied
FOODA HYPERMART
Professional NORTH HI WAY CONSOLACION
CEBU
Denied
FORES, EDGARDO D., MD
Professional 3/F CIRCULAR, AMORSOLO STREET
MAKATI CITY
Denied
FORES, MIGUEL E. M., MD
FOREVER FLAWLESS FACE AND
BODY CENTER INC
SUITE 302, MAKATI MEDICAL CENTER,
NO. 2 AMORSOLO CORNER DELA ROSA
2ND FLR SM SUPERCENTER NATIONAL
Professional ROAD TUNASAN
Formentera,Merlyn,R
Professional St Lukes Med Ctr Chapter E Rodriguez Sr Ave Quezon City
FORONDA, MARCELIANO, M.D.
FORT MED MEDICAL CLINIC
MAKATI INC.
FORTU, ELNORA SALOME F., MD
Institutional
MAKATI CITY
MUNTINLUPA
CITY
MUNTINLUPA
CITY
3/F EQUITABLE BANK BUILDING, JUPITER
CORNER PASEO DE ROXAS BEL AIR
MAKATI CITY
No Activity
10/20/2003 Hold (>2yr)
WPS Provider
10/6/2008 File Updated 10/06/2008
WPS Provider
10/6/2008 File Updated 10/06/2008
WPS Provider
WPS Provider
3/23/2009 File Updated 03/23/2009
No Activity
4/12/2004 Hold (>2yr)
No Activity
9/27/2004 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
No Activity
10/1/2005 Hold (>2yr)
5/11/2009
1/10/2011
4/30/2010
01/12/2008
ADDED DENIED DATE
3/2/2009
4/12/2010
6/4/2011
Status and Workflow
Owner - KD
1/29/2007
Status and Workflow
Owner - KD
9/11/2006
6/22/2011
4/16/2007
6/17/2011
1/29/2007
Denied
No Activity
1/25/2007 Hold (>2yr)
WPS Provider
WPS Provider
Denied
No Activity
4/12/2004 Hold (>2yr)
Status and Workflow
Owner - KD
5/8/2006
No Activity
7/11/2006 Hold (>2yr)
Status and Workflow
Owner - KD
9/25/2006
No Activity
5/9/2006 Hold (>2yr)
Status and Workflow
Owner - KD
5/29/2006
02/25/2008
4/14/2008
9/20/2010
08/01/2005
7/24/2006
05/19/2008
6/16/2008
08/09/2007
Attached to a
homeopathic center.
9/10/2007
Denied
Denied
Denied
Denied
8/9/2007
Francisco,Frederick,D,MD
Professional 1691 Maria Orosa St Malate
Manila
Denied
9/22/2009
Francisco,Joseph,MD
Professional 851 Bagbaguin Sta Maria
Bulacan
Denied
8/3/2009
Francisco,Noel,M
Manila
Denied
8/14/2009
FRANCO CLINIC
Professional Tondo A66 Northbay Shopping Ctr
107 P. AQUINO ST. BRGY LONGOS,
Institutional MALABON CITY
MANILA
Denied
3/20/2006
FRCB Dental Clinic
Professional 1647 M Adriatico St
Denied
6/3/2009
Denied
IMUS CAVITE
Denied
QUEZON CITY
Denied
QUEZON CITY
Denied
Malate Manila
Page 43
6/9/2011
1/29/2007
Status and Workflow
Owner - KD
QUEZON CITY
FRA GENERAL MERCHANDISE
2/16/2009
Status and Workflow
Owner - KD
No Activity
2/5/2007 Hold (>2yr)
WPS Provider
WPS Provider
6/2/2005 File Updated 06/02/2005
FRAGANTE, ROSANNA E., MD
FORTUNO, AGAPITO JR., S. MD
4/21/2011
5/8/2006
Status and Workflow
Owner - KD
RIZAL
FORTUNE CARE
1/26/2009
Status and Workflow
Owner - KD
No Activity
3/22/2004 Hold (>2yr)
WPS Provider
Professional NO. 02 A. BONIFACIO AVENUE, CAINTA
CORNER AMBROSIA ST ANUABU 1 EMILIO
Professional AGUINALDO HI WAY
7 MATAPAT STREET, BARANGAY
Professional PINYAHAN
DEPARTMENT OF RADIOLOGIC
SCIENCES, ANNEX 1 BUILDING, NATIONAL
KIDNEY & TRANSPLANT INSTITUTE, EAST
Professional AVENUE, DILIMAN
FORTUNA, CLARISSA S., MD
Status and Workflow
Owner - KD
10/24/2005
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
4/16/2007
5/25/2010
10/5/2009
10/12/2009
11/8/2009
11/11/2009
03/20/2006
4/24/2006
8/31/2009
UNIT D 16TH FLOOR EQUITABLE BANK
TOWER, 8751 PASEO DE ROXAS,
FRESENIUS KABI PHILIPPINES INC. Professional SALCEDO VILLAGE
BONANZA PLAZA L45 AND 46 B125
FRIENDLY CARE FOUNDATION INC Professional QUININO HIGHWAYGREATER LAGRO
NO. 490-A CLARKVIEW, DON JUICO
FRIENDSHIP CLINIC
Institutional AVENUE, ANGELS CITY
DUPLEX 4B, PANGANIBAN DRIVE, NAGA
FROYALDE, JANETH B., MD
Professional CITY
G A F PEDIATRIC CLINIC
GABAY NATIVIDAD, AIZA MARIE
GABRITO, ALEX N., MD
GADDI, NATHANIEL MD
GAERLAN, JOSE N., MD
GALANG, LEONOR T., MD
MAKATI CITY
Denied
9/24/2008
QUEZON CITY
Denied
12/29/2010
PAMPANGA
CAMARINES
SUR
Denied
6/29/2006
Denied
3/17/2008
Professional 1/F SOLID GOLD BUILDING, ANABU, IMUS
29 DAPITAN STREET CORNER ISAROG
Professional STREET, BRGY. STA. TERESITA
CAVITE
Denied
7/2/2008
QUEZON CITY
Denied
8/25/2008
Professional 10 NIEVES MABAYUAN, OLONGAPO CITY
ZAMBALES
Denied
12/22/2008
PAMPANGA
Denied
CDO MEDICAL CENTER NACALABAN
Professional TIANO STREET, CAGAYAN DE ORO CITY
GALANG,ROEL
GALICANO G. ESPIRITU MEDICAL
CLINIC
Professional UNIT B 207 BUILDING SM BICUTAN
GROUND FLR RM 2 MAKATI MEDICAL
Professional CENTER MAKATI CITY 1229
NO. 322 M. GREGORIO STREET, SAN
Institutional ANTONIO, CAVITE CITY
Galicia,Sheryll,A,MD
Ranola Med Clinic Naga City Duplex 6
Professional Panganiban Dr
MISAMIS
ORIENTAL
PARANAQUE
CITY
MAKATI CITY
1229
Denied
Denied
Denied
CAVITE
Denied
Camarines Sur
Denied
GALLAN BUESER, SOCORRO MD
QUEZON CITY Denied
LORMA MED CTR CARLATAN CITY OF SAN
GAMBOA,SONNY,M
LA UNION
Professional FERNANDO
Denied
UNIVERSITY OF SANTO TOMAS, ESPAÑA,
GAMILLA, CORAZON-ZAIDA N., MD Professional SAMPALOC,
METRO MANILA Denied
GAMIT PAMBAHAY
GAN, HERMINIGILDO H., MD
Institutional
ZONE III, IBA
NO. 1357 G. MASANGKAY STREET, STA.
Professional CRUZ
ZAMBALES
MANILA
Denied
Denied
GAN, VICENTE L., MD
ROOM 100 G/F SAN LUIS TERRACES, NO.
Professional 638 T M KALAW, ERMITA
MANILA
Denied
GANZON, DOMINGO E., MD
Professional NO. 70 KAMIAS ROAD
QUEZON CITY
Denied
GAPAN LABORATORY AND
MEDICAL SUPPLIES
GARAYGAY, GIAN CARLO G., MD
GARCIA MOM'S AND KIDS CLINIC
GARCIA RAUL L MD
GARCIA, CIELITO S., MD
GARCIA, ETHEL P , MD
GARCIA, FLORIMOND A., MD
GARCIA, JORGE M., M.D.
NO. 17 HILARIO ST., LIGTASAN, TARLAC
Institutional CITY
Institutional
ROOM 40 OUR LADY OF LOURDES
HOSPITAL, NO. 46 P. SANCHEZ STREET,
Professional STA. MESA
LAS PINAS CITY MEDICAL CENTER,
Professional MARCOS ALVAREZ ROAD
ROOM 344 PERIPHERAL VASCULAR
CLINIC, PHILIPPINE HEART CENTER,
Professional
GARCIA, LIZA
Professional
GARCIA, MA. SANCHA PAULINE A.,
MD
Professional
GARCIA, MA. SOCORRO M., MD
Professional
No Activity
Status and Workflow
Hold (>2yr)
Owner - KD
10/13/2008
File Updated ON WPS
3/1/2011
WPS Provider
4/23/2007
File Updated ON WPS
10/27/2010
WPS Provider
8/25/2008
WPS Provider
9/15/2008
WPS Provider
1/12/2009
WPS Provider
3/14/2005 File Updated 03/14/2005
No Activity
4/11/2006 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
Status and Workflow
Owner - KD
4/9/2007
5/29/2006
11/15/2005
ADDED DENIED DATE
ON WPS
2/20/2006
05/22/2006
7/10/2006
Status and Workflow
Owner - KD
No Activity
12/18/2006 Hold (>2yr)
WPS Provider
3/21/2011
7/13/2009
7/16/2007
6/6/2011
12/17/2007
No Activity
2/23/2007 Hold (>2yr)
Status and Workflow
Owner - KD
4/16/2007
No Activity
3/9/2006 Hold (>2yr)
Status and Workflow
Owner - KD
7/3/2006
Status and Workflow
Owner - KD
3/12/2007
No Activity
2/16/2007 Hold (>2yr)
WPS Provider
4/20/2006 File Updated 04/20/2006
No Activity
3/17/2005 Hold (>2yr)
Status and Workflow
Owner - KD
1/22/2007
MANILA
Denied
CEBU
Denied
TARLAC
Denied
WPS Provider
WPS Provider
7/28/2003 File Updated 07/28/2003
Denied
No Activity
9/27/2004 Hold (>2yr)
Status and Workflow
Owner - KD
9/11/2006
No Activity
11/28/2005 Hold (>2yr)
Status and Workflow
Owner - KD
9/11/2006
No Activity
2/20/2006 Hold (>2yr)
Status and Workflow
Owner - KD
2/25/2008
No Activity
2/16/2007 Hold (>2yr)
Status and Workflow
Owner - KD
7/16/2007
No Activity
5/24/2004 Hold (>2yr)
Status and Workflow
Owner - KD
9/4/2006
PAMPANGA
MANILA
Denied
QUEZON CITY
MUNTINLUPA
CITY, ALABANG
CITY
MARIKINA CITY
GLOBAL MEDICAL NETWORK, SUITE
201/204 J & B BUILDING III, QUEZON
ILOILO
TERRACES, NO. 638 TM KALAW STREET, MANILA
Page 44
Denied
Denied
Denied
WPS Provider
4/28/2008 File Updated 04/28/2008
WPS Provider
Denied
WPS Provider
Denied
5/16/2005
3/11/2010
5/9/2005
8/18/2008
5/4/2010
2/6/2010
GARCIA, MARIO, MD
Professional
GARCIA, PACIFICO JR. M., MD
Professional
GARCIA, RAUL L., MD
Professional
GARCIA, RAUL L., MD
Professional
GARCIA, RODOLFO H FR MD
GARCIA, SHYLA G., MD
Garcia,Gerald,MD
Garcia,Lamberto,H,Sr,MD
Garcia,Ma Florema,MD
Garcia,Maria,S
Garcia,Raul,L,MD
GARCIA-EVANGELISTA,
LUZVIMINDA MD
GASCON,ADONIS BERNABE,C,MD
GATBONTON,RICHEL ANN,MD
GATCHALIAN, MICHELLE MD
GATCHALIAN, SALVACION R., MD
GATCHALIAN,LESLIE,B
DUQUIT, MABALACAT
NO. 16 P. PRIETO STREET, BATANGAS
CITY
LIFELINE MEDICAL CENTER, 57 DON
JUICO AVENUE, RIVERSIDE SUBDIVISION,
ANUNAS, ANGELES CITY,
DEE HWA LIONG FOUNDATION MEDICAL
CENTER ANNEX, HENSON STREET,
AGAPITO DEL ROSARIO, ANGELES CITY
Professional 73 AVE MARIA ST SILANGAN
FIRST PROVIDER PHARMA INC., 2ND
FLOOR, SAVERS MALL, MAC ARTHUR
Unit 404 405 CDC Admin Bldg Kamuning St
Unit 404 405 Cdc Admin Bldg Kamuning St
Divine Grace Med Ctr 2F Epza Tejero Bypass
Professional Rd
Brgy Saguin Rm 104 Mt Carmel Medical
Professional Centre
2ND FLOOR PLAZA REAL BUILDING, 081
Professional REAL STREET, PAMPLONA
UNIT 600 MOB ASIAN HOSPITAL
Professional FILINVEST ALABANG
Denied
BATANGAS
Denied
PAMPANGA
Denied
PAMPANGA
Denied
WPS Provider
2/22/2010
CAVITE
Denied
Status and Workflow
Owner - KD
4/17/2006
PAMPANGA
Denied
4/12/2010
Cebu City
Denied
Cebu City
Denied
Cebu City
Denied
Cavite
City of San
Fenrand
Denied
Denied
Denied
Denied
Denied
Gatches,Mauricio,N,MD
Manila
Denied
GATMAYTAN, JOCELYN H., MD
CAVITE
Denied
PANGASINAN
Denied
ZAMBALES
Denied
Pangasinan
Denied
Gazmen,Arnel
Professional 49 PUTOL, KAWIT
Institutional FERNANDEZ EAST, DAGUPAN CITY
104 A RIZAL AVENUE, EAST TAPINAC,
Professional OLONGAPO CITY,
Pangasinan
Denied
Gazmen,Ma,H,MD
Olongapo City
Denied
GEOLINGO, LIONEL F., M.D.
No Activity
10/5/2004 Hold (>2yr)
WPS Provider
No Activity
2/28/2005 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
No Activity
12/9/2005 Hold (>2yr)
Status and Workflow
Owner - KD
ROOM 201 MEDICAL CENTER IMUS,
DIVERSION ROAD, PALICO IV, IMUS
NARCISO SUBDIVISION, NATIONAL
Institutional HIGHWAY, GEN. SANTOS CITY
SEN. ENAGE STREET CORNER LOPEZ
Professional JAENA , TACLOBAN CITY
Institutional
Professional 30 GOV FERRER ST GEN TRIAS
UNIT 4, INSULAR TOWNHOUSE, 21ST
Professional STREET B.S. AQUINO DRIVE, BACOLOD
Denied
CAVITE
SOUTH
COTABATO
Denied
LEYTE
Denied
CAVITE
NEGROS
OCCIDENTAL
Page 45
Denied
Denied
Denied
No Activity
Hold (>2yr)
No Activity
10/24/2005 Hold (>2yr)
No Activity
12/19/2005 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
6/4/2011
2/12/2007
02/06/2008
4/27/2009
07/09/2007
6/9/2008
10/26/2009
10/26/2009
4/27/2010
Status and Workflow
Owner - KD
2/20/2006
Denied
MANILA
5/12/2008
3/10/2005
Status and Workflow
Owner - KD
1540-1544 RIZAL AVENUE STA. CRUZ
12/10/2010
09/15/2005
Denied
Institutional
6/6/2011
7/27/2009
Bulacan
MUNTINLUPA
CITY
9/21/2009
Status and Workflow
Owner - KD
12/20/2004
Professional Tibag Baliwag 149 Dr Gonzales St
92 RIZAL STREET, POBLACION
Gastroenterol
ogy
7/2/2007
Denied
Institutional
10/19/2009
Status and Workflow
Owner - KD
IMUS CAVITE
ROOM 503, DF SYJUCO BUILDING,
REMEDIOS STREET CORNER TAFT
AVENUE, MALATE
10/23/2009
2/22/2010
Professional 25F AGUINALDO HI WAY ANABU 1B
Gemini Diagnostic Laboratory
GENUINO,JERRIMO,L,MD
Denied
12/1/2008
Denied
GEBORA INDUSTRIAL GAS SALES
GENEDINA ACOB FERRER
PEDIATRIC CLINIC
GENERAL SANTOS DOCTORS
HOSPITAL
GENERICS MEDICAL MULTI
PURPOSE COOPERATIVE
MUNTINLUPA
CITY
11/5/2007
Obstetrics &
MANILA
Institutional
GEMRY MEDICAL SUPPLY
no update needed
No Activity
Status and Workflow
Owner - KD
11/12/2004 Hold (>2yr)
WPS Provider
GBC MEDICAL CLINIC, INC.
GEMMARI GUNDRAN DE LA
MERCED MATERNITY
KM 23 WEST SERVICE ROAD CUPANG
updated record
provider already has
denial date 6-29-09
WPS Provider
11/29/2007 File Updated 11/29/2007
RM 701 MEDICAL ARTS BUILDING, MANILA
MANILA
Professional DOCTORS HOSPITAL, UN AVENUE
RM 305 ST LUKES MEDICAL CENTER E
KALUSUGAN
QUEZON CITY
Institutional
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
QUEZON CITY
Denied
GB PHARMACY
No Activity
3/2/2006 Hold (>2yr)
No Activity
6/27/2005 Hold (>2yr)
WPS Provider
PAMPANGA
Gazmen,Amel,MD
2/6/2008 File Updated ON PDS
MUNTINLUPA
CITY
Denied
MABALACAT
PAMPANGA
Denied
GATCHES, MAURICIO MD
GAZMEN, HAZEL R., MD
No Activity
3/20/2006 Hold (>2yr)
WPS Provider
11/17/2008 File Updated 11/17/2008
PAMPANGA
GAZMEN, ARNEL GERARD R., MD
Status and Workflow
Owner - KD
6/12/2004
7/5/2010
11/8/2009
9/26/2005
Status and Workflow
Owner - KD
11/21/2005
Status and Workflow
Owner - KD
added mailing
10/01/2008
ADDED DENIED DATE
ON WPS
8/25/2008
4/6/2009
12/22/2008
2/28/2011
2/22/2010
GEOLLEGUE, DAVID JR., MD
PASIG CITY
George Drug & General Merchandise Professional 78 Ma Clara St Lourdes 1
Gerial,Ernesto,L,JR,MD
GERMAC VARIETY STORE
Denied
Quezon City
Denied
Quezon City
Professional East Avenue Dilliman
54-55 PASILIO 4 DAU MART MCARTHUR HI
PAMPANGA
Professional WAY, DAU, MABALACAT,
Denied
Denied
GERMAR MARTINEZ, GILDA G., MD Professional 1444 TAFT AVENUE
GERMAR, MARIA CELINA MD
GEROCHE, HENRY L., MD
MANILA
GEROCHE,HENRY,L,MD
BACOLOD CITY Denied
GERONA, CARLOS URBANO JR.,
A., MD
GERVACIO,GISELLE,G,MD
Glo W's Surgical Binder
GLOBAL MEDICAL NETWORK
CLINIC-PAMPANGA
GLOBALCARE HEALTH SERVICES
GLOBALFLEX
GN MERCADO CLINIC
GO LEE TIAN, AGNES F., MD
GO, JOCELYN D., MD
GO, LUIS RAYMOND MD
GO, RODY K., MD
GO, RUBY T., MD
Go,Luis Raymundo,T,MD
Denied
CEBU
Denied
QUEZON CITY
Denied
SAN RAFAEL, MAHARLIKA HIGHWAY, SAN
PABLO CITY
LAGUNA
Gines,Edward,B,MD
Global Medical Network
NEGROS
OCCIDENTAL
NO. 1517 COL. TORRALBA STREET,
Professional LAHUG CEBU CITY
STE 1106 N CHBC ST LUKES MED CTR E
Institutional
Professional B S AQUINO DR MEDICAL ARTS BLDG
GFPA ENTERPRISES
Denied
11/9/2009
ILOILO
Denied
12/12/2005
Iloilo City
Denied
3/29/2010
Professional STE 204 J AND B BLDG III QUEZON ST
Institutional SAN FERNANDO CITY
ILOILO CITY
Denied
10/14/2010
PAMPANGA
Denied
GOLDING, JOEY R., MD
2/4/2010
added denied date on wps 4/26/2010
ADDED DENIED DATE
ON WPS
1/17/2011 Pharmacy
ADDED DENIED DATE
ON WPS
12/21/2010
2/18/2008
Status and Workflow
Owner - KD
12/4/2006
Status and Workflow
Owner - KD
8/27/2007
NEGROS
OCCIDENTAL
Denied
WPS Provider
12/10/2008 File Updated 12/10/2008
1/19/2009
MISAMIS
ORIENTAL
Denied
WPS Provider
12/24/2008 File Updated 12/24/2008
2/9/2009
WPS Provider
2/25/2008 File Updated 02/25/2008
4/14/2008
MANILA
Denied
10/31/2005
Denied
5/27/2009
Denied
7/20/2009
7/16/2010
Denied
MANILA
Denied
MANILA
Denied
ANGELES CITY Denied
QUEZON CITY
Denied
ROOM 110 MEDICAL ARTS BUILDING, SAN
FERNANDINO HOSPITAL, DOLORES, CITY
PAMPANGA
Professional OF SAN FERNANDO
Page 46
No Activity
1/12/2006 Hold (>2yr)
Denied
Paranaque City
SM SOUTHMALL ALABANG -ZAPOTE
ROAD
6/9/2011
Denied
Professional Joint Med Clinic Aquino Ave San Dionisio
Institutional
ADDED DENIED DATE
PALAWAN
Go,Rosario Marie,S,MD
1463 RIZAL AVENUE NEAR CORNER
ALVAREZ STREET, STA. CRUZ
NO. 1463 RIZAL AVENUE CORNER
Institutional ALVAREZ STREET, STA. CRUZ
MT VIEW SUBD BALIBAGO 186 DON
Professional GUECO AVE
2A TIRAD PASS STREET CORNER
Professional BANAWE, STO. DOMINGO I
1/28/2011
No Activity
7/11/2006 Hold (>2yr)
WPS Provider
6/6/2007 File Updated 06/06/2007
DAGUPAN CITY Denied
Institutional
5/29/2006
Status and Workflow
Owner - KD
10/30/2006
WPS Provider
2/13/2006 File Updated 02/13/2006
No Activity
11/22/2005 Hold (>2yr)
7/15/2010
Denied
ROOM 104 CHONG HUA MEDICAL ARTS
CENTER, J. LLORENTE STREET, CAPITOL
CEBU
Professional SITE, CEBU CITY
ROOM 803 DOÑA SALUSTIANA MEDICAL
TOWER, MANILA DOCTORS HOSPITAL,
No Activity
Hold (>2yr)
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
5/27/2011
QUEZON CITY
Professional A B FERNANDEZ E BRGY PANTAL
GOLDENT INC.,
No Activity
Status and Workflow
Owner - KD
5/9/2006 Hold (>2yr)
Denied
GO,ONASIS,MD
GOINCGO,RENEAH,N,MD
GOLDEN HORSE MEDICAL
SUPPLIES
WPS Provider
Pampanga
Go,Michael
GODSWILL MEDICAL SUPPLY
6/2/2008
Professional Telabastagan San Fernando 73 San Rafael
SUITE 204 J & B BUILDING III, QUEZON
Institutional STREET, ILOILO CITY
Ste 204 2nd Flr J B Bldg III Quezon Cor
Professional Ledesma St
DONA JULITA BUILDING, 112 KAMUNING
ROAD, OCR
333 MALVAR STREET, PUERTO PRINCESA
Institutional CITY
CAGAYAN DE ORO POLYMEDIC GENERAL
HOSPITAL, DON APOLINAR VELEZ
Professional STREET, CAGAYAN DE ORO CITY
12/9/2009
WPS Provider
4/14/2008 File Updated 04/14/2008
7/13/2009
Institutional
2/22/2010
1/26/2009
Denied
Denied
12/17/2008
Cavite City
NO. 33 DATSUN CORNER DODGE STREET,
FAIRVIEW
QUEZON CITY
11/3/2008
12/24/2007
7/21/2006
Institutional
10/20/2008
12/10/2007
Denied
Bulacan
Professional Catmon Malolos City
Pangasinan
Professional Hwy Urdaneta Cit
GOD'S WILL MEDICAL SUPPLIES
SURGICAL INSTRUMENT &
HOSPITAL EQUIPMENT
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
Denied
6/8/2009
Status and Workflow
Owner - KD
No Activity
Status and Workflow
Hold (>2yr)
Owner - KD
WPS Provider provider already denied as
File Updated of 7-6-09
WPS Provider
File Updated added denied date on pds
File Updated ON WPS
Status and Workflow
Owner - KD
No Activity
8/29/2005 Hold (>2yr)
WPS Provider
2/22/2006 File Updated 02/22/2006
WPS Provider
WPS Provider
3/16/2009 File Updated 03/16/2009
7/30/2007
9/11/2006
9/18/2006
7/6/2009
9/29/2009
8/26/2010
8/10/2009
3/10/2005
6/12/2006
6/2/2011
4/20/2009
No Activity
7/13/2005 Hold (>2yr)
Status and Workflow
Owner - KD
8/8/2005
No Activity
3/27/2006 Hold (>2yr)
Status and Workflow
Owner - KD
9/11/2006
GOLDING, MARIE ANTOINETTE E.,
MD
PAMPANGA
GOMBA, MA.ISABEL A., M.D.
GOMEZ, MARIVIC R., PTRP
GOMEZ,HAROLD MICHAEL,P,MD
GOMEZ,MA FLORENTINA,F,MD
ROOM 601 CATHEDRAL HEIGHTS
COMPLEX BUILDING, ST.LUKE'S MEDICAL
Professional CENTER, 279 E.RODRIGUEZ SR.AVENUE
OUR LADY OF MT CARMEL SAGUIN CITY
Denied
QUEZON CITY
Denied
CAMARINES
SUR
Denied
PAMPANGA
Denied
GONZAGA, LOUIS G., MD
Professional MANILA DOCTORS HOSPITAL 667 UN AVE ERMITA MANILA Denied
PASIG CITY
Denied
GONZALES MEDICAL NETWORK
ENT
C1 MCARTHUR HIWAY COR T CLAUDIO ST
ANGELES CITY Denied
Professional BRGY SALAPUNGAN
No Activity
3/27/2006 Hold (>2yr)
Status and Workflow
Owner - KD
9/11/2006
No Activity
4/12/2004 Hold (>2yr)
Status and Workflow
Owner - KD
4/10/2006
WPS Provider
WPS Provider
WPS Provider
12/22/2008
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
WPS Provider
10/20/2008 File Updated 10/20/2008
IntlSOS
Update
none
4/19/2011 Complete
Status and Workflow
Owner - KD
GONZALES, ANDREW M., MD
Professional SAN JOSE STREET, BAUAN
BATANGAS
Denied
GONZALES, ERNESTO M., JR.MD
Professional 2620 F MUNOZ STREET, MALATE
MANILA
Denied
No Activity
10/5/2006 Hold (>2yr)
WPS Provider
10/27/2004 File Updated 10/27/2004
CAMARINES
SUR
Denied
GONZALES, GILDA G.,MD
GONZALES, NORMAN R., MD
Gonzales,Dina
GONZALES-MONGCAL, HERBIA
JOY, DMD
GONZALEZ REGANION,CELERINA
GOOD LIFE MEDICAL
ACCESSORIES
GOOD SHEPHERD CHILDREN
MEDICAL & MATERNITY CLINIC
BRGY. SAN VICENTE, MCARTHUR
Professional HIGHWAY, APALIT
Rm 212 2F Our Lady Of Pillar Tamsui Ave
Professional Bayan Luma Imus
F.REYES STREET, BALIBAGO STA.ROSA
Professional CITY
STO DOMINGO DIAGNOSTIC CENTER
Professional LOLOMBOY
NO. 41 ABAO STREET, BRGY. PAANG
Professional BUNDOK, LA LOMA
Professional 856 MALARIA, BRGY. 185, TALA
GOSE-YUSAY, MICHELLI MAE D.,
MD
UPPER GROUND FLOOR BUILDING B,
MEGAMALL EPIFANIO DELOS SANTOS
Institutional AVENUE
ROOM 414 MEDICAL ARTS BUILDING, DR.
PABLO O. TORRE MEMORIAL HOSPITAL,
Professional B.S. AQUINO SR. DRIVE, BACOLOD CITY
Goznales,Anthony,M,MD
Professional Gulod Itaas Batangas City
GOODVISION OPTICAL
GRANADA,JOSE NEMESIO,A
GRAND HEALTH MEDICAL AND
DIAGNOSTIC CENTER
Professional RM 255 ST PAULS HOSP GEN LUNA ST
NO. 30 CANDA STREET, EAST BAJACInstitutional BAJAC, OLONGAPO CITY
C/O HEALTH ASSOCIATES INC., MAKATI
GRANDE, RAFAEL VICTOR DANIEL,
MEDICAL CENTER, NO.2 AMORSOLO
M.D.
10 CIRILO STREET, ISIDORA HILLS,
GRAVADOR, JANETTE M., RN
Professional BARANGAY HOLY SPIRIT,
GRAYDA, JOSE MELANIO MD
GRAZIE MARKETING
Great Faith Medical Pharmacy and
Diagnostic Center Inc
GRINO, ANTHONY MD
GTD CENTER FOR CHILDREN
WITH SPECIAL NEEDS
GUALBERTO, CHARLEMAGNE H.
MD
GUALBERTO, CHARLEMAGNE H.
MD
GUANZON MEDICAL CLINIC
Professional MOLINO II, BACOOR,
Institutional
833 HENSON STREET AGAPITO DE
ROSARIO, ANGELES CITY
Professional JC 055 VC Arcadian Bldg Km 5
PAMPANGA
Denied
Cavite
Denied
LAGUNA
BOCAUE
BULACAN
Denied
QUEZON CITY
CALOOCAN
CITY
Denied
Denied
Denied
MANDALUYON
G CITY
Denied
NEGROS
OCCIDENTAL
Denied
Batangas
Denied
ILOILO CITY
Denied
ZAMBALES
Denied
MAKATI CITY
Denied
QUEZON CITY
Denied
CAVITE
PAMPANGA
Denied
ROOM 20 PIONEER HEALTHCARE CLINIC,
NAZARETH GENERAL HOSPITAL, 203
PANGASINAN
Professional PEREZ BOULEVARD, DAGUPAN CITY
6/21/2010
11/3/2008
7/4/2011
5/14/2007
11/29/2004
1/24/2011
5/7/2007
10/12/2009
No Activity
Status and Workflow
Owner - KD
8/31/2005 Hold (>2yr)
10/10/2005
5/9/2011
WPS Pending can someone please
5/20/2009 Review/Action check the specialty
11/9/2009
WPS Provider
10/8/2008 File Updated 10/08/2008
1/26/2009
No Activity
11/21/2005 Hold (>2yr)
Status and Workflow
Owner - KD
WPS Provider
WPS Provider
WPS Provider
3/28/2011
7/27/2009
ADDED DENIED DATE
6/10/2011
denied provider updated
10/19/2010
WPS Provider
7/6/2004 File Updated 07/06/2004
WPS Provider
10/8/2007 File Updated 10/08/2007
No Activity
10/17/2005 Hold (>2yr)
6/2/2006
9/4/2006
4/21/2008
Status and Workflow
Owner - KD
11/19/2007
Status and Workflow
Owner - KD
12/26/2005
6/7/2010
Denied
No Activity
5/2/2005 Hold (>2yr)
Status and Workflow
Owner - KD
7/2/2007
Denied
WPS Provider
3/29/2010
Denied
No Activity
2/3/2003 Hold (>2yr)
Status and Workflow
Owner - KD
6/13/2005
No Activity
2/3/2003 Hold (>2yr)
Status and Workflow
Owner - KD
5/30/2005
Rm 309 Dr Amado Garcia Medical Ctr No 648
ANGELES CITY Denied
SUITE 1010 DAGUPAN DOCTORS
VILLAFLOR MEDICAL CENTER, MAYOMBO
PANGASINAN
Institutional DISTRICT, DAGUPAN CITY
Denied
Page 47
No Activity
4/27/2007 Hold (>2yr)
WPS Provider
7/20/2010 Rheumatology
No Activity
11/28/2005 Hold (>2yr)
WPS Provider
Denied
Pico La Trinidad Denied
CYBERCARE, INC.,57 DON JUICO AVENUE
PAMPANGA
BLOCK 50 LOT 3 BURNEY STREET,
FAIRMONT PARK SUBDIVISION,
QUEZONCITY
Institutional REGALADO AVENUE, FAIRVIEW
Status and Workflow
Owner - KD
3/9/2009
5/4/2010
GUECO, GIL R., MD
Gueco,Irmingarda,P,MD
GUERRERO, AILEEN L., MD
GUERRERO, EDISON A., MD
Guerrero,Edison
GUEVARA, ERNESTO
PAMPANGA
Medical City Gen Hosp St Francis St
Metro Manila
Professional Mandaluyang
MANILA
Professional 511 MF JHOCSON STREET, SAMPALOC
Unit 10 11 Bld 7932 Manila Ave Central Bus
Zambales
Professional Dis Subic Bay
PAMPANGA
Professional ANUNAS, ANGELES CITY,
Guevarra,Fernando,M,MD
NO. 9 LOWER KALAKLAN, OLONGAPO
ZAMBALES
Professional CITY
JAMES L. GORDON MEMORIAL HOSPITAL,
ZAMBALES
Professional RIZAL AVENUE, OLONGAPO CITY
Rm 102 Mab San Fernandino Hosp Dolores
Pampanga
Professional City Of San Fernando
GUIANG DRUG HOUSE
Professional 137 RIZAL ST KINABRANAN ALLEN
GUEVARA, LUIS L. MD
GUEVARRA, ALLAN S., MD
GUIANG, ISAURO JR. Q., MD
GUIANG, JUDE P., MD
N SAMAR
Professional ROAD
Professional UST HOSPITAL, ESPANA, SAMPALOC
Denied
No Activity
4/10/2004 Hold (>2yr)
Denied
Denied
Denied
Denied
Denied
Denied
4/3/2008
Denied
6/22/2009
Denied
4/6/2011
MANILA
Denied
GUIAO,RONALD,D,MD
WPS Provider
5/30/2005
Denied
GUIAO, RONALDO D., MD
WPS Provider
10/20/2008 File Updated 10/20/2008
WPS Provider
8/16/2007 File Updated 08/16/2007
WPS Provider
Denied
MUNTINLUPA
CITY
STO.ENTIERRO STREET, STO. CRISTO
PAMPANGA
MEDICAL CENTER, MCARTHUR HIGHWAY
PAMPANGA
Professional , ANGELES CITY
GUIAO, AMELIA R., MD
Status and Workflow
Owner - KD
Denied
Status and Workflow
Owner - KD
No Activity
Hold (>2yr)
WPS Provider
WPS Provider
File Updated
IntlSOS
Update
Complete
none
Status and Workflow
Owner - KD
No Activity
12/4/2006 Hold (>2yr)
WPS Provider
5/11/2006 File Updated 05/11/2006
No Activity
7/14/2005 Hold (>2yr)
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
10/9/2006
7/6/2009
4/20/2009
9/10/2007
10/12/2009
10/23/2009
5/28/2007
4/28/2008
10/30/2009
7/7/2011
8/18/2008
10/2/2006
Status and Workflow
Owner - KD
10/10/2005
09/04/2008
ADDED DENIED DATE
ON WPS
Denied
9/4/2008
Professional 5047 RIZAL ST LOURDES SUR
ANGELES CITY Denied
7/21/2010
Guillergan Ferrer,Nida,MD
Professional Ste 204 J & B III Bldg Quezon St
Iloilo City
Denied
9/30/2009
GUMACA MEDICAL LABORATORY
Professional BRGY. TABING DAGAT, GUMACA
QUEZON
Denied
5/19/2008
05/19/2008
6/23/2008
PASIG CITY
Denied
WPS Provider
6/23/2008 File Updated 06/23/2008
7/28/2008
NEGROS
OCCIDENTAL
Denied
WPS Provider
9/8/2008 File Updated 09/01/2008
9/29/2008
GUNO, MARY JEAN MD
GUSTILO, CEASAR B., MD
GUSTILO, CEASAR B., MD
Professional
GUTIERREZ, MAUREEN JOY C. MD Professional
GUTIERREZ, MAUREEN JOY MD
GUTIERREZ-FLEISCHNER,
JOSEFINA MD
GUTIERREZ-PIMENTEL, MARIA
EUGENIA MD
GUZMAN, ERWIN V., MD
GUZMAN, GERALDINE MARINELA
A., MD
H G T MEDICAL SUPPLY
H M CORACHEA HOSPITAL
Professional
Professional
NEGROS
OCCIDENTAL
Denied
BULACAN
Denied
LAGUNA
CENTRO MEDICO LEWIS OFFICE
CHIRIQUI
Professional APARTADO 333 DAVID
1034 6TH STREET YOUNGSTOWN
Institutional
Institutional
HABALUYAS, RONNEL B., MD
Professional
HABALUYAS,RAMONCITO,MD
Professional
HABIG, REINALYN H, RN
Professional
HALABA, CHERYLL V., PTRP
SUBDIVISION MANDALAGAN, BACOLOD
CITY
TRUECARE MEDICAL CLINIC ST.
VINCENTS POLYCLINIC, CATMON,
FAMILY CARE HOSPITAL, PACITA
COMPLEX 1, SAN PEDRO
Professional
RIZAL
1459 RIZAL AVENUE STA.CRUZ
MANILA
TANAUAN CITY
BATANGAS
UERM MEMORIAL MEDICAL CENTER,
AURORA BOULEVARD
ROAD
2282 BICOLLEYTE STREET, BARANGAY
COMMONWEALTH
MERIDIAN HEALTH CARE SERVICES, LLC.
ROOM 2301 A, ALPHA GRANDVIEW
CONDOMINIUM, 1716 M. H. DEL PILAR
STREET MALATE
Denied
Denied
Denied
Denied
Denied
Denied
QUEZON CITY
Denied
RIZAL
Denied
QUEZON CITY
Denied
MANILA
Page 48
Denied
updated provider
Status and Workflow
Owner - KD
No Activity
2/27/2006 Hold (>2yr)
WPS Provider
9/15/2008 File Updated 07/30/2008
WPS Provider
11/15/2007 File Updated 11/15/2007
WPS Provider
1/24/2005 File Updated 24-01-05
No Activity
8/17/2006 Hold (>2yr)
Status and Workflow
Owner - KD
WPS Provider
10/22/2008 File Updated 10/22/2008
10/6/2008
8/26/2010
10/12/2009
9/29/2008
11/24/2008
1/21/2008
1/8/2007
5/21/2007
4/20/2009
No Activity
8/29/2005 Hold (>2yr)
Status and Workflow
Owner - KD
1/30/2006
No Activity
2/22/2006 Hold (>2yr)
Status and Workflow
Owner - KD
3/13/2006
No Activity
5/12/2005 Hold (>2yr)
Status and Workflow
Owner - KD
5/30/2005
No Activity
Status and Workflow
Owner - KD
8/1/2006 Hold (>2yr)
WPS Provider
10/31/2005 File Updated 10/31/2005
3/12/2007
7/2/2010
10/8/2007
8/16/2010
HALILI JAO,ANGELA AIDA,W
HANDOG MARKETING
HARIBON TRADING
HARTENDORP, MARY HEBE
MARGARET A., MD
HAZEL VENTURES WELLNESS
CENTER
HEALING HANDS MEDICAL
SYSTEMS PLUS, INC.
955 QUEZON AVENUE 2ND FLOOR
Professional TOFEMI BLDG
KM 17 ARMELA COMPOUND, SOUTH
Institutional SUPERHIGHWAY
Professional 118 CM RECTO AVENUE, LIPA CITY
BATANGAS
THE HARTENDORP CLINIC, 42A SANTIAGO
NAVOTAS
Professional STREET, SIPAC
157 AVENIDA VETERANOS, TACLOBAN
LEYTE
Professional CITY,
ROOMS 1205, 1209, 1211, 1213 SOUTH
TOWER, CATHEDRAL HEAIGHTS
QUEZON CITY
Institutional CENTER, 279 E. RODRIGUEZ SR.
BARANGAY NINOY AQUINO, 212A 1ST
HEALING HOUSE PHILIPPINES
Professional STREET, MARISO SUBDIVISION
HEALTH 88 DIAGNOSTIC CLINIC
AMJB BLDG AGUINALD HIWAY BYPASS
AND ULTRASOUND SERVICES INC Professional RD PALICO IV IMUS
HEALTH ASSOCIATES, INC.
QUEZON CITY
PARANAQUE
CITY
Institutional
ROOM 601/604 CATHEDRAL HEIGHTS
BUILDING SAINT LUKE'S MEDICAL
CENTER, E RODRIGUEZ AVENUE
THIRD FLOOR OAC BUILDING, SAN
MIGUEL AVENUE ORTIGAS CENTER
5TH FLR UNIT H STRATE 100 BLDG
Professional EMERALD AVE ORTIGAS CTR
Denied
Denied
Denied
Denied
Denied
Denied
PAMPANGA
Denied
CAVITE
Denied
QUEZON CITY
Denied
HEALTH ASSOCIATES, INC.
HEALTH CODE INTERNATIONAL
CORP
Institutional
PASIG CITY
Denied
Denied
Health Connection Medical Clinic
HEALTH OPTIONS MEDICAL AND
DIAGNOSTIC CLINIC
Professional Fleix Ave Bobi Plaza
PASIG CITY
Manggahan
Pasig City
Institutional
NATIONAL ROAD, PALANGINAN, IBA
ZAMBALES
Denied
HEALTH OPTIONS PHARMACY
HEALTH OPTIONS PHYSICAL
MEDICINE AND REHABILITATION
CENTER
Institutional
ZAMBALES
Denied
Institutional
ZAMBALES
Denied
HEALTH TECH MEDICAL INC.
Institutional
NO. 260 OSMENA BOULEVARD, CEBU
CITY
CEBU
Denied
HEALTH TECH MEDICAL INC.
HEALTH VISIONS CORPORATION
DME (DURABLE MEDICAL
EQUIPMENT)
HEALTH VISIONS HOME HEALTH
HEALTH VISIONS HOME HEALTHEQUIPMENT
HEALTH VISIONS HOME HEALTHNURSE
HEALTH VISIONS HOME HEALTHOT
HEALTH VISIONS HOME HEALTHPT
HEALTHAIDE DIAGNOSTIC
CENTER, INC.
HEALTHMARK PHARMACY, INC.
HEALTHMED DIAGNOSTIC
CORPORATION
5F VENIDA, 120 AMORSOLO STREET,
Institutional
Institutional
Institutional
Institutional
Institutional
Institutional
Institutional
Institutional
Institutional
111 NATIONAL HIGHWAY, BARRIO
BARETTO, OLONGAPO CITY
30 CANDA ST. EAST BAJAC- BAJAC,
OLONGAPO CITY
OLONGAPO CITY
OLONGAPO CITY
MCARTHUR HIGHWAY, SALAPUNGAN,
ANGELES CITY
GROUND FLOOR FEU-NRMF HOSPITAL,
REGALADO STREET
MAKATI CITY
ZAMBALES
ZAMBALES
ZAMBALES
ZAMBALES
ZAMBALES
ZAMBALES
PAMPANGA
QUEZON CITY
1403 G MASANGAKAY STREET, STA.CRUZ MANILA
Page 49
Denied
Denied
Denied
Denied
Denied
Denied
Denied
Denied
Denied
Denied
Denied
WPS Provider
WPS Provider
8/1/2005 File Updated 08/01/2005
6/22/2011
12/9/2005
No Activity
3/26/2008 Hold (>2yr)
Status and Workflow
Owner - KD
No Activity
6/12/2004 Hold (>2yr)
Status and Workflow
Owner - KD
12/11/2006
No Activity
6/25/2007 Hold (>2yr)
Status and Workflow
Owner - KD
11/12/2007
WPS Provider
6/8/2006 File Updated 06/08/2006
WPS Provider
No Activity
8/8/2005 Hold (>2yr)
Status and Workflow
Owner - KD
4/7/2008
6/12/2006
11/5/2007
6/30/2011
8/6/2007
Status and Workflow
Owner - KD
No Activity
8/8/2005 Hold (>2yr)
8/6/2007
WPS Provider
7/6/2009 File Updated date
10/23/2009
WPS Provider
2/2/2010
WPS Provider
2/2/2010
WPS Provider
WPS Provider
5/30/2006 File Updated 05/30/2006
2/2/2010
7/24/2006
No Activity
3/17/2008 Hold (>2yr)
Status and Workflow
Owner - KD
3/31/2008
No Activity
2/10/2003 Hold (>2yr)
Status and Workflow
Owner - KD
9/5/2005
No Activity
2/10/2003 Hold (>2yr)
Status and Workflow
Owner - KD
9/5/2005
No Activity
2/10/2003 Hold (>2yr)
Status and Workflow
Owner - KD
9/5/2005
No Activity
2/10/2003 Hold (>2yr)
Status and Workflow
Owner - KD
9/5/2005
No Activity
2/10/2003 Hold (>2yr)
Status and Workflow
Owner - KD
9/5/2005
No Activity
2/10/2003 Hold (>2yr)
Status and Workflow
Owner - KD
9/5/2005
No Activity
11/7/2005 Hold (>2yr)
Status and Workflow
Owner - KD
2/20/2006
No Activity
8/18/2003 Hold (>2yr)
Status and Workflow
Owner - KD
9/19/2005
No Activity
6/29/2005 Hold (>2yr)
Status and Workflow
Owner - KD
12/9/2005
HEALTHNET PACIFIC DRUG
STORE CO
HEALTHPLUS LABORATORY INC.
HEALTHPOINT MEDICAL CLINIC
CORPORATION
HEALTHSCAN LABORATORY AND
DIAGNOSTIC CENTER
HEALTHY OPTIONS
HEALTHY YOU
Professional GRND FLR JEMV BLDG TAPUAC DIST
CLINICA BETHANY COMPOUND,
Professional NATIONAL HIGHWAY, BAÑAG, DARAGA
UNIT 31 32 LOWER GRD LEVEL SM CITY
Professional BACOOR
ROOM 817 NORTH TOWER, CATHEDRAL
MEDICAL CENTER, 279 E. RODRIGUEZ SR.
NO. 94 MAGSAYSAY DRIVE, CABYS
COMMERCIAL, EAST TAPINAC,
Institutional
AZ1 1979, SM SAN FERNANDO, SAN
FERNANDO CITY
Institutional
HECHANOVA-BAUTISTA, JANE A.,
MD
Heidi's Pharmacy
Professional 530 Mcarthur Hi Way
ROOM 205 MEZZANINE FLOOR, CEBU
DOCTORS HOSPITAL, OSMENA
Institutional BOULEVARD, CAPITOL SITE, CEBU CITY
LEVEL 2 FESTIVAL SUPERMALL
Professional CORPORATE AVE FELINVEST ALABAN
HEMOTEK RENAL CENTER INC
HENARES, VICTORIA B., MD
Professional
HENSON, RUBEN EMIL III, D., MD
Professional
HENSON, RUBEN EMILL III D., MD
Professional
HENSON, RUBEN JR. G., MD
Professional
HENSON, RUBEN MD
Henson,Joven
HERBAL SUPPLY PHARMACY &
MEDICAL SUPPLIES
HERBERT DUMLAO-ECHALUSE
MEDICAL CLINIC
QUEZON CITY
Denied
ZAMBALES
Denied
WPS Pending NEED TO VERIFY WHAT
4/9/2007 Review/Action THE SPEC SHOULD BE?
Denied
Denied
Denied
5/2/2005
LAGUNA
Denied
11/7/2005
PASIG CITY
NEGROS
ORIENTAL
Denied
3/30/2009
Denied
12/22/2005
QUEZON CITY
Denied
Angeles City
Denied
Denied
Denied
PAMPANGA
Denied
PAMPANGA
Denied
PAMPANGA
Denied
ANUNAS FRIENDSHIP HIGHWAY,
PAMPANGA
Pampanga
375 TAPUAC DISTRICT, DAGUPAN CITY
NO.10 OTERO AVENUE, MABAYUAN,
Denied
Denied
PANGASINAN
Denied
ZAMBALES
Denied
HERMOINE S. ENRIQUEZ MEDICAL
CLINIC
Institutional
MANDALUYON
G CITY
Denied
HERNANDO,IMELDA,L,MD
MANILA
Denied
272 SHAW BOULEVARD ADDITION HILLS
UNIT 6F VERMONT TWR NAKPIL ST
Professional MALATE
HERRERA-ARROYO, MILAGROS M.,
MD
HIDALGO, ANTONIO P., MD
NO. 135 M H CARANDANG STREET, BRGY
BATANGAS
Professional 4, TANAUAN CITY
Denied
HILADO BANNO, SUZETTE M., MD
Professional 14 TUPAS STREET, TIGBAUAN
ILOILO
Denied
HIMEX CORP
Professional JOSE R REYES MEM MED CTR STA CRUZ
SUMULONG HWY STO NINO AMANG
Professional RODRIGUEZ MEM MED CTR
BACOLOD OUR LADY OF MERCY specialty
HOSPITAL, ERORECO
Professional subdivison,MANDALAGAN, BACOLOD CITY
MANILA
Denied
HIMEX CORPORATION
HINOLAN, GABRIEL L., MD
HIPOLITO-CASTILLO, LLORINA E.,
MD
No Activity
8/11/2006 Hold (>2yr)
CAVITE
SAN JUAN CITY Denied
Institutional
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
Denied
CEBU
MUNTINLUPA
CITY
51 CONNECTICUT STREET, NORTHERN
GREENHILLS,
ANGELES MEDICAL CENTER, NO. 641
RIZAL STREET, ANGELES CITY
CLINICA HENSON, 066 McARTHUR
HIGHWAY, VIRGEN DELOS REMEDIOS,
WPS Provider
WPS Provider
WPS Provider
ALBAY
BACOOR
CAVITE
PAMPANGA
GROUND FLOOR, SM CITY, BACOOR
SAN PABLO DOCTORS HOSPITAL, A.
HEART CLINIC
Institutional MABINI STREET, SAN PABLO CITY
HEART OF TEXAS PHILIPPINES
UNIT 206 BUILDING I, MANGGAHAN
INC.
Professional VILLAGE, A. RODRIGUEZ AVENUE,
SILIMAN UNIVERSITY MEDICAL CENTER,
HECETA-MOLETA, ELIZABETH, MD Professional DUMAGUETE CITY
HEMATOLOGY CLINIC
DAGUPAN CITY Denied
No Activity
Hold (>2yr)
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
No Activity
6/8/2005 Hold (>2yr)
WPS Provider
Page 50
Denied
Denied
5/8/2010
11/07/2005
5/22/2006
03/30/2009
ADDED DENIED DATE
ON WPS
5/11/2009
Status and Workflow
Owner - KD
8/11/2010
2/12/2007
6/1/2009
WPS Provider
8/22/2006 File Updated 08/22/2006
No Activity
Status and Workflow
Owner - KD
2/28/2008 Hold (>2yr)
3/20/2006 File Updated DATE ON WPS
WPS Provider
1/9/2006 File Updated 01/09/2006
No Activity
Status and Workflow
Owner - KD
5/9/2006 Hold (>2yr)
11/27/2006
8/23/2010
5/12/2008
5/31/2010
5/27/2010
7/24/2006
2/19/2007
5/27/2010
No Activity
Status and Workflow
Owner - KD
10/13/2005 Hold (>2yr)
11/21/2005
8/19/2010
No Activity
Status and Workflow
Owner - KD
3/22/2005 Hold (>2yr)
10/10/2005
2/21/2011
No Activity
6/11/2008 Hold (>2yr)
Status and Workflow
Owner - KD
7/14/2008
Status and Workflow
Owner - KD
6/12/2006
WPS Provider
ROOM 117, (DOCTORS' CLINICS) MEDICAL
ARTS BUILDING, OUR LADY OF MT.
CARMEL MEDICAL CENTER, KM 78
HIPOLITO-CASTILLO, MA. LLORINA
MCARTHUR HIGHWAY, SAGUIN, CITY OF
F., MD
PAMPANGA
MAKATI MEDICAL CENTER, 2 AMORSOLO
HIZON, MA. CRISTINA E.
MAKATI CITY
9/13/2010
5/23/2005
NEGROS
OCCIDENTAL
Denied
3/14/2011
Status and Workflow
Owner - KD
ASIAN HOSPITAL AND MEDICAL CENTER,
2205 CIVIC DRIVE,FILINVEST CORPORATE MUNTINLUPA
CITY
1/31/2011
Status and Workflow
Owner - KD
10/23/2006
No Activity
5/23/2006 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
Denied
1/17/2011
No Activity
6/1/2006 Hold (>2yr)
12/18/2007
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
4/28/2008
12/13/2010
12/13/2010
5/27/2011
Status and Workflow
Owner - KD
7/17/2006
Status and Workflow
Owner - KD
9/11/2006
No Activity
12/19/2005 Hold (>2yr)
WPS Provider
4/6/2009 File Updated 04/06/2009
5/4/2009
HO, HERBERT MD
HOLY CHILD CLINIC
HOLY CHILD DIAGNOSTIC CLINIC
CO
HOLY FAMILY HEALTH CLINIC
SERVICES
HOLY MARY OF GUADALUPE
HOLY MEDICAL & MATERNITY
CLINIC
NO. 252 STO. ROSARIO STREET, SAN
Institutional JOSE, ANGELES CITY
Institutional
QUIRINO AVENUE CORNER P. DANDAN
STREET, LA HUERTA
Professional J. DE LEON STREET, SANTA CRUZ
Institutional
2030 P BURGOS ST LOURDES SUR
MANILA
Denied
PAMPANGA
Denied
PARANAQUE
CITY
Denied
LAGUNA
Denied
ANGELES CITY Denied
CAPTAIN C. NAZARENO STREET, NAIC
CAVITE
CORNER CAPTAIN C. NAZARENO STREET,
HOLY SPIRIT CLINIC
CAVITE
Institutional NAIC
HOLY TRINITY CHILDREN'S CLINIC,
HOLY TRINITY CHILDREN'S CLINIC Professional POBLACION, WEST CALASIAO
PANGASINAN
HOPE GENERAL HOSPITAL
HORIZON PHARMACY & MEDICAL
CLINIC
Huerto,Petronio
Humana Pacific Healthcare Co
HUMANA PACIFIC HEALTHCARE,
CO.
HVC PHARMACY
HVC PHARMACY
HVCEBU MEDICAL
HVCEBU MEDICAL DIAGNOSTIC &
EMERGENCY CENTER
Institutional
NO.23 BUENAMAR STREET, NOVALICHES QUEZON CITY
ZAMBALES
Professional OLONGAPO CITY,
Institutional
2F Manarang Balingit Bldg Brgy Catbangen
Professional Quezon Ave
2F MANARANG-BALINGIT BUILDING,
BRGY. CATBANGEN, QUEZON AVENUE,
30 CANDA ST. EAST BAJAC-BAJAC,
Institutional
Institutional
Institutional
251 J P RIZAL STREET, SILANG
400 TRES DE ABRIL , CEBU CITY
NO.2 CWC BUILDING, B. RODRIGUEZ
STREET, CEBU CITY
Denied
Denied
Denied
Denied
Denied
Mandaluyong
City
Denied
La Union
Denied
LA UNION
Denied
ZAMBALES
Denied
CAVITE
CEBU
CEBU
Denied
Denied
Denied
HYATT REGENCY MEDICAL CLINIC Institutional
HYATT REGENCY HOTEL, 2702 ROXAS
BOULEVARD,
PASAY CITY
Denied
IBA DIAGNOSTIC CENTER
Institutional
NATIONAL HIGHWAY, PALANGINAN, IBA
ZAMBALES
Denied
IBARRIENTOS,RAYMUNDO,B,MD
Professional 158 SAN ISIDRO
IRIGA CITY
Denied
I-BEN'S
ICASAS, ROBERTO N., MD
DON MARIANO CUI STREET, CEBU CITY
CEBU
QUEZON CITY
Institutional
ICASAS-CABRAL, ESPERANZA, MD Professional
IDEAL VISION
Professional
IDIO, OLIVE R., MD
Professional
IGNACIO SILAO,JOYCELINE,N,MD
Professional
ROOM 335 MAKATI MEDICAL CENTER, 2
UNIT F 3 GOTESCO GRAND CENTRAL 88
ZONE 3 II
OLONGAPO CITY
MANILA DOCTORS HOSPITAL U N AVE
BRGY 66
MAKATI CITY
CALOOCAN
CITY
ZAMBALES
Ilaga,Mary Warren,E,MD
ILAGAN VASQUEZ,VINA,V,MD
Professional GEN LUNA ST LEMERY
IGNATIUS HEALTH CARE LINK
Ilano,Freida,A
ST. PATRICKS HOSPITAL, BATANGAS
Professional CITY
RM 121 A METRO CEBU COMMUNITY
Professional HSPT JONE AVE
ILANO,JUANITO,A,MD
Professional NUENO AVE
ILAGAN-ALVES, LOLITA C., MD
ILANO,BEDE,MD
Denied
Denied
Denied
Denied
PAMPANGA
JECSONS MEDICAL CENTER, MC ARTHUR
TARLAC
Lipa City
Batangas
Professional Mary Mediatrix Med Ctr
IGNACIO, SONNY E., MD
Denied
BATANGAS
No Activity
7/25/2006 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
10/05/2006
11/6/2006
08/16/2007
10/1/2007
added denied date 10-509 per spreadsheet
ADDED DENIED DATE
ON WPS
4/27/2010
10/5/2009
3/2/2010
7/31/2010
9/5/2005
No Activity
4/19/2004 Hold (>2yr)
5/1/2006
No Activity
8/30/2004 Hold (>2yr)
Status and Workflow
Owner - KD
5/9/2005
Status and Workflow
Owner - KD
11/19/2007
No Activity
11/28/2005 Hold (>2yr)
WPS Provider
No Activity
9/15/2005 Hold (>2yr)
Status and Workflow
Owner - KD
WPS Provider
5/5/2008 File Updated 05/05/2008
No Activity
Status and Workflow
Owner - KD
6/30/2005 Hold (>2yr)
ADDED DENIED DATE
WPS Provider ON WPS
4/18/2011
Denied
11/27/2006
Status and Workflow
Owner - KD
Denied
IMUS CAVITE
10/05/2006
2/13/2006
8/10/2009
Denied
4/30/2011
No Activity
1/11/2006 Hold (>2yr)
Denied
Cavite
3/23/2009
Status and Workflow
Owner - KD
1/10/2008
Denied
08/11/2008
ADDED DENIED DATE
ON WPS
WPS Provider
2/10/2003 File Updated 02/10/2003
Denied
CEBU CITY
2/19/2007
Status and Workflow
Owner - KD
10/30/2006
No Activity
7/1/2005 Hold (>2yr)
WPS Provider
9/27/2004
Denied
11/3/2008
Status and Workflow
Owner - KD
11/14/2005
Denied
BATANGAS
Page 51
WPS Provider
9/4/2008 File Updated 09/04/2008
WPS Provider
7/11/2006 File Updated 07/11/2006
12/7/2009
5/23/2011
3/10/2005
5/19/2008
12/9/2005
8/23/2010
10/23/2010
7/31/2010
No Activity
Status and Workflow
Hold (>2yr)
Owner - KD
8/21/2006
File Updated ON WPS
3/21/2011
WPS Provider
File Updated
11/12/2009
WPS Provider
5/30/2011
No Activity
Status and Workflow
Owner - KD
4/11/2006 Hold (>2yr)
WPS Provider
6/5/2006
5/17/2011
6/15/2010
6/15/2011
ILOCOS MEDICAL & HEALTH
SERVICE COOPERATIVE (ST.
THERESE HOSPITAL)
ILOCOS TRAINING & REGIONAL
MEDICAL CENTER
Institutional
NATIONAL HIGHWAY, BARANGAY 19, SAN
LORENZO, SAN NICOLAS
ILOCOS NORTE Denied
PARIAN, CITY OF SAN FERNANDO
DIAGNOSTIC X-RAY & ULTRASOUND
ILOILO DIAGNOSTIC CENTER
Institutional CLINIC, YMCA BLDG., IZNART STREET,
ILOILO DIAGNOSTIC ULTRASOUND
CORNER JALADONI GEN LUNA STS BRGY
CENTER INC
Professional AURORA CITY PROPER
VALLERIA-DELGADO STREETS, ILOILO
ILOILO GQ ENTERPRISES
Institutional CITY
ILOILO MEDICAL SPECIALISTS
ROSALES COMPOUND, GENERAL LUNA
GROUP AND ALLIED SERVICES
Institutional ST. ILOILO CITY
LA UNION
Denied
ILOILO
Denied
ILOILO CITY
Denied
ILOILO
Denied
ILOILO
Denied
ILOILO MOLO SUPERMART
Professional AVANCENA ST MOLO
ATRIUM MALL, GEN. LUNA STREET,
ILOILO CITY
Denied
ILOILO
Denied
Professional RIZAL ST EXT STO ROSARIO
MCARTHUR HIWAY SAGUIN CITY OF KM
Professional 78 OUR LADY OF MT CARMEL
NO. 61-A CALAMANSI STREET, TRINIDAD
Institutional VILLAGE, CALIBUTBUT, BACOLOR
2-6A RICHTOFEN STREET , HENSONVILLE
Professional SUBDIVISION, MALABANIAS, ANGELES
ANGELES CITY Denied
ILOILO SUPERMART INC.
IMELDA C SANTOS PEDIATRIC
CLINIC
IMELDA C SANTOS PEDIATRIC
CLINIC BRANCH I
IMELDA C. SANTOS PEDIATRIC
CLINIC
IMELDA C. SANTOS PEDIATRIC
CLINIC BRANCH 2
Institutional
PAMPANGA
Denied
PAMPANGA
Denied
PAMPANGA
Denied
INCIONG, JESUS MD
NO. 240J. RIZAL STREET, SILANG CAVITE
CITY
CAVITE
Denied
UNIT 010 LWR GRND SM MARIKINA
Professional CALUMPANG
C/O HEALTH ASSOCIATES INC. ST. LUKES
QUEZON CITY Denied
Professional AVENUE
INDIAN MEDICAL TRADING
Institutional
IMUS DIAGNOSTICS INC.
IN MY WOMB ULTRASOUND INC
Institutional
1570 BAMBANG STREET, STA. CRUZ
MANILA
Denied
INDIAN SERENADE AUTO
FABRICATION SHOP
Institutional
NETURA STREET, MIAG-AO
ILOILO
Denied
INFRABUILD CORPORATION
Institutional
S G ORLEGA STREET, SAN ROQUE
INGO CITY
Denied
INOVIO, ARNEL M., MD
SAN PEDRO POLYLINIC, MABINI STREET,
LAGUNA
Professional SAN ANTONIO, SAN PEDRO,
INSTITUTE OF REFRACTIVE LASER
G/F ALEGRIA BUILDING, DON CHINO
SURGERY
Institutional ROCES AVENUE
Institute of Refractve Laser Surgery
Inc
Professional Ste 224 Bonifaco High St Global
INTEGRATED EDUCATIONAL
CORPORATION
INTERCARE CHIROPRACTIC
CENTER INC
Intercare Healthcare Systems
INTERNATIONAL HEALTH AIDE
DIAGNOSTICS SERVICES INC.
INTERNATIONAL
PHARMACEUTICALS, INC.
ISAAC & CATALINA MULTI
SPECIALTY CENTER
ISMAEL, ALBERT E., MD
Isturis,Jerome,B,JR,PT
ITO, NORMITA RN
IUVENIS
MAKATI CITY
Denied
Taguig City
Denied
No Activity
10/11/2004 Hold (>2yr)
Professional Intercase Bldg 8420 Kalayaan Ave
NO. 1428 JOSHUA CENTER, TAFT
Institutional AVENUE, ERMITA
Makati City
Denied
11/6/2009
MANILA
Denied
4/24/2006
CAPITOL ROAD, BALANGA CITY
BATAAN
MANILA
Cavite City
QUEZON CITY
Professional BARANGAY HOLY SPIRIT
SUITE 224 BUILDING 1 BONIFACIO HIGH
Institutional STREET, FORT BONIFACIO, GLOBAL CITY TAGUIG CITY
Institutional
J A MEDICAL LABORATORY
Institutional
J M NUDO MEDICAL CLINIC
Institutional
1311 BATANGAS STREET CORNER
FINLANDIA SAN ISIDRO
MAKATI CITY
333 JP RIZAL STREET, CUT-CUT, CAPAS
TARLAC
PANDAN MAGALANG ROAD, STO. CRISTO,
ANGELES CITY
PAMPANGA
LORMA HOSPITAL, CARLATAN, SAN
FERNANDO CITY
Denied
Denied
Denied
Denied
Denied
Denied
Denied
Denied
LA UNION
Denied
Professional BALITUCAN, MAGALANG
PAMPANGA
Denied
Professional 1555 BAMBANG ST STA CRUZ
MANILA
Denied
Institutional
Page 52
7/3/2006
SAME
5/20/2011
01/23/2007
4/30/2007
08/22/2005
ADDED DENIED DATE
ON WPS
9/17/2007
12/17/2007
10/18/2010
2/25/2008
ADDED DENIED DATE
6/2/2011
ADDED DENIED DATE
6/2/2011
01/23/2007
ADDED DENIED DATE
3/12/2007
6/2/2011
9/4/2006
3/21/2011
1/26/2009
10/4/2010
7/11/2005
11/28/2005
Status and Workflow
Owner - KD
10/23/2006
No Activity
9/19/2005 Hold (>2yr)
WPS Provider
3/22/2011
Institutional
04/27/2006
Status and Workflow
Owner - KD
Denied
Denied
1/31/2005
No Activity
5/9/2005 Hold (>2yr)
WPS Provider
9/29/2005 File Updated 09/29/2005
6/6/2006
CEBU
09/01/2002
Status and Workflow
Owner - KD
Denied
JUAN LUNA AVENUE, MABOLO, CEBU
CITY
8/13/2007
WPS Provider
12/24/2008 File Updated 12/24/2008
ILOILO
SALAMANCA
STS
Institutional
05/10/2007
No Activity
Status and Workflow
Owner - KD
8/1/2006 Hold (>2yr)
WEST AVENUE, ILOILO CITY
8420 KALAYAAN COR SALAMANCA STS
Professional POBLACION
Institutional
J & J MED CLINIC, INC.COMP
PULMONARY CLINIC
J S DIABETES CLINIC
J V CRUZ MEMORIAL T B
PAVILLION
J V M PHARMACY AND MEDICAL
SUPPLY
Denied
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
No Activity
Status and Workflow
Hold (>2yr)
Owner - KD
File Updated ON WPS
WPS Provider
File Updated
WPS Provider
9/17/2007
3/12/2010
7/3/2006
4/12/2011
1/8/2010
9/4/2006
No Activity
6/30/2003 Hold (>2yr)
Status and Workflow
Owner - KD
6/27/2005
No Activity
10/20/2008 Hold (>2yr)
Status and Workflow
Owner - KD
3/23/2009
Status and Workflow
Owner - KD
10/1/2007
No Activity
7/17/2007 Hold (>2yr)
WPS Provider
WPS Provider
3/5/2008 File Updated 03/05/2008
WPS Provider
6/9/2011
4/14/2008
3/12/2010
Status and Workflow
Owner - KD
11/28/2005
No Activity
8/1/2005 Hold (>2yr)
WPS Provider
8/12/2005 File Updated 08/12/2005
10/17/2005
WPS Provider
Status and Workflow
Owner - KD
No Activity
4/13/2005 Hold (>2yr)
WPS Provider
2/25/2009 File Updated 02/25/2009
8/22/2005
4/13/2009
9/13/2010
JABEZ MEDICAL & DIAGNOSTIC
CLINIC
JABEZ MEDICAL & DIAGNOSTIC
CLINIC
JACINTO JAMORA,SYLVIA,S
JACINTO, ELIZABETH K., MD
JACOB, MATILDE R., MD
Jacob,Emma Angela,D,MD
DAVAO DEL
SUR
DAVAO DEL
SUR
1311 BATANGAS ST COR FINLANDIA SAN
MAKATI CITY
Professional ISIDRO
ROOM 316 ASIAN HOSPITAL & MEDICAL
CENTER, NO. 2205 CIVIC DRIVE FILINVEST MUNTINLUPA
CITY
Professional CORPORATE CITY, ALABANG
ROOM 205 2ND FLOOR, 241 VISAYAS
QUEZON CITY
Professional AVENUE
Denied
ILOILO
Denied
Cavite
Denied
BATAAN
Denied
Professional PUBLIC MARKET, DINALUPIHAN
JALBUENA, JULITA R., MD
Jamili,Mae Anne,S
Jamora Bautista,Lydia,MD
JAO SORIANO, PAULO MD
JAO, AIDA ANGELA HALILI, MD
JARA, RAUL D., MD
JARDIOLIN,PRIMITIVA,S,MD
JARIN, MICHELLE MARIE D., MD
JARIN, RONALDO R., MD
JARO, JOSEPH MICHAEL A., MD
JASRICH
JAVIER, MARYLIS E., MD
JAVIER, MARYLIS E., MD
JAVIER, RAMON JASON M., MD
JERRALYNE L MOLAS DENTAL
CLINC
JHAKELINN PHARMACY
JHL MEDICAL CLINIC
JIMENEZ ULTRASOUND
DIAGNOSTIC AND MED
3/23/2009
Status and Workflow
Owner - KD
12/17/2007
Denied
Denied
No Activity
2/13/2007 Hold (>2yr)
Status and Workflow
Owner - KD
3/26/2007
No Activity
6/27/2005 Hold (>2yr)
Status and Workflow
Owner - KD
1/9/2006
Denied
RIZAL
Denied
RIZAL
Denied
QUEZON CITY
Denied
MANILA
Denied
BATANGAS
Denied
Professional JP LAUREL HIGHWAY, LIPA CITY
RM 207 NORTE DAME DE CHARTRES
Professional DIAGNOSTIC CENTER
G F TIMES PLAZA BUILDING, UN AVENUE,
Professional MALATE
2F CARLSON PLAZA, LAPU LAPU CORNER
Professional N. TORRES STREET, AGDAO, DAVAO CITY
NATIONAL HIGHWAY, OLD PUBLIC
Professional MARKET, SANTIAGO CITY
BATANGAS
Denied
No Activity
Status and Workflow
Owner - KD
3/13/2006 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
ADDED DENIED DATE
ON WPS
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
10/15/2007
BAGUIO CITY
Denied
12/28/2010
MANILA
DAVAO DEL
SUR
Denied
1/12/2008
Denied
3/2/2009
ISABELA
Denied
3/19/2007
JIMENEZ, TIM MD
JIMENEZ,LOUISE ORDUNA
Professional 40 BAYAN BAYANAN AVE CONCEPCION
JOANNE LIZ DRUG STORE
12/21/2009
Manila
Denied
JOANNE LIZ DRUG STORE
9/17/2007
Denied
ILOILO CITY
Denied
ILOCOS NORTE Denied
1610 ALVAREZ STREET CORNER RIZAL
AVENUE, STA.CRUZ
Family
1/17/2011 Practice
Quezon City
Professional 43 RIZAL ST
COMMERCIAL COMPLEX, BRGY.
Professional INSTITUTE, EAST AVENUE
1613 QUIRICADA ST COR RIZAL AVE STA
Professional CRUZ
JP LAUREL HIGHWAY, MARAWOY, LIPA
Professional CITY
Institutional
3/25/2010
WPS Provider
10/11/2005 File Updated 10/11/2005
WPS Provider
5/27/2009 File Updated updated on 6-15-09
WPS Provider
Denied
JNS MEDICAL TRADING
No Activity
12/12/2005 Hold (>2yr)
7/21/2008
Denied
QUEZON CITY
BARANGAY 25, PASION STREET,LAOAG
Professional CITY
WPS Provider
9/26/2005 File Updated 09/26/2005
WPS Provider
WPS Provider
2/23/2009 File Updated 02/23/2009
5/7/2007
MAKATI CITY
AMORSOLO STREET CORNER DELA ROSA
MAKATI CITY
JIMENEZ. DANA A., MD
Denied
6/6/2011
Denied
QUEZON CITY
ROOM 303 CAPITOL MEDICAL CENTER,
Professional SCOUT MAGBANUA STREET
Denied
3/23/2009
QUEZON CITY
Professional U206 CRISTEL MANSION 14
Status and Workflow
Owner - KD
JAHARA MAE'S PHARMACY
Professional 18-B CABEZAS STREET, PROJECT 4
St Lukes Med Ctr E Rodriguez S Kalusugan
Professional Dist Iv
710 Ermita Center Bldg 1350 Roxas Blvd
Professional Ermita
26-03-08 PREVIOUSLY
CERTIFIED UNDER
PJL042587 A001
WPS Provider TRANSFERRED TO
4/28/2008 File Updated DUPLICATE SHEET
WPS Provider
ILOILO
Jae Multispeciality & Diagnostic Ctr
JALANDONI, MARIA BEATRIZ E.,
M.D.
Denied
3/23/2009
Denied
Batangas City
JACOBO, ROBERT MD
Denied
WPS Provider
No Activity
1/4/2007 Hold (>2yr)
WPS Provider
6/18/2008 File Updated 06/18/2008
WPS Provider
Professional P Canlapan Cor Apacible St
GLOBAL MEDICAL NETWORK CLINIC,
SUITE 204 J & B III BUILDING, QUEZON
Professional STREET, ILOILO CITY
ILOILO MEDICAL SPECIALISTS GROUP
AND ALLIED SERVICES, ROSALES
Professional COMPOUND, GEN. LUNA STREET, ILOILO
Salitran 1 Dasmarinas 35 E Jose Abad Santos
Professional Ave
JACOBO, ROBERT MD
Denied
MANILA
Denied
Professional J MIRANDA AVE CONCEPCION PEQUENA
NAGA CITY
Denied
Professional J MIRANDA AVE CONCEPCION PEQUENA
NAGA CITY
Denied
Page 53
03/31/2008
ADDED DENIED DATE
ON WPS
9/18/2006
2/15/2010
3/5/2007
12/6/2010
2/19/2011
2/19/2011
8/4/2008
8/9/2010
01/21/2009
2/23/2009
02/02/2009
2/23/2009
01/12/2008
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
4/16/2011
2/28/2011
3/16/2009
4/12/2011
5/27/2010
No Activity
Status and Workflow
Owner - KD
1/12/2006 Hold (>2yr)
7/17/2006
11/15/2010
No Activity
9/15/2003 Hold (>2yr)
Status and Workflow
Owner - KD
8/29/2005
No Activity
Status and Workflow
Owner - KD
8/29/2005 Hold (>2yr)
10/17/2005
1/24/2011
1/17/2011
JOCEL L. CHUA MD EYE CLINIC
JOEMELS ORTHOPEDIC MED
SUPPLY
JOEY M. ANDRADE MEDICAL
CLINIC
ROOM 105 DOCTORS CLINIC, DR.
AMANDO L. GARCIA MEDICAL CENTER,
Professional 648 RIZAL STREET, BRGY. AGAPITO DEL
PAMPANGA
Denied
Professional 46 B BANAWE, STO. DOMINGO,
QUEZON CITY
Denied
Professional T. CLAUDIO STREET, TACLOBAN CITY
LEYTE
Denied
RIZAL
NEGROS
OCCIDENTAL
Denied
JOHN AND PETER MEDICAL CLINIC Institutional
JOHNSON, EVANGELINE C., MD
JOHNSON, EVANGELINE C., MD
JOMA PROPERTY DEVELOPMENT
CORP
JOMAN TRADING CORPORATION
Jose Bienson B Mamangun Clinic
JOSE R. REYES MEMORIAL
MEDICAL CENTER
JOSE S. DOMINGO HOSPITAL
JOSE, MARIA T DDS
JOSE, RENATO T., MD
JOSMEF ENTERPRISES
JOSON, RAFAEL S., MD
NO. 02 A. BONIFACIO AVENUE, CAINTA
Professional HOSPITAL, ERORECO, BACOLOD CITY
NEGROS
OCCIDENTAL
AYALA MAIL ENTRANCE AYALA CTR
Professional GLORIETTA
MAKATI
NO. 262 BARRIO SAMPALOC, APALIT
PAMPANGA
Rizal St Agapito Del Rosar Rm 102 Amanda P
Angeles City
Professional Garcia Hospital
Institutional
Institutional
Institutional
RIZAL AVENUE, STA. CRUZ
MANILA
NO.505 QUEZON ST., SAN MIGUEL
TARLAC CITY
TARLAC
Professional SM CITY LUNETA GIL
BAGUIO CITY
SLU SACRED HEART HOSPITAL,
Professional ASSUMPTION ROAD EXTENSION,
9 PERIMETER ROAD, NEW ASINAN,
Jou Apotheek Your Drugstore
Professional Olongapo City 9 Perimeter Rd New Asinan
JOVELOSA,RANULFO
QUEZON CITY
Professional EAST AVENUE STE 622 M A B
CAMARINES
JPR ORTHOCARE MEDICAL
SUPPLY
JRV PROSTHETIC & ORTHOTIC
SHOP
JUAN S. ALANO MEMORIAL
HOSPITAL
JUINIO, MONETTE
Jularbal,George Carlos,M,III,MD
Julian,Joel,MD
JULIANDA-SUBONG, MA. GLENDA
Z., MD
JULIANO, ANGEL T., MD
Denied
Denied
Denied
Denied
Denied
Denied
BAGUIO CITY
Denied
ZAMBALES
Denied
Zambales
Denied
Denied
Denied
Institutional
1626 RIZAL AVENUE, STA CRUZ
MANILA
Denied
Institutional
74 K 2ND STREET, KAMUNING
QUEZON CITY
Denied
ALANO COMPOUND ISABELA
JUANILLO, HELEN AREVALO,MD
ROOM 308 HANDAAN BUILDING II,
JUBILIA, ARACELI J.BALDERAS, MD Professional SESSION ROAD
ROOM 207 A, MANILA DOCTORS
JUCO, MARIO JOSELITO M., MD
Professional HOSPITAL, NO. 667 UN AVENUE, ERMITA
JUDE, FREDERICK S., RT
Denied
Professional CASA MEDICA SOUTHMALL ALMANZA
112 SIMON CORNER LEDESMA STREETS,
ILOILO
Professional JARO, ILOILO CITY
Denied
Professional MEDICAL CENTER, 279 E. RODRIGUEZ SR. QUEZON CITY Denied
JOSUE-DOMINGUEZ, ROSEMARIE
T., MD
JOU APOTHEEK (YOUR
DRUGSTORE)
JOVEN, LIEZL J., PTRP
Denied
Institutional
Professional MOLINO II, BACOOR
CENTER, NO. 335 RIZAL AVENUE CORNER
Professional 3RD STREET, WEST TAPINAC,
Bcu Sto Nino Jesus Med Ctr 28 Lower P
Professional Burgos St
BACHILLER'S BUILDING, WASHINGTON
Professional DRIVE, LEGASPI CITY
BASILAN
Denied
CAMARINES
SUR
Denied
BAGUIO CITY
Denied
MANILA
Denied
CAVITE
ZAMBALES
Denied
Baguio City
Denied
Rizal
Denied
ALBAY
2ND FLOOR SANTA RITA SHOPPING
CENTER, P.BURGOS STREET, ANTIPOLO
Professional CITY
Denied
RIZAL
Page 54
Denied
Denied
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
04/28/2008
5/26/2008
09/17/2007
10/8/2007
06/20/2008
6/30/2008
05/09/2006
5/29/2006
11/15/2005
1/19/2009
WPS Provider
9/8/2008 File Updated 09/08/2008
1/19/2009
No Activity
Hold (>2yr)
Status and Workflow
Owner - KD
4/10/2004
Status and Workflow
Owner - KD
5/7/2007
No Activity
4/20/2007 Hold (>2yr)
WPS Provider
WPS Provider
12/24/2008 File Updated 12/24/2008
1/7/2010
5/18/2009
No Activity
2/17/2003 Hold (>2yr)
Status and Workflow
Owner - KD
5/2/2005
No Activity
2/27/2006 Hold (>2yr)
Status and Workflow
Owner - KD
4/17/2006
Status and Workflow
Owner - KD
5/1/2006
No Activity
3/20/2006 Hold (>2yr)
WPS Provider
3/2/2009 File Updated 03/02/2009
WPS Provider
2/2/2009 File Updated 02/02/2009
Status and Workflow
Owner - KD
No Activity
5/4/2006 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
12/17/2008 File Updated 12/17/2008
Status and Workflow
Owner - KD
No Activity
10/27/2004 Hold (>2yr)
WPS Provider
4/11/2006 File Updated 04/11/2006
No Activity
4/25/2005 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
No Activity
10/17/2005 Hold (>2yr)
5/4/2009
3/16/2009
2/19/2007
2/2/2010
2/2/2010
6/30/2011
3/9/2009
6/12/2004
7/2/2007
Status and Workflow
Owner - KD
7/30/2007
ADDED DENIED DATE
ON WPS
1/24/2011
01/05/2006
ADDED DENIED DATE
ON WPS
Status and Workflow
Owner - KD
3/13/2006
4/12/2011
11/5/2007
WPS Provider
5/21/2008 File Updated 05/21/2008
6/9/2008
WPS Provider
9/29/2009
WPS Provider
11/25/2009
No Activity
Hold (>2yr)
Status and Workflow
Owner - KD
11/4/2005
No Activity
1/9/2006 Hold (>2yr)
Status and Workflow
Owner - KD
1/23/2006
JUMANGIT, JOYCE S., MD
JURILLA, GERALDINE LAZARO,
M.D.
JY SQUARE SUPERMART
Institutional
JYRAMED PHARMACY
Professional NO 11 MARCOS HIGHWAY
K & J MEDICAL SUPPLY
K & N MEDICAL SUPPLIES
K2 DRUG AND GENERAL
MERCHANDISE
Kamantigue,Edelwina,MD
KANGLEON CLINIC
Institutional
PAMPANGA
MUNTINLUPA
CITY
NO. 1 SALINAS DRIVE, $LAHUG
1618 RIZAL AVENUE ST.CRUZ
1437-1438 RIZAL AVENUE, STA. CRUZ
UNIT 14-15 EMERALD SQUARE
Institutional COMMERCIAL CENTER, JP TUAZON
888 Healthcare & Diagnostic Center, Rm 100
Professional GF San Luis Terraces 638 T M Kalaw Ermita
Denied
CEBU
Denied
BAGUIO CITY
Denied
MANILA
Institutional
Denied
Denied
MANILA
Denied
QUEZON CITY
Denied
Manila
Denied
KASALA, MA. CARMELA A., MD
Professional G F VISAYAS COMM MED CTR JONES AVE CEBU CITY
Denied
KAW, LEONCIO JR. L., MD
Professional ROAD,
KIDNEY CLINIC
Professional GENMEDEX BLDG SANTIAGO BLVD
KING OF KINGS LABORATORY AND
DIAGNOSTIC CENTER
Institutional
KING, JACQUELINE HERNANDEZ,
MD
KLINIKA
NO. 40-A V. LUNA ROAD, DILIMAN
Institutional
KOMIYA, JOYCE R., MD
Professional AGOO FAMILY HOSPITAL, AGOO,
KRISHUEL MEDICAL DISTRIBUTOR Institutional
KUA, SI LEON T., MD
KWAN, NANCY MD
KWAN-ABRIGO, ORPHA MD
QUEZON CITY
104 RIZAL AVENUE, EAST TAPINAC,
KMB DRUGSTORE
KS-ELLI PHARMACY II
MUNTINLUPA
CITY
GEN SANTOS
CITY
PINAGKRUSAN, ALITAGTAG
ZAMUDIO APARTMENT, BAGASOAS
ROAD, DAET
Professional GEN. SANTOS DRIVE, KORONADAL CITY
ROOM 212 NOTRE DAME DE CHARTRES
Professional HOSPITAL, 25 GEN LUNA ROAD
PERPETUAL HELP MEDICAL CENTER,
Professional PAMPLONA
L S PASCUAL OPTICAL
LA MEDICAL & DENTAL CARE
CENTER
LA MEDICAL AND DENTAL CARE
CENTER
LA ORTHO MEDICA TRADING
Institutional
LA UNION CITY DRUG
LA UNION DOCTORS
ULTRASOUND SERVICES
LA UNION DOCTORS
ULTRASOUND SERVICES
LAARNI DIAZ,MARIA,R,MD
Institutional
NO. 469 QUEZON AVENUE
FLORES BUILDING P. BURGOS STREET,
BARANGAY III, SAN FERNANDO CITY
BETHANY HOSPITAL WIDDOES STREET,
Institutional
5/7/2007
No Activity
4/26/2004 Hold (>2yr)
Status and Workflow
Owner - KD
5/8/2006
No Activity
Status and Workflow
Owner - KD
3/9/2006 Hold (>2yr)
No Activity
8/9/2005 Hold (>2yr)
5/1/2006
Status and Workflow
Owner - KD
10/10/2005
Status and Workflow
Owner - KD
No Activity
4/23/2007 Hold (>2yr)
WPS Provider
5/16/2006 File Updated 05/16/2006
WPS Provider
WPS Provider
4/24/2006 File Updated 04/24/2006
5/21/2007
7/23/2007
6/29/2009
2/7/2011
3/9/2009
Denied
No Activity
Status and Workflow
Owner - KD
7/24/2006 Hold (>2yr)
Denied
Status and Workflow
Owner - KD
2/5/2007
Status and Workflow
Owner - KD
9/4/2006
Denied
MAKATI CITY
Denied
ZAMBALES
Denied
BATANGAS
Denied
LA UNION
Denied
No Activity
5/2/2005 Hold (>2yr)
No Activity
6/14/2004 Hold (>2yr)
WPS Provider
1/30/2008 File Updated 01/30/2008
Status and Workflow
Owner - KD
No Activity
3/6/2006 Hold (>2yr)
WPS Provider
7/9/2007 File Updated 07/09/2007
8/18/2008
2/22/2011
3/24/2008
3/17/2008
3/3/2008
CAMARINES
NORTE
Denied
COTABATO
Denied
BAGUIO CITY
Denied
No Activity
Status and Workflow
Owner - KD
12/13/2004 Hold (>2yr)
6/4/2007
5/27/2010
WPS Provider
10/29/2008 File Updated 10/29/2008
11/10/2008
QUEZON CITY
Denied
WPS Provider
12/27/2006 File Updated 12/27/2006
23 COUNTRYSIDE AVENUE CORNER
ILANG-ILANG STREET
R 309 A POWERPLANT MALL ROCKWELL
Professional BRANCH
FIRST STREET, CASMOR VILLAGE,
Institutional MABIGA, MABALACAT
29 G/F PLAZA TOMANA BUILDING, DAU,
Institutional MABALACAT
L O CEZAR POLYCLINIC
No Activity
4/27/2007 Hold (>2yr)
Status and Workflow
Owner - KD
No Activity
2/5/2007 Hold (>2yr)
PASIG CITY
POBLACION
MAKATI CITY
Denied
7/12/2005
Denied
11/4/2010
PAMPANGA
Denied
4/28/2008
PAMPANGA
Denied
11/22/2004
QUEZON CITY
Denied
9/1/2006
LA UNION
Denied
LA UNION
Denied
LA UNION
Professional WIDDOES ST SAN FERNANDO CITY
LOURDES SAN ANTONIO STE 503 MEDICO
PASIG CITY
Professional BLDG
Page 55
Denied
Denied
Status and Workflow
Owner - KD
6/11/2007
4/23/2007
No Activity
Status and Workflow
Hold (>2yr)
Owner - KD
10/10/2005
File Updated ON WPS
1/27/2011
WPS Provider
8/4/2008
WPS Provider
File Updated 22-11-04
11/13/2006
WPS Provider
5/28/2007
No Activity
Status and Workflow
Owner - KD
2/6/2006 Hold (>2yr)
WPS Provider
2/25/2008
7/31/2010 Radiology
7/31/2010
6/17/2011
LABADISTA, CESAR
LABAO, ROMEO MD
PHILIPPINE CHILDEREN'S MEDICAL
Professional CENTER, AGHAM ROAD CORNER
LABORATORY CORPORATION OF
THE PHILIPPINES
Institutional
LABRADOR,MARIA ANGELA,M,MD
Professional 61 NATIONAL HWY BARACA SUBIC
LACSAMANA, ELEANOR H., MD
Professional
LACSAMANA-CHUA, JOCEL MD
Professional
LACUESTA, CRISOSTOMO D., MD
Professional
LAGAYA, ALFONSO T., MD
Professional
LAGMAN, ANA-MARISSA D., MD
LAGMAN-DY, PILAR MD
SUITES 202 & 206 COCOMALL, OSMEÑA
BOULEVARD CEBU CITY
ANGELES CITY
CHUA EYE CLINIC ROOM 105 DOCTORS
CLINIC, DR. AMANDO L. GARCIA MEDICAL
CENTER, 648 RIZAL STREET, BRGY.
AGAPITO DEL ROSARIO, ANGELES CITY
3F MERCURY DRUG, GLORIETTA 3 AYALA
CENTER
JDB BLDG. POBLACION SAN JOAQUIN,
Professional STA. ANA
LAMORENA, NOEL MD
URDUJA BUILDING, URDANETA CITY
Lamzon,Nerilyn Ann,A,Rn
QUEZON CITY
CAVITE
Denied
Denied
WPS Provider
8/25/2008 File Updated 08/25/2008
No Activity
10/17/2005 Hold (>2yr)
Status and Workflow
Owner - KD
11/19/2007
Status and Workflow
Owner - KD
CEBU
Denied
ZAMBALES
Denied
No Activity
1/24/2005 Hold (>2yr)
WPS Provider
PAMPANGA
Denied
No Activity
7/10/2006 Hold (>2yr)
Status and Workflow
Owner - KD
PAMPANGA
Denied
WPS Provider
2/11/2008 File Updated 02/11/2008
CAMARINES
SUR
Denied
MAKATI CITY
Denied
PAMPANGA
QUEZON CITY
Denied
Denied
9/8/2008
WPS Provider
12/1/2008 File Updated 12/01/2008
WPS Provider
2/23/2009 File Updated 02/23/2009
4/30/2007
7/19/2010
2/2/2009
5/26/2008
4/20/2009
5/4/2009
No Activity
3/20/2006 Hold (>2yr)
Status and Workflow
Owner - KD
5/15/2006
No Activity
4/20/2006 Hold (>2yr)
Status and Workflow
Owner - KD
5/28/2007
No Activity
10/11/2005 Hold (>2yr)
Status and Workflow
Owner - KD
11/21/2005
LAGMAY-GAJETON DENTAL CLINIC Institutional
PANGASINAN
Denied
LAICO, JOSE JUAN MD
CEBU
Denied
WPS Provider
7/14/2008 File Updated 07/14/2008
11/3/2008
TARLAC
Denied
WPS Provider
10/6/2008 File Updated 10/06/2008
2/2/2009
Pasig City
Denied
ROOM 807 CATHEDRAL HEIGHTS
LANOSA, MAURIDE L., MD
QUEZON CITY
LANSANGAN, NER JOSEPH O., MD Professional OF SAN FERNANDO
PAMPANGA
LANTION ANG,FRANCES
LINA,C,MD
PASIG CITY
LANZONA, ISAIAS A., MD
LAO, LEONCIO JR. A., MD
LAO, LILY Y., MD
LAOAG PEDIATRIC LYING IN
CLINIC
ROOM 120 MAKATI MEDICAL CENTER, 2
LUKE'S MEDICAL CENTER, E. RODRIGUEZ
Professional SR., BOULEVARD
57 A. ANDRES CASTRO STREET, LAOAG
Institutional CITY
Denied
Denied
Denied
MANILA
Denied
MAKATI CITY
Denied
QUEZON CITY
Denied
ILOCOS NORTE Denied
LAOAG POLYCLINIC LABORATORY Institutional
Lapid,Rowina,MD
JP RIZAL AVENUE, LAOAG CITY
ILOCOS NORTE Denied
Lifeline Med Ctr Angeles City 57 Don Juico St
Pampanga
Professional Riverside Subd
Denied
LAPID'S VILLE III MEDICAL CLINIC
Institutional
Lapuebla,Marimin,A
Lapuz,Edwin Roque,C,MD
LARAGAN, KAREEM M., RMT
Lardizabal,Mary Margaret,B,MD
LASTIMOSA, JEROME C., MD
LAUCHANGCO, EPHRAIM V., MD
LAURICO,PAUL JASON,D
LAPID'S VILLE III, BLOCK 10, LOT 4,
SAPANG MAISAC, MEXICO
No Activity
1/9/2006 Hold (>2yr)
WPS Provider
3/31/2008 File Updated 03/31/2008
WPS Provider
Status and Workflow
Owner - KD
No Activity
6/14/2007 Hold (>2yr)
WPS Provider
11/5/2008 File Updated 11/05/2008
Albay
Denied
3/10/2010
Professional Sta Rosa Laguna Bel Air Subd Don Jose
NO. 1577 F. P. YUSECO STREET, STA.
Professional CRUZ
Laguna
Denied
3/9/2009
MANILA
Denied
2/4/2009
PANGASINAN
Professional BLISS PAGAL, SAN CARLOS CITY
RM 210 NOTRE DAME DE CHARTRESS 25
BAGUIO CITY
Professional GENERAL LUNA RD
Page 56
Denied
Denied
7/30/2007
3/23/2009
4/25/2005
No Activity
2/23/2005 Hold (>2yr)
WPS Provider
Professional Sagpon Daraga Aspe Bldg
Denied
6/17/2011
Status and Workflow
Owner - KD
9/29/2003
Denied
6/9/2008
7/30/2007
Denied
Makati City
MISAMIS
ORIENTAL
2/26/2007
WPS Provider
WPS Provider
5/16/2006 File Updated 05/16/2006
PAMPANGA
Unit 3 G F Glb Bldg 9632 Kalayaan Ave
Professional Guadalupe Nuevo
CDO MEDICAL CENTER NACALABAN
Professional TIANO STREET, CAGAYAN DE ORO CITY
Status and Workflow
Owner - KD
6/22/2009
No Activity
Status and Workflow
Hold (>2yr)
Owner - KD
ADDED DENIED DATE
WPS Provider ON WPS
File Updated
WPS Provider
WPS Provider
5/3/2010
10/23/2009
5/9/2005
3/18/2010
8/10/2009
2/16/2009
7/6/2009
3/1/2010
No Activity
Status and Workflow
Owner - KD
4/22/2008 Hold (>2yr)
6/9/2008
12/17/2010
LAURIO, JENNIFER, MD
LAURO, AMOR
Lauro,Amor
LAUVENA MEDICAL CLINIC
LAUVENA, INOCENTES MD
LAXAMANA,NOEL,MD
LAYA,ALEXANDRA,S,MD
Laya,Napoleon,MD
LAYUG,JOSE ARMANDO,L,MD
LAZARO, EVANGELINE FATIMA
CASTRO, MD
LAZARO, JOEL D., MD
Rm 1108 Filinvest Corp City 2301 Civic Place
Professional Dr Alabang
NO. 7, 2ND FLOOR, WILROSE BUILDING,
Institutional BURGOS STREET, BACOLOD CITY
LAUVENA MEDICAL CLINIC, ROOM 7 2ND
FLOOR, WILROSE BUILDING, BURGOS
Professional STREET, BACOLOD CITY
CO DALLAS MED GRP MERCEDES 076
Professional STO ENTIERRO ST STO CRISTO
RIZAL DRIVE COR 5TH AND 32ND AVE
Professional FORT BONIFACIO GLOBAL CITY
Jepson's Med Ctr Tarlac City Mc Arthur Hwy
Professional San Nicolas
Professional M. PONCE STREET, TIBAG, BALIUAG
Professional
LAZATIN, BENIDECT MD
Professional
Lazo,Benjamin,S
Professional
LEABRES, PRECIOSE M., MD
Professional
LEACHON, ANTHONY C., MD
Professional
Leal,Carreon,R,MD
Professional
LEARNING INN INC.
Professional
LEDONIO, CHARLES GERALD T.,
MD
LEE JATICO, MERCY G., MD
LEE SUPER PLAZA
LEE, CHERRY L., MD
ROOM 719 MEDICAL OFFICE BUILDING,
NO. 2205 CIVIC DRIVE, FILINVEST
CORPORATE CITY, ALABANG
279 E. RODRIGUEZ SR. BOULEVARD
Corner Quirino
AVENUE, DILIMAN
MANILA DOCTORS HOSPITAL, NO. 667
UNITED NATIONS AVENUE, ERMITA
University of Sto Tomas Hospital Espana Cor
A H Lacson St
2ND FLOOR GUIDING LIGHT BUILDING, C.
RAYMUNDO AVENUE, BRGY. SAN MIGUEL,
MEDICAL PLAZA UNIT, 1409 AMORSOLO
STREET CORNER DELA ROSA
Professional STREET,LEGASPI VILLAGE
Professional PERDICES ST
LEE, LILIAN V., MD
LEE,REYNALDO,G,PT
LEGACY DIAGNOSTIC SERVICES
COOPERATIVE
Professional BRGY LOCLOC PALUIG
2227 STO. ENTIERRO STREET, STO.
Professional CRISTO, ANGELES CITY
LEGARDA-MONTINOLA, FILOMENA
AMORSOLO CORNER DELA ROSA
MD
LEGASPI LAGMAN, OLIVIA, MD
LEGASPI, BRIGIDO B., MD
LEGASPI, FERDIE B., MD
LEGASPI, GERARDO MD
LEGASPI, JOSELITO D., MD
LEGASPI, MA. REGINA MD
LEGIT AIR TRADING
NO. 660 PRESIDENT QUIRINO AVENUE
Professional CORNER ASUNCION STREET, MALATE
12/1/2003
QUEZON CITY
Denied
10/22/2008
Muntinlupa City
NEGROS
OCCIDENTAL
Denied
3/4/2009
Denied
4/25/2005
NEGROS
OCCIDENTAL
Denied
4/12/2005
PAMPANGA
Denied
2/8/2011
TAGUIG CITY
Denied
9/8/2010
Tarlac
MUNTINLUPA
CITY
Denied
3/9/2009
MUNTINLUPA
CITY
LEMERY MEDICAL LUNG CLINIC
Professional ILUSTRE AVE LEMERY
5/26/2010
10/30/2009
ADDED DENIED DATE
ON WPS
12/01/2008
12/8/2008
QUEZON CITY
Denied
5/23/2005
MANILA
Denied
12/5/2005
Sampaloc Manila Denied
8/25/2009
3/3/2008
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
No Activity
11/15/2005 Hold (>2yr)
12/7/2009
05/23/2005
11/28/2005
12/05/2005
2/12/2007
10/30/2009
03/03/2008
3/24/2008
Status and Workflow
Owner - KD
2/13/2006
MAKATI CITY
Denied
MANILA
DUMAGUETE
CITY
Denied
Denied
WPS Provider
11/12/2008 File Updated 11/12/2008
ILOILO
Denied
QUEZON CITY
Denied
ZAMBALES
Denied
PAMPANGA
Denied
MAKATI CITY
Denied
PAMPANGA
Denied
Denied
SAN JUAN
Denied
QUEZON CITY
Denied
Denied
Denied
LAS PIÑAS CITY Denied
Pasig City
Denied
ZAMBALES
Denied
BATANGAS
Page 57
Denied
8/9/2010
6/25/2007
11/12/2009
Denied
Gastroenterol
11/15/2010 ogy
No Activity
4/27/2007 Hold (>2yr)
Denied
ILOILO
4/18/2011
Status and Workflow
Owner - KD
Manila
Denied
Family
8/6/2010 Practice
3/28/2005
12/1/2008
PASIG CITY
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
No Activity
Hold (>2yr)
Denied
Denied
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
Status and Workflow
Owner - KD
Denied
MANILA
Professional 861 TERESA STREET, ERMITA
ZAMBALES
Leh,Emelita,L,MD
LEILANI MERCADO ASIS MEDICAL
CLINIC
Denied
QUEZON CITY
MANILA
Professional WILSON STREET, GREENHILLS,
Professional 20 MARCOS ALVAREZ, TALON V,
LEH, EMELITA MD
Denied
BULACAN
COMPOUND, GEN. LUNA STREET, ILOILO
Professional CITY
PHILIPPINE CHILDREN'S MEDICAL
Professional CENTER, QUEZON AVENUE
LEE, CHERRY L., MD
PAMPANGA
No Activity
Status and Workflow
Hold (>2yr)
Owner - KD
1/9/2006
22-10-08 EXCLUDED
File Updated ADVICE
11/24/2008
WPS Provider
File Updated
6/29/2009
File Updated ON WPS
8/6/2010
Status and Workflow
Owner - KD
No Activity
9/26/2005 Hold (>2yr)
WPS Provider
2/11/2008 File Updated 02/11/2008
WPS Provider
WPS Provider
5/19/2008 File Updated 05/19/2008
No Activity
4/12/2006 Hold (>2yr)
Status and Workflow
Owner - KD
WPS Provider
2/2/2009
4/29/2011
Internal
1/17/2011 Medicine
9/17/2007
4/28/2008
6/10/2011
7/14/2008
10/2/2006
5/27/2011
No Activity
11/22/2006 Hold (>2yr)
Status and Workflow
Owner - KD
2/26/2007
No Activity
4/25/2005 Hold (>2yr)
Status and Workflow
Owner - KD
2/12/2007
WPS Provider
6/4/2008 File Updated 06/04/2008
WPS Provider
5/12/2008 File Updated 05/12/2008
WPS Provider
5/19/2008 File Updated 05/19/2008
WPS Provider
10/2/2007 File Updated 10/02/2007
WPS Provider
3/3/2008 File Updated 03/03/2008
WPS Provider
WPS Provider
3/16/2009 File Updated 03/16/2009
WPS Provider
8/4/2008
6/23/2008
9/22/2008
11/12/2007
4/14/2008
12/7/2009
4/20/2009
5/30/2011
LENON, EMMANUEL V., MD
LENZ MEDICAL DIAGNOSTIC
CLINIC & LABORATORY
Leon Viterbo,Marion,MD
LES LUNETTES DE PARIS
LESACA, REYNALDO J., MD
LESIONS IRIDOLOGY CLINIC
Let's Talk & Learn Therapy Ctr
LEUENBERGER EYE AND SKIN
CLINIC CO
Leuenberger,Edgar,MD
UNIVERSITY OF PERPETUAL HELP RIZAL
MEDICAL CENTER, ALABANG-ZAPOTE
Professional ROAD
NO.049 MARCOS AVENUE,PALAMIS,
Institutional ALAMINOS 2404
Ste 611 2301 Civica Place Bldg Civic Dr
Professional Filinvest Corporate City
UNIT 202, THE BLOCK, SM CITY NORTH
Professional EDSA
Professional INSTITUTE, EAST AVENUE
Institutional
LEVISTE, RENATO B., MD
Professional
ROOM 2-6 FEROSA CONDOMINIUM,
DONADA STREET
TERRACES, NO. 638 TM KALAW, ERMITA
SUITE 420 4TH FLR MEDICA ARTS
279 E. RODRIGUEZ SR. BOULEVARD
U PANG BLDG ARELLANO ST DAGUPAN
CITY
LEYRITANA, MARVIN
Professional
LIBO-ON, JOSE III D., MD
Professional
LIBRA MEDICAL SUPPLY
Professional
Libramonte,Joshua Mari,P,MD
Professional Brgy Sta Teresita 29 Dapitan St Cor Isarog St
361 BATANGAS STREET, MT. VIEW,
Professional BALIBAGO, ANGELES CITY
361 BATANGAS STREET, MT. VIEW,
ROOM 30 2/F P7C FERNANDEZ BUILDING
Institutional II, PEREZ BOULEVARD, DAGUPAN CITY
REGALA COMPOUND, NATIONAL
Institutional HIGHWAY,STA CRUZ, LUBAO
LIBUNAO MEDICAL SERVICES
LIBUNAO, CATHERINE D., MD
LIBUTAQUE, ROSIE A.,MD
LIE CLINIC
LIFELINE MEDICAL AND
DIAGNOSTIC
LIFEPLUS MEDICAL AND
SURGICAL CLINIC
Institutional
LIM JR, FRANCISCO MD
LIM, AURILYN C., MD
Professional
LIM, CESAR V., MD
Professional
LIM, JONNEL L., MD
Professional
LIM, MARGARET C., MD
Professional
Muntinlupa City
Denied
QUEZON CITY
Denied
Denied
Status and Workflow
Owner - KD
7/16/2007
Status and Workflow
Owner - KD
8/8/2005
Denied
5/3/2005
Pampanga
Denied
9/24/2009
GLOBAL CITY
Denied
8/18/2010
Manila
Denied
10/23/2009
SIMON LEDESMA STREET, JARO, ILOILO
Professional CITY
LIM, RICARDO MD
No Activity
11/15/2006 Hold (>2yr)
Status and Workflow
Owner - KD
3/14/2011
3/19/2010 Pathology
2/9/2009
12/14/2009
9/6/2010
12/7/2009
Denied
MANILA
Denied
WPS Provider
6/5/2006 File Updated 06/05/2006
6/30/2008
QUEZON CITY
Denied
WPS Provider
1/5/2009 File Updated 01/05/2009
2/16/2009
NEGROS
OCCIDENTAL
Denied
PANGASINAN
Denied
Quezon City
Denied
PAMPANGA
Denied
PAMPANGA
Denied
ILOILO
Denied
PANGASINAN
Denied
PAMPANGA
Denied
WPS Provider
Anesthesiolog
3/8/2010 y
WPS Provider
9/20/2005 File Updated 09/20/2005
10/10/2005
WPS Provider
5/26/2003 File Updated 05/26/2003
6/13/2005
Denied
No Activity
6/6/2005 Hold (>2yr)
Status and Workflow
Owner - KD
6/25/2007
No Activity
7/3/2005 Hold (>2yr)
Status and Workflow
Owner - KD
4/9/2007
No Activity
8/8/2005 Hold (>2yr)
Status and Workflow
Owner - KD
8/13/2007
Denied
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
ADDED DENIED DATE
ADDED DENIED DATE
ON WPS
12/4/2006
5/27/2011
3/21/2011
7/6/2009
08/13/2007
10/15/2007
08/13/2007
10/15/2007
BULACAN
Denied
ZAMBALES
Denied
QUEZON CITY
Denied
WPS Provider
12/13/2006 File Updated 12/13/2006
10/1/2007
QUEZON CITY
Denied
WPS Provider
6/20/2006 File Updated 06/20/2006
3/19/2007
ILOILO
PAMPANGA
Denied
Denied
MANILA
LIM,FELICIDAD,C,MD
Professional UST HOSPITAL ESPANA SAMPALOC
RM 404 MAB ST LUKES MED CTR 279 E
Lim,Guerilio,U
Professional Manila Doctors Hosp Un Avenue Ermita
Manila
Denied
Lim,Pek,E
Professional Archbishop Reyes Ave Barracks
Cebu City
Denied
LIM, ROGER MICHAEL, M.D.
No Activity
Hold (>2yr)
WPS Provider
File Updated
File Updated ON WPS
WPS Provider
File Updated
9/19/2005
PASAY CITY
PAMPANGA
CLARA MONTEFALCO HOSPITAL, ROOM
20 NORTH DIVERSION ROAD,
MEYCAUYAN
ZAMBALES DOCTORS' CLINICS, UNITS
A10 & 11, BUILDING 7932, MANILA
AVENUE, CENTRAL BUSINESS DISTRICT,
SUBIC BAY FREEPORT ZONE, OLONGAPO
SR. BOULEVARD
No Activity
2/13/2007 Hold (>2yr)
PAMPANGA
ROOM 106 ST. FERDINAND BUILDING, SAN
FERNANDO
PAMPANGA
LIM, MARILYN S., PROP
LIM, RODELIO D., MD
Denied
QUEZON CITY
250 STO. ROSARIO STREET, SAN JOSE,
Blk 35 Lot 15 St Claire St San Agustin City of
Professional San Ferna
THE FORT STRIP FORT SQUARE LEVEL 3
Professional UNIT 7
LEVISTE MEDICAL CLINIC
PANGASINAN
No Activity
Status and Workflow
Owner - KD
8/9/2005 Hold (>2yr)
WPS Provider
12/17/2008 File Updated 12/17/2008
MUNTINLUPA
CITY
KALUSUGAN
QUEZON CI
Page 58
Denied
Denied
Denied
5/19/2008 File Updated DATE ON WPS
10/23/2010
No Activity
2/16/2005 Hold (>2yr)
Status and Workflow
Owner - KD
4/4/2005
No Activity
7/3/2005 Hold (>2yr)
Status and Workflow
Owner - KD
4/9/2007
No Activity
1/3/2006 Hold (>2yr)
Status and Workflow
Owner - KD
5/22/2006
WPS Provider
4/26/2004 File Updated 26-04-04
WPS Provider
WPS Provider
5/8/2006
3/21/2011
1/7/2010
11/23/2009
LIM,RICARDO,N,MD
LIM-ABRAHAM, MARY ANNE MD
LIM-ALCONGA, ERLINDA V., MD
LIMBAG,JOSEPH ARNEIL,J
LIMOS, BOBBY M., MD
LINGAN, RUDOLFO
LINGAT, RAY H., DMD
Linog,Julie,H,MD
LINSANGAN MALDIA, EUFROSINA
MD
LIONARI INC
LIPARDO, JACQUELINE V., MD
LITONJUA, AUGUSTO D., MD
LITTLE MATTHEW CHILDRENS
CLINIC BRANCH I
LIVELO, JOCELYN B., MD
LIVELO, RAMONCITO V., MD
Professional 48 NEW JERSEY ST
CHINESE GENERAL HOSPITAL, 286
Professional BLUMENTRITT STREET, STA. CRUZ
Professional SUBIC BAY FREEPORT ZONE, OLONGAPO
NEW SINAI MDI HOSP NATL HIWAY STA
Professional ROSA
MARIANA NEW
MANILA
Denied
MANILA
Denied
WPS Provider
8/13/2007 File Updated 08/13/2007
ZAMBALES
Denied
LAGUNA
Denied
RIZAL
Denied
Status and Workflow
Owner - KD
No Activity
9/14/2006 Hold (>2yr)
LA MEDICAL AND DENTAL CARE CENTER,
29 GROUND FLOOR PLAZA ROMANA
PAMPANGA
Professional BUILDING, DAU, MABALACAT
No Activity
Status and Workflow
Owner - KD
6/12/2004 Hold (>2yr)
Denied
Professional 2F Carlson plz Lapu Cor N Torres St Agdao
DELTA HANGAR GENERAL AVIATION
Professional MANILA DOMESTIC AIRPORT
MAKATI MEDICAL CENTER, 2 AMORSOLO
CORNER DELA ROSA STREET, LEGASPI
Davao Del Sur
Denied
PAMPANGA
Denied
PASAY CITY
Denied
WPS Provider
3/27/2006 File Updated 03/27/2006
WPS Provider
CEBU
Denied
WPS Provider
MAKATI CITY
Denied
Professional RIZAL ST AGAPITO DEL ROSARIO
ROOM 204 J & C BUILDING 2 NUEVO
Professional AVENUE, IMUS
ANGELES CITY Denied
CAVITE
Denied
WPS Provider
WPS Provider
WPS Provider
No Activity
9/12/2005 Hold (>2yr)
Denied
Pasig City
Denied
Pasig City
MUNTINLUPA
CITY
Denied
LLANTO,MA EMMA,A,MD
STE 716 ASIAN HOSP AND MED CTR
Professional FILINVEST ALABANG
Llanura,Adolfo,G,MD
Professional Nueva San Pedro L9 & L10 Amante Subd
Laguna
Denied
Lo,Christine,T,Rn
Quezon City
Denied
MUNTINLUPA
CITY
Denied
WPS Provider
4/26/2004 File Updated 26-04-04
LOPEZ, JAN EERO G., MD
Professional E Rodriguez Sr Ave
Professional 83 GIL FERNANDO AVENUE, SAN ROQUE
WPS Provider
WPS Provider
WPS Provider
WPS Provider
LOPEZ, JOHN KENNETH M., MD
LOPEZ, JOSE DAVID MD
LOPEZ, JOSEPH MD
LOPEZ, JOSEPH MD
LOPEZ, ROLANDO MD
LOPEZ, SUSANNA L., MD
Lopez,Francisco Vicen,F
Lopez,Phen Pecomero,B
Lopez,Roberto,MD
LOPEZ-CABREZA, VIVENNE MD
LOPEZ-TAN, PATRICIA W., MD
PAMPANGA
Denied
Professional NO. 9821, KAMAGONG
RIZAL AVENUE, NEW ASINAN, OLONGAPO
Professional CITY
MAKATI CITY
Professional Rm 801 Medical Plaza Makati Amorsolo St
Our Lady Of Purification Doc Hosp Rizal St
Professional Binmaley
Subic Town Med Spec Diag Ctr 015 National
Professional Hwy Calapandayan
Makati City
Denied
Pangasinan
Denied
Denied
WPS Provider
10/27/2008 File Updated 10/27/2008
WPS Provider
ADDED DENIED DATE
ADDED DENIED DATE
ON WPS
denied date 8-17-09
Denied
7/27/2009
6/28/2011
General
8/17/2009
5/8/2006
3/22/2010
3/26/2007
WPS Provider
11/29/2007 File Updated 11/29/2007
2/4/2008
8/4/2008
1/14/2009 File Updated records
Denied
2/3/2010
No Activity
3/12/2007 Hold (>2yr)
Denied
Denied
3/28/2011
Status and Workflow
Owner - KD
ZAMBALES
ST. LUKE'S MEDICAL CENTER, NO. 279 E.
QUEZON CITY
PAMPANGA
UNIT 211, 2ND FLOOR MOLVINA
COMMERCIAL COMPLEX BARANGAY
RIZAL
Page 59
11/17/2008
2/2/2009
WPS Provider
6/18/2008 File Updated 06/18/2008
Denied
1/31/2011
No Activity
7/10/2006 Hold (>2yr)
Denied
Zambales
3/11/2010
Status and Workflow
Owner - KD
PASIG CITY
7/12/2010
9/10/2007
QUEZON CITY
LOMBOS, TRINIDAD MARIE, M.D.
9/25/2006
Status and Workflow
Owner - KD
Professional 81 C MATATAG STREET DILIMAN
Denied
4/12/2011
4/27/2009
Denied
Llanes Garcia,Liza,MD
1/15/2007
03/02/2009
TARLAC
LLanes Garcia,Liza,L
10/2/2006
10/1/2007
Denied
LLAGUNO,MARMIE,R,MD
2/19/2011
07/13/2006
ADDED DENIED DATE
ON WPS
CAVITE
LIWANAG, VLADIMIR MD
8/27/2007
WPS Provider
Ear, Nose and
10/27/2010 Throat (ENT)
GROUND FLOOR MARIKINA ORTHOPEDIC
Professional CLINIC, STO. NINO
ROOM 201, MERCURY DRUG BUILDING,
Professional NUEVO AVENUE, IMUS
5/16/2011
WPS Provider
WPS Provider
WPS Provider
WPS Provider
2/16/2009
06/11/2008
8/18/2008
4/19/2010
8/24/2009
denied date 8-24-09
8/24/2009
Status and Workflow
Owner - KD
3/19/2007
WPS Provider
5/7/2010
No Activity
7/21/2006 Hold (>2yr)
15-11-07 CORRECTION
12/24/2007
LOPUES SAN SEBASTIAN
LORD'S RAPHAEL MEDICAL
SERVICES INC.
LORELEI L. CHAVEZ MEDICAL
CLINIC
LORENZANA DENTAL CLINIC
LORENZO, JULIETA L., MD
ACCUCARE MEDICAL ASSOCIATE INC., 2/F
DORMITORY BUILDING, DEE HWA LIONG
FOUNDATION MEDICAL CENTER, HENSON
PAMPANGA
CORNER ARANETA AND SAN SEBASTIAN
Professional STREETS, BACOLOD CITY,
SUITE 1013 SOUTH TOWER, CATHEDRAL
HEALTHPOINT MEDICAL CLINIC AND
DIAGNOSTIC CENTER, 577 PADRE FAURA
Professional STREET, ERMITA
LORENZO, MILAGROS J., MD
LORETA R. MARQUEZ CHILDRENS
CLINIC
Professional 91 RIZAL AVENUE, BATANGAS CITY
Lorzano,Arnold,T
LOS BANOS, JOSE GERARDO MD
LOTA, MARIA MARGARITA MD
Lourdes Lucena,Lynne,MD
LOZADA, ROBERTO MD
LOZANO, JAIME U., MD
LOZANO, WENDELL MD
LUBIANO, EMILIE MD
LUCERO'S FAMILY SKIN CLINIC
LUJAE SURGICAL CLINIC
LUMUBOS,IRENEO,G,MD
LUNA CANTRE, MILAGROS V., MD
LUNA, ANGEL V., MD
LUNA, ARACELI S., MD
QUEZON CITY
Denied
MANILA
OLONGAPO
CITY
Denied
Denied
BATANGAS
Denied
Denied
Denied
WPS Provider
8/20/2007 File Updated 20-08-07
WPS Provider
WPS Provider
2/9/2009 File Updated 02/09/2009
Status and Workflow
Owner - KD
No Activity
2/9/2005 Hold (>2yr)
WPS Provider
10/1/2008 File Updated 10/01/2008
WPS Provider
4/16/2008 File Updated 04/16/2008
Status and Workflow
Owner - KD
Denied
No Activity
3/19/2007 Hold (>2yr)
Professional Ste 104 GF Velasco Bldg Panganiban Dr
HOSPITAL, SOLIS STREET, BRGY. TAPProfessional OC, MOLO, ILOILO CITY
Camarines Sur
Denied
ILOILO
Denied
HOSPITAL OF THE INFANT JESUS NO.
MANILA
Professional 1553 LAONG LAAN STREET, SAMPALOC
ZAMBALES
LA UNION MEDICAL AND DIAGNOSTIC
CENTER AND HOSPITAL, ANCHETA
LA UNION
Professional STREET SAN FERNANDO CITY
MAHARLIKA HI WAY IBABANG DUPAY
MJ CUENCO AVENUE, CARRETA, CEBU
Professional CITY
HEALTH CARE PLAZA, STA. MARIA
Professional STREET, POBLACION, FLORIDA BLANCA,
MARK JAMES HOSPITAL BRGY DE
Professional OCAMPO TRECE
Professional AVENUE
Professional NO. 5 PAEZ STREET, CONCEPCION
Camarines Sur
Denied
CEBU
Denied
PAMPANGA
Denied
MARTIRES CITY Denied
QUEZON CITY
QUEZON CITY
AL'S ANNEX BUILDING, McARTHUR
HIGHWAY, SAN NICOLAS TARLAC CITY
Denied
Denied
Denied
MUNTINLUPA
CITY
Denied
QUEZON CITY
Denied
Professional NO. 141 LEDASMA STREET, AURORA HILL BAGUIO CITY
Institutional
Denied
Denied
LUYUN, MARIS SHEILA B., MD
Institutional
Denied
LUCENA CITY
MALABON
Professional MAGBANUA
Denied
QUEZON CITY
Mandaluyong
City
Denied
ZAMBALES
Denied
TARLAC
Page 60
Denied
Denied
Denied
2/19/2011
22-10-07 CORRECTION
11/19/2007
correction to 8/18/09 11:00
AM comment, provider
WPS Provider moved
2/16/2009
MUNTINLUPA
CITY
LUTANA, JOEL JHON S., MD
LUZON CENTER FOR INTERNAL
MEDICINE & KIDNEY INSTITUTE
Denied
QUEZON CITY
ROOM 104, RICHMACK BUILDING, NO. 72
MINDANAO AVENUE, PROJECT 6
NO. 31 21ST STREET, WEST BAJACProfessional BAJAC, OLONGAPO CITY
Luspo,Portia,V
Denied
2/F FESTIVAL SUPERMALL, FILINVEST
LUNA, JR., BENJAMIN G.,M.D.
F-906 SOUTH TOWER CATHEDRAL
LUNA-DE GUZMAN, JUDITH TELLIE
MD
Professional MEDICAL CENTER, 279 E. RODRIGUEZ SR.
23 NUEVA ECIJA STREET, PHILAM LIFE
LUNAR MANALO, GRACE MD
LUNGCARE SUPPORT AND
SERVICE INC.
Denied
Camarines Sur
Professional Ste 104 G F Velasco Bldg Panganiban dr
ZAMBALES
LUCCNA MMG GENERAL HOSPITAL Institutional
Lucena,Lynne,L,MD
NEGROS
OCCIDENTAL
Professional NO 14 20TH ST EAST BAJAC BAJAC
QUEZON CITY
Professional 279 E. RODRIGUEZ SR BOULEVARD
6/F ROOM 601 CATHEDRAL HEIGHTS,
ST.LUKE'S MEDICAL CENTET, 79 E.
Professional RODRIGUEZ SR. AVENUE
Denied
WPS Provider
11/12/2008 File Updated 11/12/2008
No Activity
10/26/2005 Hold (>2yr)
Status and Workflow
Owner - KD
WPS Provider
3/19/2008 File Updated 03/19/2008
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
10/17/2005
ADDED DENIED DATE
ON WPS
1/21/2008
6/18/2011
3/23/2009
5/23/2005
11/10/2008
7/13/2009
6/2/2008
4/2/2007
7/13/2009
5/4/2009
6/12/2006
4/7/2008
10/15/2007
3/10/2011
7/13/2009
08/26/2008
9/29/2008
12/26/2007
2/4/2008
Internal
9/20/2010 Medicine
08/20/2008
11/3/2008
No Activity
6/14/2007 Hold (>2yr)
Status and Workflow
Owner - KD
7/16/2007
No Activity
8/31/2005 Hold (>2yr)
Status and Workflow
Owner - KD
2/26/2007
No Activity
5/3/2004 Hold (>2yr)
Status and Workflow
Owner - KD
9/4/2006
WPS Provider
8/25/2008 File Updated 08/25/2008
WPS Provider
8/25/2008 File Updated 09/04/2008
Status and Workflow
Owner - KD
No Activity
9/9/2005 Hold (>2yr)
WPS Provider
WPS Provider
8/25/2008 File Updated 08/25/2008
WPS Provider
2/9/2009 File Updated 02/09/2009
No Activity
6/27/2005 Hold (>2yr)
Status and Workflow
Owner - KD
9/15/2008
9/29/2008
2/19/2007
1/29/2010
9/8/2008
5/4/2009
6/11/2007
LYCEUM GENERAL HOSPITAL
Institutional
417 LUCAO DISTRICT, DAGUPAN CITY
PANGASINAN
ROOM 417 SPC MEDICAL SPECIALTY
CENTER, F. SOTTO STREET, GORORDO
LYDIAN K. CHANG MEDICAL CLINIC Professional AVENUE, CEBU CITY
LYROS, NAOMI LYNN R., MD
M & M X RAY SUPPLY
M M ONG CHILDRENS MEDICAL
CLINIC
M.RANAS DENTAL CLINIC
PERPETUAL SUCCOUR HOSPITAL,
Professional GORORDO AVENUE, LAHUG, CEBU CITY
Institutional
Institutional
Institutional
MA. ROSARIO ABDON GUERRERO
DENTAL CLINIC
Institutional
MA. ROSARIO EALA PEDIATRIC
DENTAL CLINIC
CEBU
Institutional
CEBU
A. MABINI STREET, SAN PABLO CITY
BLK 18 LOT 4C PHASE 1, STA. LUCIA
RESETTLEMENT MAGALANG
Denied
Denied
PAMPANGA
Denied
QUEZON CITY
NO. 2105 CARMEL STREET, SAN MIGUEL
VILLAGE
Denied
LAGUNA
113 B SALAZAR STREET, TACLOBAN CITY LEYTE
NO. 28, DATSUN STREET, FAIRVIEW
Denied
MAKATI CITY
Denied
Denied
Denied
No Activity
12/9/2005 Hold (>2yr)
06-06-07 CORRECTION
No Activity
12/11/2006 Hold (>2yr)
2/5/2007
No Activity
12/9/2005 Hold (>2yr)
Status and Workflow
Owner - KD
1/15/2007
12/22/2008
Mabini M Espinoza Clinic
Professional No 4 20th St WBB
Olongapo City
Denied
5/6/2009
MAC TYCOON MARKETING
Institutional
MANILA
Denied
11/2/2005
LA UNION
Denied
3/25/2009
La Union
Denied
3/30/2009
MUNTINLUPA
CITY
WPS Provider
5/31/2004 File Updated 31-05-04
MAKATI CITY
MUNTINLUPA
CITY
MADRILEJO, ALBERTO O., M.D.
MAGBANUA,MA LEILA MALATA
MAGDAY, ALAN MD
Denied
Denied
Denied
Denied
Denied
QUEZON CITY
Denied
MANILA
Denied
MANILA
Denied
PAMPANGA
Denied
MISAMIS
ORIENTAL
Denied
DAGUPAN CITY
2400
Denied
MUNTINLUPA
CITY
Denied
Professional CLINICA BETHANY, BANAG, DARAGA,
ALBAY
Denied
Professional BS AQUINO DR
BACOLOD CITY Denied
MADLANGBAYAN, RICO D., MD
NATIONAL HIGHWAY, BARANGAY
TUNASAN
Maginhawa Medical Specialists Clinic Professional 173A Maginhawa St Sikatuna Village
Status and Workflow
Owner - KD
No Activity
1/12/2006 Hold (>2yr)
MACAPAGAL, SALLY RACHEL M.D. Professional SR.AVENUE
QUEZON CITY
MACARAYO, FERNANDO K., MD
PAMPANGA
Macarayo,Juliet
Pampanga
Institutional
No Activity
Status and Workflow
Hold (>2yr)
Owner - KD
File Updated date
10/23/2009
WPS Provider
1/12/2009
WPS Provider
File Updated already updated
10/12/2009
WPS Provider
3/13/2006
Denied
MUNTINLUPA
CITY
Denied
PAMPANGA
Denied
Quezon City
Denied
Page 61
6/5/2006
No Activity
12/22/2005 Hold (>2yr)
Denied
MADISON INDUSTRIAL GASES
5/7/2007
Status and Workflow
Owner - KD
ZAMBALES
MACARE MEDICALS, INC.
Professional 67 A.LUNA STREET PROJECT 4
MACASAET, ROMEO GREGORIO III
N., MD
Professional 1330 PERDIGON STREET, PACO
MACASAET, ROMEO III MD
2ND FLOOR CLARK AIRPORT CITY T DON
MACCAY, ARNEL PAULINO B., DMD Professional JUICO AVENUE BALIBAGO, ANGELES CITY
92 S. HAYES STREET, CAGAYAN DE ORO
MACIAS GO, CONCHITA MD
Professional CITY
MADELINE PHYSICAL THERAPY
AND REHAB CENTER
Professional 6F LUZON MEDICAL CTR TAPUAC
Status and Workflow
Owner - KD
1/23/2006
Professional 10 NIEVES MABAYUAN, OLONGAPO CITY
LAS PINAS DOCTORS HOSPITAL CAA
Professional ROAD
MACALINTAL, NAZARIO A., M.D.
MACALINTAL, VINCENT, M.D.
RM 106 1ST BLDG MOB ASIAN HOSPITAL
MACALINTAL,NAZARIO ADAJAR,JR Professional AND MEDICAL CENTER CIVIC DR
6/4/2007
No Activity
10/19/2005 Hold (>2yr)
MABAYUAN FAMILY CLINIC
MACADAGDAG, TEODORICO M.,
MD
11/5/2007
Status and Workflow
Owner - KD
Mabanag,Stella Marie,P
1560 BAMBANG ST. STA.CRUZ
2/20/2006
Status and Workflow
Owner - KD
No Activity
4/27/2007 Hold (>2yr)
WPS Provider
5/22/2006 File Updated 05/22/2006
BETHANY HOSPITAL INC., SAN
MABANAG, STELLA MARIE P., MD
Status and Workflow
Owner - KD
WPS Provider
5/17/2004 File Updated 17-05-04
WPS Provider
No Activity
5/31/2004 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
2/20/2006
9/4/2006
5/7/2007
6/6/2011
Status and Workflow
Owner - KD
9/4/2006
ADDED DENIED DATE
ON WPS
5/7/2010
11/11/2009
5/17/2010
01/17/2008
1/28/2008
05/21/2008
9/22/2008
09/02/2008
10/27/2008
12/24/2009
ADDED DENIED DATE
ON WPS
No Activity
Status and Workflow
Owner - KD
12/5/2005 Hold (>2yr)
WPS Provider UPDATED DENIED DATE
IntlSOS
Update
none
8/24/2010 Complete
WPS Provider
1/21/2009 File Updated 01/21/2009
WPS Provider
3/9/2009
1/10/2011
6/2/2006
1/31/2011
8/16/2010
7/11/2011 Nephrology
5/4/2009
2/2/2010
MAGLALANG, MA. LOURDES D., MD Professional MAYAMOT, ANTIPOLO CITY
MAGNATECH CLINICAL
LABORATORY
Professional 6 BF ROAD, HOLY SPIRIT
GROUND FLOOR, OUR LADY OF
MAGNIFICENT PHYSICAL
PURIFICATION DOCTORS HOSPITAL,
THERAPY CLINIC
Professional RIZAL STREET, BINMALEY
MAGNIFICENT PHYSICAL
THERAPY CLINIC
Institutional
G F OUR LADY OF PURIFICATION
DOCTORS HOSPITAL, RIZAL STREET,
BINMALEY
MAGNO RIMANDO, CYNTHIA T., MD Professional ROSIE BUILDING, SAN JOSE
SUITE 224 MEDICAL ARTS BUILDING II,
MARY MEDIATRIX MEDICAL CENTER, JP
MAGSINO, ROWENA P., MD
Professional LAUREL HIGHWAY, LIPA CITY,
MAGSINO,ROBERT,MD
Professional ROAD
MAGSOMBOL, EDWARD BENGIE
M.D.
Rm 2105 Mab Vl Makabali Mem Ho B
Mah Sadorra,Jeane Haidee
Professional Mendoza St Sto Rosario
MAHINAY, ISABEL Y., MD
MAHUSAY, JULIETA MD
MAHUSAY, JULIETA MD
MAJESTIC GAS, INC.
ROOM 205 MEZZANINE FLOOR, CEBU
DOCTORS UNIVERSITY HOSPITAL,
OSMENA BOULEVARD, CAPITOL SITE,
Institutional
NO.1010 DALISAY STREET
Makabuhay De Guzman Dental Clinic Professional Rizal Ave Taytay Ilog Pugad
G/F ALEGRIA BUILDING, NO. 2229 DON
MAKATI EYE LASER CENTER
Professional CHINO ROCES AVENUE
MAKATI SHANGRI-LA
Institutional
Makati Supermart Alabang
Professional Alabang Twn Ctr Mun City
MALLARI, MYRNA GRACE C., MD
MALLARI, MYRNA GRACE C., MD
MALLARI, MYRNA MD
MALLARI, PETER LLOYD T., MD
MALLARI, PETER LLOYD T., MD
QUEZON CITY
Denied
PANGASINAN
Denied
PANGASINAN
Denied
BULACAN
Denied
BATANGAS
Denied
RIZAL
Denied
QUEZON CITY
City of San
Fernando
Denied
Professional CONSUJI STREET, SAN FERNANDO
Professional HENSON STREET, ANGELES CITY
DALLAS MEDICAL GROUP INC., STO.
Denied
WPS Provider
9/8/2008 File Updated 09/08/2008
WPS Provider
2/19/2011
11/24/2008
12/30/2009
10-09-08 CERTIFIED
WPS Provider UNDER PROFESSIONAL
9/10/2008 File Updated PHL043431 A001
10/27/2008
WPS Provider
2/18/2008 File Updated 02/18/2008
4/7/2008
WPS Provider
5/3/2007 File Updated 05/03/2007
WPS Provider
WPS Provider
5/31/2004 File Updated 31-05-04
WPS Provider
No Activity
8/22/2006 Hold (>2yr)
6/25/2007
6/16/2011
9/4/2006
Ophthalmolog
12/10/2009 y
Status and Workflow
Owner - KD
11/27/2006
CEBU
Denied
PASIG CITY
Denied
WPS Provider
10/15/2008 File Updated 10/15/2008
11/3/2008
WPS Provider
10/29/2008 File Updated 10/29/2008
1/12/2009
Status and Workflow
Owner - KD
MANDALUYON
G CITY
Denied
Rizal
Denied
MAKATI CITY
Denied
No Activity
8/29/2005 Hold (>2yr)
WPS Provider
WPS Provider
Denied
Status and Workflow
Owner - KD
Alabang
C/O COMMUNITY HOSPITAL, SAN PABLO
Professional CITY
MALANYAON, OLYMPIA MD
2418 DR. SURLA STREET, BALIBAGO,
MALIJAN DENTAL CLINIC
1172 DR. SURLA STREET, BALIBAGO,
MALIJAN,, ROGELIO C., DMD
TANZA FAMILY GENERAL HOSPITAL,
MALILIN, NELSON ANTHONY T., MD Professional DAANG AMAYA II, TANZA
1993 MACARTHUR HIGHWAY BALIBAGO
MALIWAT, ROSEMARIE Y., MD
MALLARI, MYRNA G., MD
Denied
AYALA AVENUE CORNER MAKATI AVENUE MAKATI CITY
MALABAG-VALDEZ, ALMA MD
MALLARI, MARILYN Y., DDS
RIZAL
LAGUNA
Denied
Denied
QUEZON CITY
Denied
No Activity
11/7/2005 Hold (>2yr)
WPS Provider
No Activity
1/26/2006 Hold (>2yr)
10/26/2009
Status and Workflow
Owner - KD
Denied
11/29/2007
PAMPANGA
Denied
11/29/2007
CAVITE
Denied
4/20/2009
PAMPANGA
Denied
3/27/2006
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
12/22/2008
1/19/2009
11/29/2007
3/10/2008
11/29/2007
2/11/2008
04/20/2009
5/18/2009
03/27/2006
5/1/2006
Status and Workflow
Owner - KD
PAMPANGA
Denied
No Activity
2/7/2006 Hold (>2yr)
PAMPANGA
Denied
WPS Provider
6/9/2008 File Updated 06/09/2008
1 WESTPOINT ST. CORNER AURORA
QUEZON CITY
Professional BOULEVARD, CUBAO
QUEZON CITY
Professional AURORA BOULEVARD
QUEZON CITY
Page 62
No Activity
4/10/2004 Hold (>2yr)
Status and Workflow
Owner - KD
WPS Provider
Status and Workflow
Owner - KD
Denied
No Activity
Hold (>2yr)
WPS Provider
6/12/2007 File Updated 06/12/2007
Denied
WPS Provider
4/21/2008 File Updated 12/10/2007
Denied
6/12/2006
12/8/2008
PAMPANGA
Denied
8/20/2007
WPS Provider
12/1/2008 File Updated 12/01/2008
12/22/2008
PAMPANGA
5/7/2007
2/11/2008
Denied
Denied
3/15/2010
WPS Provider
12/10/2007 File Updated 12/10/2007
PASIG CITY
PAMPANGA
9/19/2005
2/26/2007
12/29/2008
10/9/2006
5/27/2011
5/2/2005
7/2/2007
8/4/2008
MALLEN, ANDREW I., MD
MALLILLIN, NELSON ANTHONY T.,
MD
Professional SUBDIVISION, BACOLOD CITY
NEGROS
OCCIDENTAL
Professional 519 P BURGOS AVENUE, CAVITE CITY
CAVITE
Denied
No Activity
3/20/2006 Hold (>2yr)
Status and Workflow
Owner - KD
2/12/2007
Denied
needed a recertification on
provider on dup record.
WPS Provider provider denied as of 5-255/20/2009 File Updated 09
5/25/2009
Status and Workflow
Owner - KD
11/7/2005
MALLILLIN, NELSON ANTHONY, MD Professional P.BURGOS AVENUE, CAVITE CITY
CAVITE
Denied
4/25/2005
Mallillin,Nelson Anthony,T
MALLILLIN,NELSON
ANTHONY,T,MD
Imus Cavite
Denied
6/8/2009
MALOLOS EENT HOSPITAL
Professional Our Lady Of the Pillar Med Ctr Tamsui Ave
KM 42 MCARTHUR HIGHWAY SUMAPANG
Institutional MATANDA
CAVITE
Denied
11/10/2010
MALOLOS CITY Denied
10/19/2010
MALOLOS INC.
MALOLOS MATERNITY HOSPITAL
AND EYE CLINIC
Institutional
F. ESTRELLA STREET, STO. ROSARIO,
MALOLOS
BULACAN
Denied
Institutional
McARTHUR HIGHWAY, MALOLOS
BULACAN
Denied
MALUNES,LEO,M
Professional BLOCK 3 LOT 40 LEDESCO VILLAGE JARO ILOILO CITY
MALUNJAOS PHARMACY AND GEN
189 CONSOLACION PUBLIC MARKET
MDSE
Professional CONSOLACION
NORTHERN ZAMBALES POLYCLINIC,
MALVAR, WILLIAM SIGFRED A., MD Professional POBLACION SOUTH, STA. CRUZ,
MAMANGUN, JOSE BIENSON B.,
MD
RIZAL ST AGAPITO DEL ROSARIO
MAMANGUN, JOSE BIENSON,B
Professional AMANDA P GARCIA HOSPITAL
ANGELES MED CTR ANGELES CITY RIZAL
MAMANGUN,JOSE,MD
Professional ST LOURDES SUR
MAMARADLO, JUANCHO G., MD
Professional AVENIDA STREET, LINGAYEN CITY
MEDICAL CENTRUM DAGUPAN, A.B.
Professional FERNANDEZ AVENUE EAST, DAGUPAN
MAGNIFICENT PHYSICAL THERAPY
CLINIC, GROUND FLOOR, OUR LADY OF
PURIFICATION DOCTORS HOSPITAL,
Professional RIZAL STREET, BINMALEY
MAMAWAL, VICTOR ALBERT, MD
11 RYANN ANTHONY HOSPITAL, A.
Professional BONIFACIO, CAINTA
MAMBA SURGICAL & MATERNITY
CLINIC
PATRIA BUILDING, LUNA STREET,
Professional TUGUEGARAO CITY
MANABAT, CYNTHIA ROSANNA
HALILI, MD
MANABAT, LEONARDO MD
MANAGAN, JOSEPH C., MD
MANALASTAS,RUBY
MANALESE,ILUMINADA,T,MD
Denied
ZAMBALES
Denied
PAMPANGA
PAMPANGA
MANALO WONG, GILDA S., MD
MANALO, JUANCHO MD
Manalo,Marlon,B,MD
7/10/2011
WPS Provider
WPS Provider
WPS Provider
7/26/2010
1/4/2011
1/22/2010
9/27/2010
9/27/2010
Status and Workflow
Owner - KD
11/21/2005
PANGASINAN
Denied
WPS Provider
3/9/2009
12/30/2009
Status and Workflow
Owner - KD
3/31/2008
Denied
3/8/2010
Denied
Status and Workflow
Owner - KD
8/29/2005
Denied
Denied
Denied
Denied
QUEZON CITY
Denied
BAGUIO CITY
Denied
Denied
LAGUNA
Denied
PAMPANGA
Denied
Manila
Denied
Page 63
9/25/2006
None
ADDED DENIED DATE
ON WPS
Denied
ZAMBALES
Denied
METRO MANILA
1112
Denied
MANALO, MARWIN M., MD
10/29/2010
3/29/2010
PANGASINAN
PAMPANGA
12/13/2010
ADDED DENIED DATE
ON WPS
No Activity
10/13/2005 Hold (>2yr)
WPS Provider
1/28/2008 File Updated 12/03/2007
PAMPANGA
SAN PABLO DOCTORS HOSPITAL, A.
Professional MABINI STREET, SAN PABLO CITY
Status and Workflow
Owner - KD
Denied
MANILA
PARANAQUE
CITY
NO. 1412 TABACHUHAN, STA. RITA,
THE MEDICAL CITY ORTIGAS AVENUE
Professional PASIG CITY
Denied
No Activity
8/7/2006 Hold (>2yr)
WPS Provider
WPS Provider
IntlSOS
Update
4/18/2011 Complete
WPS Provider
7/13/2009
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
PANGASINAN
CAGAYAN
57 DON JUICO AVENUE, RIVERSIDE
Denied
ANGELES CITY Denied
2205 CIVIC DRIVE FILINVEST CORPORATE MUNTINLUPA
CITY
Professional 8 PRINCETON ST COR 15TH AVE CUBAO
ROOM 211 NOTRE DAME DE CHARTRES
Professional HOSPITAL, GEN. LUNA ROAD
MANALO, MARIAN E., MD
CEBU
RIZAL
THIRD FLOOR, SEAMENS HOSPITAL
MANABAT, CARLOS R. MD
Professional INTRAMUROS
MANABAT, CYNTHIA ROSANNA H.,
ROOM 216 MEDICAL CENTER
MD
Professional PARANAQUE, DR. A. SANTOS AVENUE,
Denied
No Activity
Hold (>2yr)
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
No Activity
3/27/2006 Hold (>2yr)
No Activity
8/18/2003 Hold (>2yr)
WPS Provider
3/12/2007 File Updated 03/12/2007
9/3/2007
No Activity
8/16/2005 Hold (>2yr)
Status and Workflow
Owner - KD
12/9/2005
No Activity
2/21/2005 Hold (>2yr)
Status and Workflow
Owner - KD
2/12/2007
Status and Workflow
Owner - KD
8/7/2006
No Activity
3/13/2006 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
SAME
ADDED DENIED DATE
ON WPS
6/7/2011 Psychiatry
10/11/2010
04/22/2008
5/26/2008
No Activity
6/8/2006 Hold (>2yr)
Status and Workflow
Owner - KD
6/26/2006
No Activity
11/7/2005 Hold (>2yr)
Status and Workflow
Owner - KD
5/22/2006
WPS Provider
1/21/2009 File Updated 01/21/2009
WPS Provider
5/4/2009
6/10/2011
Manalo,Marlon,MD
MANALOTO, RHESA MAY M., MD
MANALOTO, RHESA MAY MD
Manaloto,Maria Socorro,G,MD
MANARANG, MA. JESUSA S., MD
MANDAL, ANITA V., MD
Mandala,Mauro,MD
Cavite City
CYBERCARE HEALTHCARE PROVIDER
NO. 57 DON JUICO SUBDIVISION, BRGY.
Professional ANUNAS, ANGESLES CITY
PAMPANGA
Denied
Denied
Denied
Denied
WPS Provider
NO. 1900 BURGOS STREET, ANGELES
PAMPANGA
Professional CITY
Pangasinan
Denied
Denied
Denied
MANDURRIAO STAR INC
MANGAOIL,JAMES,E,MD
DAVAO CITY
Denied
MANGAOIL,LESLEY,J,MD
ST. DOMINIC MEDICAL CENTER, GEN. E.
Professional AGUINALDO HIGHWAY, BACOOR
RM 307 J AND F BLDG Felix Av
Professional Q PLAZA COMPLEX CAINTA
KARANGALAN VIL PH 2 IMELDA AV UN 1 2
Professional FL SAIYO COML BLDG
LIONG FOUNDATION AND MEDICAL
DAVAO CITY
Denied
CAVITE
Denied
RIZAL 1900
SAN ISIDRO
CAINTA
Denied
RIZAL
Denied
PAMPANGA
Denied
MANGASER,ARLYNN,MD
MANGOBA, HILARIO JOHN R., MD
MANGOBA, HILARIO JOHN R., MD
MANGONDATO,ZAINAB,B,MD
MANGUBAT, LEONARDO R., MD
MANGUBAT, LUISA V.TORRALBA
MD
MANICDAO, JAHZIEL E., MD
Maniego Atienza,Ma Isabel,MD
Institutional
Denied
ROOM 244 MEDICAL CENTER MANILA, NO.
1122 GEN. LUNA STREET CORNER U.N.
MANILA
Denied
ROOM 722 MEDICAL OFFICE
BUILDING,ASIAN HOSPITAL AND MEDICAL
CENTER, CIVIC DRIVE FILINVEST
MUNTINLUPA
CITY
PAMPANGA
Professional STO. ENTIERRO STREET, STO. CRISTO,
Denied
Denied
Quezon City
Denied
GLOBAL CITY
Denied
RIZAL
Denied
MANILA
Denied
MANILA, CARMEL
Professional Pinyahan Diliman 28 Matatag St
3RD FLR MARKET MARKET FORT
Professional BONIFACIO
Professional ROAD
SUITE 07, MEZZANINE, MANILA MEDICAL
CENTER, NO. 1122 GEN. LUNA STREET,
Institutional ERMITA
OUR LADY OF PURIFICATION DOCTORS
Professional HOSPITAL, RIZAL STREET, BINMALEY
PANGASINAN
Denied
MANILA, CARMEL M., MD
Professional MAYOMBO DISTRICT, DAGUPAN CITY
PANGASINAN
Denied
MANILA DERMATOLOGY CLINIC
MANILA EAST MEDICAL CENTER
MANILA OB-GYNE AND CANCER
DIAGNOSTIC CLINIC
MANINGS LACE CORPORATION
Institutional
433 435 EVANGELISTA STREET, QUIAPO
MANILA
Denied
Maniulit
Institutional
958 Henson St
Angeles City
Denied
MANRIQUE,EDUARDO,P,MD
Mansaang,Janice,MD
MANSON DRUG DAU BRANCH
MANSON, ANDREA MD
MANSUETO, WILLIAM S., MD
MANTUPAR DRUG STORE
MANUEL, JOSE IGNACIO MD
10/9/2006
Professional Klinika Jonse Laboratory Smen Osmena Blvd Cebu City
PAMPANGA
PAMPANGA
MANGASER,ARLYNN,D
Status and Workflow
Owner - KD
No Activity
4/10/2004 Hold (>2yr)
WPS Provider
Denied
MANGASER, MA. ARLENE MD
10/9/2006
Denied
MISAMIS
ORIENTAL
MANDIGAL, REYMUNDO C. MD
No Activity
11/29/2005 Hold (>2yr)
PHILIPPINE HEART CENTER ASIA BLDG
Professional EAST AVE DILIMAN
Professional MC ARTHUR HI WAY
QUEZON CITY
Denied
Pangasinan
DAU
PAMPANGA
Denied
PANGASINAN
Denied
SKIN/MEDICAL CLINIC ROOM 101 OSMENA
(ANNEX) BUILDING PELAEZ STREET,
CEBU
SAN PABLO
CITY
Professional MABINI ST
Professional NO. 1342 PAZ STREET,
MANILA
Page 64
Denied
Denied
Denied
Denied
7/6/2009
Status and Workflow
Owner - KD
PAMPANGA
NATIONAL HIGHWAY,CUGMAN, CAGAYAN
DE ORO CITY
Professional 4163 RIZAL STREET EXTENSION,
SM CITY MARIKINA MARCOS HWY
Professional KALUMPANG
MANDAUE FOAM INDUSTRIES
10/19/2009
5/7/2010
Status and Workflow
Owner - KD
10/16/2006
No Activity
9/28/2006 Hold (>2yr)
WPS Provider
No Activity
8/29/2005 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
9/29/2009
Status and Workflow
Owner - KD
9/26/2005
ADDED DENIED DATE
ON WPS
6/15/2010
9/22/2010
6/23/2010
6/23/2010
11/03/2006
11/20/2006
3/15/2011
ADDED DENIED DATE
6/9/2011
2/19/2011
WPS Provider
WPS Provider
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
WPS Provider
4/27/2006 File Updated 04/27/2006
No Activity
8/29/2005 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
9/25/2006
1/30/2006
5/7/2010
already updated
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
9/7/2009
Status and Workflow
Owner - KD
1/17/2011
8/9/2010
1/8/2007
7/28/2008
10/17/2005
6/3/2006
12/30/2009
none
Corrected provider
address.
7/1/2011
9/29/2009
ADDED DENIED DATE
6/13/2011
08/13/2008
Status and Workflow
Owner - KD
No Activity
11/21/2005 Hold (>2yr)
WPS Provider
No Activity
9/25/2006 Hold (>2yr)
5/19/2011
Status and Workflow
Owner - KD
WPS Provider
8/1/2006 File Updated 08/01/2006
WPS Provider
7/10/2008 File Updated 07/10/2008
WPS Provider
5/12/2005 File Updated 05/12/2005
No Activity
2/22/2006 Hold (>2yr)
WPS Provider
IntlSOS
Update
4/18/2011 Complete
WPS Provider
WPS Provider
WPS Provider
2/19/2011
9/8/2008
1/16/2006
6/4/2010
Status and Workflow
Owner - KD
11/20/2006
MANUEL, VICTORIA G., MD
MAPALO DENTAL CLINIC
MARAGANDON MEDICAL
LABORATORY
MARANAN, WILLIAM A., MD
MARASIGAN, IMELDA MD
MARASIGAN, SIMEON M., MD
MARBELLA, JULIE ANN B., MD
TRISERVE HEALTHCARE, SUITE 817
Institutional
NATIONAL HIGHWAY, SAN ROQUE
CASTILLEJOS
4ROOM 2007 MEDICAL ARTS BUILDING,
NO. 40 BAYANBAYANAN AVENUE,
CONCEPCION,
1332 1336 TAFT AVE ERMITA WEST EAST
CENTER
SAN JUAN DE DIOS HOSPITAL 2772 2774
ROXAS BLVD
MARCELINO, DOMINADOR E., MD
Professional
MARCELINO,MERCEDITA,F,MD
Professional
MARCELO, JUDY H., RN
Professional
MARCIAL,PAULETTE,V
Professional
MARCIAL,ROEL TITO,A,MD
Professional 62 MARIA CLARA STA ANA TAYTAY
14421 PATOK ASSNAGPAYONG,
Professional BARANGAY PINAGBUHATAN
MARIBEL DAVID-PINLAC MEDICAL
CLINIC
MARIE ADRIANNE G MABANTA
SALUNGA PEDIATRIC CLINIC
MARIKINA COMPUTED
TOMOGRAPHY SCAN CENTER
MARO POLYCLINIC
MARQUEZ, RAYMOND MD
Professional 15 20TH ST WEST BAJAC BAJAC
Institutional
SANGI, TABUNOK, TALISAY CITY
NATIONAL HIGHWAY, STA.CRUZ
Institutional
Marquez,Victoria,C,MD
Professional Rm 201 Med Cen Imus Palico Iv Imus
MARSMAN DRYSDALE
MED.PROD.,INC.
PAMPANGA
Denied
Denied
Denied
Denied
Denied
Denied
ALBAY
Denied
MANILA
Denied
MANILA
Denied
RIZAL
Denied
PASAY CITY
Denied
RIZAL
Denied
PASIG CITY
OLONGAPO
CITY 2200
Denied
CEBU
Denied
Denied
49-B RUE DE PAREE ST., L&S
SUBDIVISION, ANGELES CITY
PAMPANGA
Denied
UNIT F JMS BLDG STA JULIANA ST
ANGELES CITY Denied
Professional SALAPUNGAN
GROUND FLOOR, MARIKINA ORTHOPEDIC
Professional CLINIC, STO. NINO
Marquez,Raymundo,P,JR,MD
MARQUEZ, VICTORIA C., MD
MANILA
Denied
Institutional
ROOM 201, MEDICAL CENTER IMUS,
Professional PALICO IV, IMUS
Panama Medical Center Sto Entierro St Sto
Professional Cristo
MARQUEZ, RODEL RAYMOND MD
ZAMBALES
CAVITE
Institutional POBLACION 1-B, MARAGONDON
QUEZON CITY
Professional TERRACES, NO. 638 TM KALAW STREET, MANILA
ROOM 6 CORNELIO BUILDING, RIZAL
MARCAYDA MACEDA, MARIVIC MD Professional STREET, DARAGA
1332 1336 TAFT AVE ERMITA WEST EAST
MARCELINO SKIN CLINIC
Professional CENTER
MARCITO, MARY JEAN RN
MARIA AGNES SORIANO DRUG
STORE
MARIA VILMA G. PESA MULTI
SPECIALTY CLINIC
QUEZON CITY
Denied
CAVITE
Denied
Angeles City
Denied
Cavite
Denied
Denied
Martinez Dental Clinic
Professional 4806 Marlim Ave Diamond Subd Balibago
Angeles City
Denied
MAKATI CITY
Denied
PASIG CITY
Denied
CALOOCAN
198 A MABINI ST, MAYPAJO ST
CITY
Denied
Professional BUILDING, GIL FERNANDO AVENUE, SAN MARIKINA CITY Denied
Page 65
5/12/2008
1/20/2010
No Activity
1/15/2007 Hold (>2yr)
Status and Workflow
Owner - KD
4/30/2007
No Activity
4/27/2007 Hold (>2yr)
Status and Workflow
Owner - KD
5/7/2007
No Activity
Status and Workflow
Hold
(>2yr)
Owner - KD
8/7/2006
No Activity
Status and Workflow
Hold
(>2yr)
Owner - KD
8/11/2006
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
11/11/2002
2/23/2011
9/14/2006
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
03/10/2008
ADDED DENIED DATE
06/29/2006
No Activity
Status and Workflow
Hold (>2yr)
Owner - KD
File Updated ON WPS
WPS Provider
WPS Provider
WPS Provider
3/14/2005 File Updated 03/14/2005
Manila
MARTINEZ, GREGORIO JR. S., MD
WPS Provider added denied date
Denied
MARTINEZ, GILDA G., MD
WPS Provider
12/17/2007 File Updated 12/17/2007
PAMPANGA
Marte,Vicente Sandy,MD
Institutional
No Activity
6/21/2005 Hold (>2yr)
Status and Workflow
Owner - KD
10/24/2005
1/12/2006
MARTE, VICENTE SANDY MD
MARTINEZ MEMORIAL HOSPITAL
No Activity
10/31/2005 Hold (>2yr)
Denied
PAMPANGA
2/18/2008
Status and Workflow
Owner - KD
12/19/2005
ZAMBALES
2231 MOLAVE ROAD CHINO ROCES
AVENUE
Institutional
WPS Provider
12/26/2007 File Updated 12/26/2007
Status and Workflow
Owner - KD
No Activity
4/7/2005 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
No Activity
9/9/2005 Hold (>2yr)
5/16/2011
9/18/2006
5/16/2011
2/19/2011
1/10/2011
2/18/2011
3/24/2008
6/6/2011
7/24/2006
1/31/2005
5/12/2011
3/8/2010
1/30/2006
7/30/2007
7/23/2007
5/25/2010
3/26/2010
5/25/2010
Status and Workflow
Owner - KD
10/24/2005
WPS Provider
4/28/2008 File Updated 04/28/2008
WPS Provider
WPS Provider
No Activity
4/18/2005 Hold (>2yr)
9/25/2006
Status and Workflow
Owner - KD
6/2/2008
5/25/2009
12/5/2009
6/18/2007
WPS Provider
6/16/2008 File Updated 06/16/2008
8/18/2008
4/16/2011
MARTINEZ, GREGORIO MD
MARTINEZ, GREGORIO MD
MARTINEZ, J ANTHONY C. MD
PASIG CITY
PASIG CITY
GROUND FLOOR, DRIVE NO. 3, BACOLOD
MEDICAL SPECIALISTS CLINIC, FB
NEGROS
OCCIDENTAL
Professional SARABIA ST. , BACOLOD CITY
MARTINEZ, JONADAV A., MD
PROVIDENT VILLAGE, 62-B MELBOURNE
Professional STREET
MARTINEZ, JOSE MARIA MD
MARTINEZ, MARDAVE S., MD
Denied
WPS Provider
6/18/2008 File Updated 06/18/2008
8/4/2008
Denied
WPS Provider
7/23/2008 File Updated 07/23/2008
8/11/2008
Denied
PAMPANGA
Denied
LA UNION
Denied
ZAMBALES
MUNTINLUPA
CITY
Denied
MANILA
Denied
MARTINEZ, RICARDO MD
Professional NO.009 LUCERO SAN FERNANDO CITY
ST. JUDE FAMILY HOSPITAL, NO. 62 18
STREET, EAST BAJAC-BAJAC,
MARTIRES,VICENTE
MARY JOHNSTON HOSPITAL
Matain Prime Health Med & Surgical
Clinic
Institutional
Professional 74 National Hi Way Matain
Subic Zambales Denied
Mater Dei Medical Specialty Clinic
Angeles City
Denied
MATIGA, GENEROSO T., MD
Professional 414 B Rizal Ext Sto Rosario
PERPETUAL SUCCOUR HOSPITAL,
Professional GORORDO AVENUE, LAHUG, CEBU CITY
CEBU
Denied
Matildo Chu,Pamela,C,MD
Professional Rm D 3rd Flr Anita Bldg 66 Session Rd
Baguio City
Denied
1221 JUAN NOLASCO ST. TONDO
Denied
No Activity
5/19/2003 Hold (>2yr)
Status and Workflow
Owner - KD
6/6/2005
No Activity
9/7/2005 Hold (>2yr)
Status and Workflow
Owner - KD
9/18/2006
Status and Workflow
Owner - KD
4/9/2007
No Activity
7/3/2005 Hold (>2yr)
WPS Provider
11/2/2005 File Updated 11/02/2005
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
02/02/2009
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
6/19/2006
9/29/2009
Status and Workflow
Owner - KD
6/25/2007
MAYORMITA, MARLEEN
Denied
WPS Provider
8/27/2008 File Updated 09/03/2008
MB REYES MEDICAL LABORATORY Professional P. BURGOS AVENUE, CAVITE CITY
MCDONALD MEDICAL & LYING IN
1A INDIANA STREET, LOWER KALAKLAN,
CENTER
MCG DERM CENTER PHILS
MCU FDT MEDICAL FOUNDATION
HOSPITAL
Professional 205 FEMAR BLDG ML QUEZON ST
MCV LPG DISTRIBUTORS
Professional SAN JUAN SAN ANTONIO
NO. 1992 AFC BLDG MCRTHUR HIWAY
Professional ORER DON GUECO STREET BALIBAGO
Manila Doctors Hospital United Nationa Ave
Professional Ermita
MD LABS INC.
Professional MCU COMPOUND, EDSA
Institutional
Denied
CAVITE
Denied
ZAMBALES
Denied
ANTIPOLO CITY Denied
CALOOCAN
CITY
Denied
MDH Special Nurses Foundation Inc
MED CHECK CLINIC & DIAGNOSTIC
INC.
Professional 64 WEST AVENUE, WEST TRIANGLE
MED EL ENTERPRISES
PAMPANGA
NO. 73K PANAY AVENUE
3/29/2011
PAMPANGA
Denied
5/4/2006
Manila
Denied
7/13/2009
QUEZON CITY
Denied
5/19/2008
MEDECIA MED INC
MEDEV MEDICAL DEVICES
CORPORATION
MEDI CENTRO CLINIC
LABORATORY AND PHARMACY
PAMPANGA
PARANAQUE
Professional 8428 DR A SANTOS AVE BRGY BF HOMES CITY
Denied
Professional BLK I LOT II VILLA APOLONIA NAIC
G F STAR MAIL LAS PINAS CV STAR AVE
Professional PHILAMLIFE VILLAGE
Denied
Institutional
MEDICAL & CHILDREN'S CLINIC
Institutional
MEDICAL AND DENTAL CARE
CENTER
Institutional
MEDICAL AND SKIN CLINIC
MEDICAL CENTER IMUS
PHARMACY
Institutional
Medical City Dagupan Inc
Institutional
LA UNION
Denied
Institutional
MEDIC WORLD MEDICLINIC AND
DIAGNOSTICS
CAVITE
29 G/F PLAZA ROMANA BLDG., DAU,
MABALACAT
NO. 61 SILIMAN AVENUE, DUMAGUETE
CITY
Professional DIVERSION ROAD PALICO IV
A B Fernandez Ave East
Denied
Denied
5TH FLOOR BUILDING A, SM MEGAMALL,
JULIO VARGAS STREET
NO. 650 GEMINI STREET, REYNA
SUBDIVISION, FATIMA VILLAGE,
12/15/2008
Denied
MED OPTIONS DRUG
MEDIC PULSE INC
No Activity
9/1/2006 Hold (>2yr)
WPS Provider
4/28/2008 File Updated 04/28/2008
WPS Provider
10/27/2008 File Updated 10/27/2008
ZAMBALES
QUEZON CITY
DIVERSION ROAD, BIDAY
MOLAVE ST AGUAS SUBD MANIBAUG
Professional PORAC
Status and Workflow
Owner - KD
12/8/2010
MANDALUYON
G CITY
Denied
LEYTE
Denied
PAMPANGA
NEGROS
ORIENTAL
Denied
IMUS CAVITE
Denied
Dagupan City
Denied
Page 66
Denied
ADDED DENIED DATE
ON WPS. ADDED
WPS Provider DENIED DATE IN FIELD
File Updated PER LAST COMMENTS
WPS Provider
File Updated ON WPS
File Updated ON WPS
WPS Provider
File Updated
WPS Provider
No Activity
8/29/2005 Hold (>2yr)
No Activity
1/18/2006 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
6/1/2011
02/16/2006
No Activity
5/30/2006 Hold (>2yr)
Professional PLAZANG LUMA, ARAYAT
8/9/2010
11/21/2009
Denied
MAYRINA, CLARISA V., MD
3/23/2009
10/28/2009
MAXIMO CABANERO CRUTCHES &
SURGICAL SUPPLY
Institutional
NO. 2 TIRAD PASS STREET
QUEZON CITY
ZAMBALES DOCTORS' CLINICS, G/F RHOI
BUILDING, NATIONAL HIGHWAY,
ZAMBALES
Professional PALANGINAN, IBA,
6/2/2006
Status and Workflow
Owner - KD
Status and Workflow
Owner - KD
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
Status and Workflow
Owner - KD
No Activity
8/15/2005 Hold (>2yr)
WPS Provider
5/24/2007 File Updated 05/24/2007
9/29/2008
9/25/2006
5/26/2008
3/16/2009
2/28/2011
7/2/2010
5/19/2011
7/26/2010
8/3/2009
8/18/2008
2/12/2007
8/7/2006
7/22/2010
1/17/2011
9/6/2010
4/26/2011
9/19/2005
7/2/2007
Status and Workflow
Owner - KD
11/22/2004
No Activity
Hold (>2yr)
WPS Provider
7/24/2006 File Updated 07/24/2006
WPS Provider
WPS Provider
7/7/2008
6/9/2011
12/22/2009
MEDICAL CLINIC
MEDICAL CLINIC
MEDICAL CLINIC & LABORATORY
MEDICAL CONSULTANCY
SERVICES
MEDICAL DENTAL DIAGNOSTIC
SURGICAL CLINIC
ROOM 29 DIVINE WORD UNIVERSITY,
AVENIDA VETERANOS, TACLOBAN CITY
LEYTE
Denied
ZAMBALES
Denied
ILOILO
Professional 14 TUPAS STREET, TIGBAUAN,
RIZAL AVENUE, NEW ASINAN, OLONGAPO
ZAMBALES
Professional CITY
Denied
Institutional
NEW MARKET, BO.BURGOS, MONCADA
428 DR. A. SANTOS AVENUE, BRGY. BF
MEDICAL DEVICES CORPORATION Professional HOMES
MEDICAL MISSION GROUP HOSP
AND HEALTH
Institutional BINTAWAN RD CORNER MABINI ST
MEDICAL SERVICES OF AMERICA
PHILIPPINE BRANCH TAPUAC DISTRICT,
INC.
MEDICAL SERVICES OF AMERICA
3RD FLOOR BUILDING, 118 WEST
INC. - PHILIPPINE BRANCH
Professional AVENUE, PHILAM HOMES 1, QUEZON CITY
MEDICAL SPECIALIST CLINIC
Institutional
Institutional
MEDICAL SPECIALIST CLINIC, INC. Institutional
MEDICAL SUPPLIES AND
EQUIPMENT
Institutional
Medical Visions Inc
Institutional
Denied
1/3/2004
Denied
3/31/2008
QUEZON
Denied
4/15/2011
PANGASINAN
Denied
12/9/2005
QUEZON CITY
Denied
10/11/2005
MANILA
Denied
Denied
Denied
Denied
MEDICARD PHILIPPINES INC.
MEDICUS AMBULATORY HEALTH
CENTER
2276 P Tamo Ext W5 Narra Bldg
Makati City
9 F SAGITTARIUS BUILDING, HV DELA
MAKATI CITY
Professional COSTA STREET, SALCEDO VILLAGE,
CONDON CLINICS MONDURRIAO 8TH FLR
ILOILO CITY
Institutional HEALTH PARTNERS
Medifaith Medical Enterprise
Professional L39 Diamond St Cecilia Village Moonwalk
Denied
MEDILINKS POLYCLINIC
Medina Urology Clinic
Medina,Elmer John,MD
MEDINA,MARIANNE,E
MEDISPA SKIN CLINIC AND SPA
MEDPLUS MGT CLINIC INC.
Paranaque City
ROOM 308, 3RD FLOOR, J & F BUILDING, QProfessional PLAZA COMPLEX, FELIX AVENUE, CAINTA RIZAL
RM 308 J AND F BLDG Q PLAZA COMPLEX
RIZAL
Professional FELIX AVE CAINTA
RM 308 J & f BLDG Q PLAZA COMPLEX
RIZAL
Professional FELIX AVE CAINTA
IMELDA AVENUE KARANGALAN PH2A UN 1
CAINTA RIZAL
Professional 2 FL SAIYO COML BLDG
MEJIA, AGNES D., MD
Denied
Denied
Denied
Rizal
Denied
7/6/2009
Professional STA CRUZ 1477 RIZAL AVE
309 VICMAR BLDG DIAMOND SERVICE
Professional ROAD
MANILA
Denied
BALIBAGO
ANGELES CITY Denied
10/28/2010
RIZAL BOULEVARD BARANGAY LABAS,
STA.ROSA CITY
QUEZON CITY
LAGUNA
Page 67
Denied
Denied
Denied
Denied
Denied
Denied
Denied
2/8/2011
4/20/2009
4/28/2008
4/27/2010
5/25/2009
4/28/2008
6/29/2011
8/2/2010
3/11/2010
6/13/2005
7/4/2005
added denied date on pds 10/26/2009
WPS Provider
WPS Provider
WPS Provider
3/20/2006
Status and Workflow
Owner - KD
11/21/2005
03/09/2009
ADDED DENIED DATE
ON WPS
please put denied date in
WPS Pending denial date filed on
4/20/2009 Review/Action sharepoint
7/22/2009
Professional Rm 202 Cecilio Borromeo Bldg Gov M Roa St Cebu City
STA CRUZ
Professional UNIT B INMED BLDG B2241 L 2F RIZAL AVE MANILA
2ND FLOOR PLAZA MILAGROSA
DAVAO DEL
Professional BUILDING, MALVAR STREET, DAVAO CITY SUR
OLONGAPO
CITY
Professional 67 18TH EAST BAJAC BAJAC
UNIT 229 CHARLIE BUILDING SUBIC INTL
SUBIC BAY
Professional HOTEL COMPLEX
RIZAL
SUITE 608 MEDICAL ARTS BUILDING
QUEZON CITY
Professional AVENUE, DILIMAN,
MEGUIZO, DONALD JUDE U., MD
Denied
No Activity
6/7/2005 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
Denied
Medserve Healthcare Clinic
MEGATSAI
Denied
No Activity
4/7/2003 Hold (>2yr)
WPS Provider
Bataan
Institutional
MEDWORTH HEALTHLINK CLINIC
MEGA 8 DRUGSTORE AND
GENERAL MERCHANDISE
Denied
Sending back to verify if
the provider should be
denied or certified. Needs
WPS Pending to have one of the dates
Review/Action deleted
WPS Provider
WPS Provider
File Updated ON WPS
WPS Provider
Status and Workflow
Owner - KD
Professional Gen Capinpin St San Jose Balanga City
MEDS 4 U PHARMACY
MEDTEAM MEDICAL SUPPLY
WPS Provider
TARLAC
PARANAQUE
CITY
NO.20-C 11th ST. NEW MANILA
QUEZON CITY
ROOM 309, DR. AMADO GARCIA MEDICAL
CENTER, NO.648 RIZAL ST., ANGELES
PAMPANGA
1366 RIZAL AVENUE STA CRUZ
Denied
WPS Provider
11/22/2005 File Updated 11/22/2005
WPS Provider
2/4/2009 File Updated 02/04/2009
WPS Provider
12/18/2007 File Updated 12/18/2007
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
4/27/2009
9/21/2010
Cardiology;#D
ermatology;#E
ar, Nose and
Throat
(ENT);#Gastro
enterology;#In
ternal
Medicine;#Ne
phrology;#Obs
tetrics &
Gynecology;#
Ophthalmolog
11/15/2010 y;#Physical
Cardiology;#D
ermatology;#
Gastroenterol
ogy;#Internal
Medicine;#Ne
phrology;#Oph
11/15/2010 thalmology;#S
11/15/2010
6/9/2011
added Balanga City to
address,updated city to
bataan,certification status
to denied,added denied dt
WPS Provider and denial reason code to
File Updated unable to locate provider.
8/10/2009
WPS Provider
File Updated
File Updated ON WPS
11/22/2010
File Updated ON WPS
4/28/2011
WPS Provider Removed certification
3/27/2007 File Updated date, providers denied
No Activity
1/9/2006 Hold (>2yr)
IntlSOS
Update
7/22/2009 Complete
WPS Provider
WPS Provider
WPS Provider
WPS Provider
Status and Workflow
Owner - KD
None
ADDED DENIED DATE
ON WPS
12/22/2008
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
Denied
Denied
WPS Provider
8/27/2007 File Updated 08/27/2007
10/7/2009
2/13/2006
7/10/2011
12/13/2010
1/12/2009
9/21/2010
1/10/2011
2/19/2011
12/17/2007
MELJOYCE ENTERPRISES
Institutional
MENCIAS,RAYMOND,C,MD
MENDEZ MEDICAL GROUP
MENDEZ MEDICAL GROUP
WEIGHTLESS CENTER
Professional A B FERNANDEZ B BRGY PANTAL
LIGF SM CITY ANNEX BARANGAY SAN
Institutional JOSE, CITY OF SAN FERNANDO
NATIONAL HIGHWAY, PUROK 6, MATAIN,
Institutional SUBIC
MENDIOLA, EDGAR J., M.D.
MUNTINLUPA
CITY
Denied
Mendoza Aguilar Clinic & Drug Store
Professional Bacood Sta Mesa 3583 Libiran St
Manila
Denied
Mendoza Aguilar,Eda
Professional Bacood Sta Mesa 3583 Libiran St
Denied
Mendoza Skin Clinic
Professional 919 New Antipolo St
2ND FLOOR SAVERS MALL, MAC ARTHUR
25 MEZZANINE MEDICAL CENTER MANILA,
Professional 1122 GEN. LUNA STREET, PACO
Manila
Gagalangin
Tondo
ZAMBALES
Denied
PAMPANGA
Denied
MANILA
Denied
MENDOZA, ARTURO MD
MENDOZA, BYRONE G., MD
MENDOZA, CAESAR L., MD
MENDOZA, FE V., MD
MENDOZA, HADRIAN MARIA M.D.
MENDOZA, ISIDORO II P., MD
MENDOZA, LORNA A., MD
MENDOZA, MA. LORETA, M.D.
MENDOZA, MICHAEL M., MD
MENDOZA, NORMAN N., MD
MENDOZA, RAMON L.
MENDOZA, ROBERTO S., MD
MENDOZA, VICTOR L., MD
MENDOZA,BERNABE,P,MD
Mendoza,Christian
MENDOZA-CALDERON, GRACE I.,
DMD
MENDOZA-REYES, TERESITA MD
MENESES, MELODY B., PT
NO. 132 NAGUILIAN ROAD
BAGUIO CITY
Denied
5/4/2006
DAGUPAN CITY Denied
7/21/2010
PAMPANGA
Denied
3/28/2005
ZAMBALES
Denied
4/3/2007
QUEZON CITY
PAMPANGA
DIVINE MERCY HOSPITAL, AMANTE
LAGUNA
Professional SUBDIVISION, SAN PEDRO
QUEZON CITY
OUR LADY OF THE PILAR MEDICAL
CENTER, TAMSUI AVENUE, BAYAN LUMA,
CAVITE
Professional IMUS
NO. 1694 EVANGELISTA CORNER GEN.
Professional HIZON STREET, BANGKAL
47F XAVIERVILLE AVENUE, LOYAL
DLSU HEALTH SCIENCES CAMPUS,
Professional DASMARINAS
RM 209 MATERNITY CHILDRENS
Professional HOSPITAL J GAERLAND ST
Cardinal Santos Hosp and Perso Wilson St
Professional Green Hills San
ROOM 209, 2ND FLOOR NORTHPOINT
BUILDING, BS AQUINO DRIVE, BACOLOD
Professional CITY,
GROUND FLOOR MEDICAL CENTRUM
DAGUPAN, AB FERNANDEZ EAST,
DAGUPAN CITY
STREET, OSMENA BOULEVARD, CEBU
Brgy Mayamot Antiop
NO.10-B 23RD ST,WEST BAJAC-BAJAC,
OLONGAPO CITY
MENESES, MELODY B., PT
Professional
MENESES, WARREN B., MD
Professional
MENGUITO, EDWIN MD
Professional
Mequizo,Donald,MD
Professional
MERCADO MEDICAL CLINIC
Institutional
MERCADO, JOHN B., MD
Professional
MERCADO, LISA A., MD
Professional 56 QUEZON AVENUE, LUCENA CITY
No Activity
5/3/2004 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
Status and Workflow
Owner - KD
5/7/2007
5/25/2009
10/26/2009
WPS Provider
3/16/2009 File Updated 03/16/2009
WPS Provider
11/5/2008 File Updated 11/05/2008
WPS Provider
11/3/2008 File Updated 11/03/2008
5/4/2009
1/26/2009
12/22/2008
4/16/2011
Status and Workflow
Owner - KD
9/4/2006
Denied
WPS Provider
5/7/2010
Denied
No Activity
6/23/2005 Hold (>2yr)
Status and Workflow
Owner - KD
7/25/2005
Denied
WPS Provider
3/29/2010
Denied
Status and Workflow
Owner - KD
4/2/2007
Status and Workflow
Owner - KD
3/19/2007
Denied
No Activity
10/5/2004 Hold (>2yr)
No Activity
6/1/2006 Hold (>2yr)
MAKATI CITY
Denied
QUEZON CITY
Denied
No Activity
1/4/2007 Hold (>2yr)
WPS Provider
1/21/2009 File Updated 01/21/2009
CAMARINES
SUR
Denied
CAVITE
CAGAYAN DE
ORO CITY
Denied
Manila
Denied
NEGROS
OCCIDENTAL
Professional BARANGAY 76 SAN RAFAEL DISTRICT
GROUND FLOOR MEDICAL CENTRUM
DAGUPAN, AB FERNANDEZ EAST,
Denied
No Activity
Status and Workflow
Hold (>2yr)
Owner - KD
6/5/2006
File Updated ON WPS
10/15/2010
WPS Provider
File Updated 28-03-05
3/12/2007
WPS Provider
4/23/2007
Denied
Denied
No Activity
Status and Workflow
Owner - KD
10/26/2006 Hold (>2yr)
No Activity
10/14/2005 Hold (>2yr)
2/9/2009
1/24/2011
1/29/2007
3/22/2011
5/4/2010
Status and Workflow
Owner - KD
11/19/2007
PASAY CITY
Denied
per excel spreadsheet has
provider certified as of 11WPS Pending 2-09 need to verify if
8/29/2005 Review/Action correct
11/21/2005
PANGASINAN
Denied
WPS Provider
6/11/2007 File Updated 02/13/2007
Status and Workflow
Owner - KD
3/9/2009
5/7/2010
PANGASINAN
Denied
No Activity
6/11/2007 Hold (>2yr)
PAMPANGA
Denied
WPS Provider
CEBU
Denied
Rizal
Denied
ZAMBALES
Denied
PAMPANGA
Denied
QUEZON
Denied
Page 68
3/9/2009
WPS Provider
7/7/2008 File Updated 07/07/2008
WPS Provider
File Updated
WPS Provider
WPS Provider
6/17/2005 File Updated 06/17/2005
9/1/2008
10/26/2009
4/10/2004
5/7/2010
1/8/2005
MERCADO,EDUARDO R MD
Mercado,Randy,S,MD
MERCADO,RANDY,S,MD
MERCADOS MEDICAL CLINIC
MERCEDES MEDICAL CENTER
Mercedes Medical Center
MERCEDITA AMANSEC DIABETES
EDU AND TRMT CLINIC BRANCH 1
MERCURY DRUG CORPORATIONTUGUEGARAO CITY BRANCH
MERRELL DRUG
METRO ANGELES CITY
SUPERMARKET
SAN JUAN,
Professional SUITE 246-248, NEW MEDICAL ARTS BLDG METRO MANILA Denied
C O Health Assoc Inc St Lukes 279 E
Quezon City
Professional Rodriguez Sr Blvd
Denied
Professional S623A MAB PHIL HEART CTR E AVE
UNIT 2 P. PATERNO STREET, CARIDAD,
Institutional CAVITE CITY
76 STO. ENTIERRO STREET, STO.
Institutional CRISTO, ANGELES CITY
QUEZON CITY
Denied
10/6/2010
CAVITE
Denied
7/21/2006
PAMPANGA
Denied
6/8/2006
Professional 76 Sto Entierro St., Sto Cristo, Angeles City
Pampanga
Denied
1/12/2010
Professional RM 211 AUFMC LOURDES SUR EAST
ANGELES CITY Denied
3/30/2011
Institutional
GONZAGA STREET, TUGUEGARAO CITY
CAGAYAN
MILAY, ARNEL G., MD
Denied
NO.106 SAMPAGUITA, POBLACION,
MAPANDAN
PANGASINAN
Denied
DON BONIGACIO ST PULUNG MARIGOL G
ANGELES CITY Denied
Professional F MARQUEE MALL
Institutional
Metro Luzon Kidney & Dialysis Ctr Inc Professional Gobel Bldg San Ramon Dinalupihan
METROPOLITAN PSYCHOLOGICAL
F II MAKATI MEDICAL CENTER 2
CORP
NO.9 PERIMETER STREET ASINAN,
MG BOTICA 24 HOURS
VELEZ CORNER NACALABAN STREETS,
MICROSTAR DIAGNOSTIC CENTER Professional CAGAYAN DE ORO CITY
MICROTECH DIAGNOSTIC
LABORATORY XRAY AND ECG F
Professional OGN 11 BLDG PARIAN MEXICO
MID EAST SCIENTIFIC & MEDICAL
MID EAST BUILDING, 2249 PRESIDENT
EQUIPMENT & SERVICES
Professional OSMENA HI-WAY, SAN ANDRES, MALATE
MIGUEL DECENA, MAY CELINE R.,
CENTER - BRANCH, 53 E. RODRIGUEZ,
MD
Miguel Delmer F Calayag Medical
Clinic
Professional P Guevarra St
Barrio Barretto Olongapo City No 87 National
Miguel,Rodrigo,D,Jr,MD
Professional Hwy
MIJARES, DANIEL JACINTO, M.D.
MILAGROSA MEDICAL SURGICAL
CLINIC AND LABORATORY
HANS BUILDING, 285 REAL STREET,
Institutional PAMPLONA
MAKATI CITY
Denied
3/22/2011
ZAMBALES
MISAMIS
ORIENTAL
Denied
12/5/2005
Denied
12/24/2008
PAMPANGA
Denied
3/9/2011
MANILA
Denied
1/15/2008
RIZAL
Denied
Zambales
Denied
MIllar,Francisco Javie,D,MD
Denied
MIRANDA, RONALD MD
Miranda,Ronald,Z,MD
MIRANO, RYAN MD
MISCELLANEOUS DRUG STORE
M-M PHYSICAL THERAPY CLINIC
MMM Medical Clinic
MNS DIAGNOSTIC ULTRASOUND
CLINIC
Modomo Oliveros,Maria Aurea
Ros,L,MD
MODOMO-OLIVEROS, MARIA
AUREA ROSELINE L., MD
6/9/2011
ADDED DENIED DATE
6/9/2011
ADDED DENIED DATE
6/9/2011
ADDED DENIED DATE
6/15/2011
Status and Workflow
Owner - KD
2/11/2008
9/21/2009
No Activity
Status and Workflow
Hold (>2yr)
Owner - KD
4/7/2005
File Updated ON WPS
3/21/2011
WPS Provider
File Updated
12/21/2009
File Updated ON WPS
5/17/2011
WPS Provider
9/1/2006
WPS Provider
3/9/2009
WPS Provider
5/27/2011
WPS Provider
3/3/2008
Denied
Denied
MINA, MARY JOANNE M., MD
ADDED DENIED DATE
Status and Workflow
Owner - KD
CAVITE
10/26/2010
Denied
Sta Cruz Laguna Denied
1/11/2004
no update needed
ADDED DENIED DATE
ON WPS
WPS Provider
WPS Provider
WPS Provider
Pasig City
MILLO, ROMEO B. MD
1/26/2011
9/22/2009
MILLO DENTAL CLINIC AND
LABORATORY
5/12/2003
Denied
MUNTINLUPA
CITY
BLESSED SACRAMENT MEDICAL CLINIC,
Professional 924 IBAYO, SILANGAN, NAIC
No Activity
12/12/2005 Hold (>2yr)
Bataan
Millar,Francisco javie,D
Millar,Javier,D,MD
9/10/2009
No Activity
Hold (>2yr)
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
Status and Workflow
Owner - KD
No Activity
4/12/2004 Hold (>2yr)
WPS Provider
4/26/2005 File Updated 04/26/2005
No Activity
4/16/2008 Hold (>2yr)
Status and Workflow
Owner - KD
Removed certification
date & added in denied
WPS Provider date per certification
11/12/2009 File Updated status has as denied
WPS Provider
12/7/2009
4/19/2010
6/9/2011
5/8/2006
5/23/2005
5/5/2008
12/7/2009
11/12/2009
Denied
WPS Provider updated denied date 8-318/14/2009 File Updated 09 per spreadsheet
8/31/2009
Denied
No Activity
1/25/2005 Hold (>2yr)
Status and Workflow
Owner - KD
4/4/2005
Denied
No Activity
1/25/2005 Hold (>2yr)
Status and Workflow
Owner - KD
4/4/2005
RIZAL
Denied
QUEZON CITY
Denied
Batangas
CALOOCAN
CITY
MOLO ILOILO
CITY
Denied
PANGASINAN
Denied
Professional Narciso St Josefa Subd Malaban
Angeles City
Denied
Professional 555 REAL STREET, BACOOR
CAVITE
Denied
Manila
Denied
Institutional
21-G ELIZALDE STREET, BF HOMES
SUCAT
PARANAQUE
CITY
21-G ELIZALDE STREET, BF HOMES
Professional SUCAT
Sta Francis Cabrini Med Ctr Poblacion 2 Sto
Professional Tomas
MANILA CENTRAL UNIVERSITY HOSPITAL,
Professional EDSA
Professional 888 COR SAN JOSE LOCSIN ST
GROUND FLOOR, MEDICAL CENTRUM
DAGUPAN, A B FERNANDEZ EAST,
Institutional DAGUPAN CITY
PARANAQUE
CITY
PASIG CITY
Page 69
Denied
Denied
Denied
WPS Provider
WPS Provider
No Activity
Hold (>2yr)
WPS Provider
04/07/2008
5/26/2008
10/30/2009
updated due to dup
records
ADDED DENIED DATE
ON WPS
WPS Provider
3/5/2007 File Updated 02/05/2007
WPS Provider
WPS Provider
No Activity
10/6/2008 Hold (>2yr)
Internal
2/19/2011 Medicine
Status and Workflow
Owner - KD
3/14/2005
1/17/2011
3/9/2009
1/22/2010
11/22/2010
5/25/2009
2/2/2009
Moises Lowell E Cacawa Surgical
Clinic
MOJICA, JOSE ALVIN P., MD
Mojica,Dondee Jules,P
Professional 8 C Aguinaldo St East Tapinac
Olongapo City
MANILA DOCTORS HOSPITAL, UN AVENUE
MANILA
Professional ERMITA
Denied
Denied
MOLINA, RENE A., MD
RM 207 NORTE DAME DE CHARTRES
Professional DIAGNOSTIC CENTER
ACCUCARE MEDICAL ASSOCIATE INC., 2/F
DORMITORY BUILDING, DEE HWA LIONG
FOUNDATION MEDICAL CENTER, HENSON
MOLINA, RENE A., MD
PAMPANGA
Denied
MOLINO,CARIDAD,E,MD
Professional
PASIG CITY
Denied
MOLO SUPERMART
Professional ALEJANDRO STREET, MOLO, ILOILO CITY ILOILO
AZARIAH MEDICAL & THERAPY CLINIC,
QUEZON CITY
Professional AVENUE, WEST FAIRVIEW
Denied
BATANGAS
Professional 32 RIZAL STREET, LIPA CITY
ROOM 14 NORTH TOWER CATHEDRAL
MEDICAL CENTER, E. RODRIGUEZ SR.
QUEZON CITY
RIZAL
Professional ROAD
Zamboanga Del
Norte
Professional Sindangan Padre Gomez St
Professional TERRACES, NO. 638 TM KALAW STREET, MANILA
PASIG CITY
MARIKINA CITY
Denied
MOLAS,JERRALYNE,L,DMD
MOLINA, RENE A., MD
MOLINA, RENE A., MD
MOLINA, RENE A., MD
MONA LISA, DAVID G., MD
MONETTE'S PHARMACY
MONTANO, FELICIANO P., MD
MONTANO,CAROLYN,MD
Monteclaro,Rhiza,D,MD
MONTEMAYOR, ELIZABETH MD
MONTEMAYOR, MA NATHALIA MD
MONTEMAYOR, NATHALIA, MD
MONTENEGRO, RENATO R., MD
MONTOYA'S OPTICAL
ROOM 204 PUNZALAN BUILDING,
Professional SANCIANGCO STREET, TONSUYA
Pasig City
Denied
BAGUIO CITY
Denied
WPS Provider
5/7/2010
PAMPANGA
Denied
WPS Provider
10/23/2009
PAMPANGA
Denied
2/19/2011
Denied
2/25/2008
3/29/2010
4/7/2008
5/4/2009
Denied
WPS Provider
10/20/2008 File Updated 10/20/2008
11/3/2008
Denied
4/16/2011
Manila
Denied
Denied
Denied
No Activity
11/28/2005 Hold (>2yr)
Status and Workflow
Owner - KD
5/22/2006
WPS Provider
7/21/2008 File Updated 06/23/2008
WPS Provider
Status and Workflow
Owner - KD
Zambales
Denied
RIZAL
Denied
BAGUIO CITY
Denied
WPS Provider
6/12/2006 File Updated 05/11/2006
MOSCOSO, BERNADETTE MD
MOSTAJO MED
Professional DAANG AMAYA I TANZA SORIANO HI WAY CAVITE
Mostajo,Joven,A,MD
Professional A Sorinao Highway Amaya I Tanza
Cavite
Denied
MOTHER & CHILD CLINIC
MOTHER & CHILD HOSPITAL
PHARMACY
Institutional
75 KESSING STREET, OLONGAPO CITY
76 MT. KANLAON CORNER ELANE
Professional STREET, OLONGAPO CITY
ZAMBALES
Denied
Denied
MOTHER AND CHILD CLINIC
Professional NO 75 MT KAALAON COR ELAN
75 KESSING STREET, NEW ASINAN,
ZAMBALES
OLONGAPO
CITY
ZAMBALES
Denied
Denied
CEBU
Denied
Denied
Denied
2/19/2010
7/16/2007
No Activity
6/10/2009 Hold (>2yr)
WPS Provider
7/16/2009 File Updated already denied as 8-3-09
MANILA
6/16/2011
No Activity
2/14/2006 Hold (>2yr)
Denied
DIVISION OF UROLOGY, PHILIPPINE
GENERAL HOSPITAL, TAFT AVENUE,
Professional MALATE
1/19/2009
Status and Workflow
Owner - KD
Quezon City
Page 70
7/4/2011
WPS Provider
3/16/2009 File Updated 03/16/2009
MOTHER AND CHILD PHARMACY
WPS Provider
WPS Provider
3/26/2008 File Updated 03/26/2008
2/2/2009
Denied
Morales,Gian Carlo,M,PTRP
MORTILLERO LAPITAN, MARIE
CARMELA MD
No Activity
7/10/2006 Hold (>2yr)
IntlSOS
Update
None.
5/3/2011 Complete
WPS Provider
12/17/2007 File Updated 12/17/2007
Denied
Denied
PASIG CITY
Status and Workflow
Owner - KD
WPS Provider
9/8/2008 File Updated 09/08/2008
WPS Provider
WPS Provider
Denied
MORATILLO, JENNIFER C., MD
2/28/2011
Denied
MORALES,ANNA,MD
MORALES,VICTORIA,MD
7/13/2009
PAMPANGA
MORALES, GIAN CARLO M., PTRP
Morales,Vicotira Fresit,M,MD
ADDED DENIED DATE
ON WPS
4/18/2005
5/31/2010
PAMPANGA
Ste 1018 N Twr Chb St Lukes Sr 279 E
Professional Rodriguez Sr Blvd
Professional Hwy
UNIT 211 2ND FLR MOLVINA BLDG
Professional MARCOS HWY MAYAMOT ANTIPOLO
STARS & STRIPES HEALTH CARE
ALLIANCE - ASIA PACIFIC, LOUNGE 1 & 2
NOTRE DAME DE CHARTRES DIAGNOSTIC
Professional CENTER, GEN. LUNA ROAD
WPS Provider
WPS Provider
Status and Workflow
Owner - KD
Denied
NO. 5030 RIZAL STREET, ANGELES CITY
Morales,Jr,M,MD
No Activity
Hold (>2yr)
10/29/2009
PAMPANGA
MALABON CITY Denied
Institutional
WPS Provider
No Activity
10/11/2005 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
Status and Workflow
Owner - KD
03/26/2008
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
03/09/2009
2/2/2009
5/19/2011
5/25/2009
6/29/2009
8/3/2009
7/15/2010
9/1/2008
7/3/2006
9/1/2008
9/7/2010
Internal
9/13/2010 Medicine
4/6/2009
12/22/2008
ADDED DENIED DATE
ON WPS
10/11/2010
updated tax id number
5/18/2009
1/19/2009
MOTHER REGINA HOSPITAL
Institutional
MOTHER SEATON LABORATORY &
BLOOD BANK
Institutional
MOTHER SEATON LABORATORY &
BLOOD BANK
Professional
NO. 2 RUBY ST DONA JUANA
SUBDIVISION
PASIG CITY
CRUZ
CRUZ
Denied
MANILA
Denied
MANILA
Denied
Professional Atis St Hensonville Subd Malabanias
Angeles City
Denied
ALLAREY EXTENSION, LUCENA CITY
VLI MED PLAZA CAPITOL BUS CTR BS
Professional AQUINO DRIVE
2ND FLOOR, MHA BUILDING, HUGHES
Professional STREET, ROXAS CITY
QUEZON
Denied
CAPIZ
Denied
MPI Medical Ctr
Professional Putatan #30 National Rd
Muntinlupa
Denied
Mt Horeb Drug Store
MT. CARMEL DIOCESAN GENERAL
HOSPITAL
MT. CARMEL MEDICAL CLINIC &
EMERGENCY CTR-BR 1
MULTI BEHAVIORAL ASSESSMENT
INC
Professional B10 Tagudin
Ilocos Sur
Denied
QUEZON
Denied
BRGY. WEST DIRITA, SAN ANTONIO
4TH FLR 409 DIORESA PLAZA 1524
Professional DAPITAN SAMPALOC
9 AGUINALDO STREET, NEW ASINAN,
ZAMBALES
Denied
MANILA
Denied
ZAMBALES
Denied
Professional 52 LUCIANO TMC
Denied
MUNGCAL,ARDY,M,RN
Professional 3RD FLOOR SGV BLDG GEN TRIAS
CAVITE
ROSARIO
CAVITE
MABALACAT
PAMPANGA
MUNICIPAL HEALTH OFFICE
Professional BAUANG
LA UNION
Denied
Mother Theresa Womens Clinic
MOUNT CARMEL DIOCESAN
GENERAL HOSPITAL
MP ANALYSIS AND LABORATORY
INC
MPC DASALS DERMATOLOGY
CLINIC
MULTICARE DRUGSTORE
MULTILAB DIAGNOSTIC AND
HEALTH SERVICES
MULTILAB DIAGNOSTIC AND
HEALTH SERVICES
MUNOZ, ARIEL MD
Institutional
Institutional
BACOLOD CITY Denied
ALLAREY EXTENSION, LUCENA CITY
Institutional
ZAMBALES
MUNOZ, FLORANTE M., MD
FEU-NMRF MEDICAL CENTER, DAHLIA
STREET CORNER REGALADO AVENUE,
Professional WEST FAIRVIEW
ROOM 411 FEU-NMRF MEDICAL CENTER,
DAHLIA STREET CORNER REGALADO
Professional AVENUE, WEST FAIRVIEW
Munoz,Suzette,K,MD
Professional Auf Medical Foundation
MUNOZ, FLORANTE M., MD
Denied
Denied
Denied
QUEZON CITY
Denied
QUEZON CITY
Denied
Angeles City
Denied
No Activity
12/23/2002 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
Muntinlupa City
Denied
3/12/2010
PARANAQUE
CITY
Denied
7/25/2006
PAMPANGA
Denied
9/2/2008
PAMPANGA
Denied
6/1/2006
ZAMBALES
Denied
9/8/2010
RM 216 MMC 2 AMORSOLO ST LEGASPI
NABLE RELOZA,MA VERONICA,MD Professional VILLAGE
MAKATI CITY
Denied
6/13/2011
Nablo,Edward,O,MD
Professional San Isisdro Candon
DLSU UNIV MEDICAL CENTER
Professional CONGRESSIONAL RD DASMARINAS
Illocos Sur
Denied
CAVITE CITY
Denied
CAMARINES
SUR
Denied
Professional 214 ARGAO STREET, CANDELARIA
QUEZON
Denied
NAGA PERINATAL CENTER, INC
NAGTALON-FORONDA, RUBY MD
NAIDAS SKIN CLINIC
NAIDAS,OSCAR,MD
Institutional
CORP BLDG CONCEPCION
PEQUENA.,NAGA CITY
Professional AURORA BOULEVARD
ROOM 302 CRISTINA BUILDING II, GEN.
Institutional LUNA STREET, LAOAG CITY
C O HEALTH ASSOC INC ST L 279 E
Professional RODRIGUEZ AVE SR
CAMARINES
SUR
QUEZON CITY
Denied
Denied
Denied
ILOCOS NORTE Denied
QUEZON CITY
Page 71
Denied
ADDED DENIED DATE
6/28/2011
ADDED DENIED DATE
6/22/2011
12/22/2009
ADDED DENIED DATE
ON WPS
4/23/2010
02/17/2006
ADDED DENIED DATE
ON WPS
6/12/2006
06/02/2008
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
6/16/2008
WPS Provider
7/7/2008 File Updated 07/07/2008
WPS Provider added denied date of 10-56/17/2009 File Updated 09 on pds
Muntinlupa Doctors Clinic
Institutional
8/4/2008
2/17/2011
7/5/2010
12/13/2010
4/4/2011
12/10/2010
1/3/2011
2/19/2007
6/10/2009
NAGA DOCTOR'S X-RAY CLINIC
30-05-05 PREVIOUSLY
RECERTIFIED
No Activity
4/17/2006 Hold (>2yr)
Denied
CAMARINES
SUR
2/1/2010
Status and Workflow
Owner - KD
Zambales
PUERICULTURE CENTER BUILDING,
PENAFRANCIA AVENUE, NAGA CITY
2/16/2009
6/6/2005
9/15/2004
NACIONAL, PEDRO A., DMD
NACORDA, CLARO ZIEGFRED C.,
MD
2/16/2009
No Activity
4/20/2005 Hold (>2yr)
Denied
NABLO,TEROME,P,MD
Status and Workflow
Owner - KD
Status and Workflow
Owner - KD
PANGASINAN
38-G EL GRANDE AVENUE CORNER
MW CASA MEDICA CARE STATION Professional CALCUTTA STREET, BF HOMES
2ND FLOOR CLARK AIRPORT CITY T DON
MY DENTIST
Professional JUICO AVENUE BALIBAGO, ANGELES CITY
NO. 35-7 STREET, 2 CARMENVILLE,
MYRNA R. REBLANDO CLINIC
MYRTLES DRUGSTORE AND
SAN MARCELINO, STO DOMINGO SAN
GENERAL MERCHANDISE
Professional GUILLERMO
3/14/2005
No Activity
6/4/2007 Hold (>2yr)
WPS Provider
2/4/2009 File Updated 02/04/2009
WPS Provider
PANGASINAN CENTER FOR FAMILY
MEDICINE, INC. AMADO-TAPUAC,
MUNOZ-BARONA, ROSEMARIE MD Professional DAGUPAN CITY
Munting Kawan Ng Sagrado Corazon
Foundation Inc
Professional Carael Botolan
Professional No 1 National Rd
Status and Workflow
Owner - KD
7/21/2008
10/5/2009
No Activity
Status and Workflow
Hold (>2yr)
Owner - KD
11/29/2004
8/3/2009
WPS Provider
File Updated added denied date on wps 5/24/2010
ADDED DENIED DATE
WPS Provider ON WPS
File Updated
6/21/2010
WPS Provider
10/27/2008
WPS Provider
7/3/2006
File Updated ON WPS
11/15/2010
IntlSOS
Update
Complete
none
WPS Provider
WPS Provider
updated with denied date
8-31-09 per spreadsheet
ADDED DENIED DATE
ON WPS
WPS Provider
4/28/2008 File Updated 04/28/2008
Anesthesiolog
8/31/2009 y
Anesthesiolog
9/13/2010 y
1/24/2011
6/9/2008
No Activity
6/27/2005 Hold (>2yr)
Status and Workflow
Owner - KD
6/4/2007
No Activity
Hold (>2yr)
Status and Workflow
Owner - KD
4/10/2004
No Activity
Status and Workflow
Owner - KD
7/26/2005 Hold (>2yr)
2/19/2007
5/9/2010
1/10/2011
NAIDAS-MATIAS, MERELY MELBA
MD, FPDS
Najera,Carlota,MD
ROOM 302 CRISTINA BUILDING II, GEN.
Professional LUNA STREET, BRGY. 14, LAOG CITY
ILOCOS NORTE Denied
Pangasinan
NAPAO, JAIME G., PT
NO. 526 PLARIDEL STREET, ANGELES
NARCISO DENTAL CLINIC
Institutional CITY
NO. 526 PLARUDEL STREET, ANGELES
NARCISO, CARLO Y., DDS
Professional CITY
DULONG BAYAN BACOOR 509 MALIGAYA
NARIO SARINO,MARIA FATIMA,MD Professional ST
NATANAUAN, KAREN MD
NATHANIEL E. AGONCILLO
MEDICAL CLINIC
Professional 29 DAPITAN CORNER ISAROG STREET,
Denied
PAMPANGA
Denied
PAMPANGA
Denied
PAMPANGA
Denied
CAVITE
Denied
QUEZON CITY
Denied
Denied
Natino,Efren,B,MD
JP LAUREL HIGHWAY, LIPA CITY
BATANGAS
258 STO ROSARIO STREET, SAN JOSE,
PAMPANGA
2nd Flr Dorm Bldg Dee Hwa Liong Foundation
Pampanga
Professional Med Ctr Annex Henso
NATIONAL CHILDRENS HOSPITAL
Institutional
QUEZON CITY
Denied
NATIVIDAD, MA. PIEDAD R., MD
Professional
MANILA
Denied
NAVAL, PRISCILA N., MD
Professional
Professional
RIZAL
Mandaluyong
City
Denied
Naval,Marichona,C,MD
Naval,Noel,MD
Professional
Rizal
Denied
Navalta,Michael Edward,A
Professional
264 E RODRIGUEZ SR
ROOM 185 UNIVERSITY OF SANTO TOMAS
HOSPITAL, ESPAÑA, SAMPALOC
ULTRA MEGA BUILDING, SUMULONG
EXTENSION, ANTIPOLO CITY
Med Ctr 163 Edsa
Ave Taytay
Corner Quirino
Manila
Denied
Navarro Medical Clinic
Denied
NAVARRO, REGINA L., MD
Professional 3553 Sining St Morningside Terrace Sta Mesa Manila
FAR EAST HEALTH SERVICE, NO. 87
ZAMBALES
LOT 79 PANDACAQUI RESETTLEMENT
PAMPANGA
Professional DISTRICT 13 BLK, MEXICO
Navarro,Efren,F
Professional 3553 Sining St Morningside Terr Sta Mesa
Manila
Denied
Navarro,Efren,F,MD
Professional 3553 Sining St Morningside Terrace Sta Mesa
Manila
Denied
Pangasinan
Denied
CAMARINES
SUR
Denied
Pangasinan
Denied
Cavite City
Denied
QUEZON CITY
Denied
MANILA
Denied
QUEZON CITY
Denied
NATINO, EFREN B., MD
NAVARRO, DAVID DON C., MD
Navarro,Liane
NAVARROSA, EILEEN MD
Navasca,Edgardo,MD
Institutional
Nazareno,Cesar,O,MD
ROOM 406, MEDICAL ARTS BUILDING, ST.
NEBRIDA, MA. LOURDES ANNA M.,
MD
NEMRAC COMMERCIAL & MEDICAL
UNIT I C GOODWAY CONDOMINIUM, 1555
SUPPLIES
Professional BAMBANG STREET, STA. CRUZ
NEOMEDICA HEALTH SERVICES,
UNIT 4-C 4F NORTHRIDGE PLAZA, NO. 12
INC.
Professional CONGRESSIONAL AVENUE, BAHAY TORO
CALAMBA DOCTORS HOSPITAL,
NATIONAL HIGHWAY, PARIAN, CALAMBA
NEPOMUCENO, ERNESTO MARTIN
H., MD
NEPOMUCENO, ERNESTO MARTIN
H., MD
NEPHRO CARE INC.
Nepomuceno,Ernesto Martin,H,MD
NEUROLOGY & MEMORY
DEPARTMENT-SUBIC BAY
MEDICAL CENTER
Institutional
Institutional
BLDG.3000, ZAMBALES HIGHWAY UPPER
CUBI POINT, SUBIC BAY FREEPORT
ZONE, OLONGAPO CITY
NEW CITY COMMERCIAL CENTER
(PEMPEE)
Institutional
NEW WORLD HOTEL
Professional ESPERANZA ST CORNER MAKATI AVE
NHATS MARKETING
NICDAO, EUGENE RAYMUND L.,
MD
NICDAO, JOEL G., MD
NICODEMUS,NEMENCIO,A,JR,MD
NICOLAS, EDGAR S.,MD
Denied
Denied
Denied
Denied
LAGUNA
Denied
PAMPANGA
Denied
PASIG CITY
Denied
Manila
Denied
ZAMBALES
LACAO STREET, PUERTO PRINCESA CITY PALAWAN
MAKATI CITY
BARRIO SAMPALOC, APALIT
PAMPANGA
PAMPANGA
Institutional
Professional MCGILL MEDIPLUS
667 U N AVE MANILA MEDICAL SERVICES
Professional INC
Professional MEDICAL CENTER, SAPANG MAISAC,
Denied
PASIG CITY
Denied
Page 72
No Activity
12/25/2006 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
No Activity
9/4/2008 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
File Updated
WPS Provider
WPS Provider
No Activity
11/11/2005 Hold (>2yr)
Status and Workflow
Owner - KD
3/26/2007
01/29/2007
ADDED DENIED DATE
ON WPS
3/26/2007
9/22/2008
04/15/2009
5/18/2009
10/20/2008
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
4/19/2010
1/29/2010
12/8/2009
12/7/2009
2/15/2010
5/7/2010
07/12/2007
7/23/2007
2/15/2010
2/15/2010
10/30/2009
ADDED DENIED DATE
ON WPS
1/24/2011
9/29/2009
ADDED DENIED DATE
Denied
Internal
6/9/2011 Medicine
05/19/2008
ADDED DENIED DATE
ON WPS
12/8/2010
Status and Workflow
Owner - KD
9/11/2006
Status and Workflow
Owner - KD
Denied
Denied
5/13/2011
Status and Workflow
Owner - KD
Denied
Obstetrics &
7/16/2007
WPS Provider
7/28/2008 File Updated 06/23/2008
WPS Provider
No Activity
4/20/2007 Hold (>2yr)
11/10/2008
01/15/2007
Denied
Denied
10/11/2010
Status and Workflow
Owner - KD
WPS Provider
No Activity
1/30/2006 Hold (>2yr)
2/2/2009
01/29/2007
No Activity
Status and Workflow
Owner - KD
1/19/2006 Hold (>2yr)
WPS Provider added as denied provider
10/27/2010 File Updated at wps
PAMPANGA
WPS Provider
5/9/2010
WPS Provider
10/30/2009
No Activity
Status and Workflow
Owner - KD
12/5/2005 Hold (>2yr)
6/2/2008
5/27/2011
2/2/2009
5/25/2009
1/28/2008
8/21/2006
11/5/2010
5/7/2007
10/23/2009
2/20/2006
1/25/2011 Endocrinology
5/31/2010
NICOLAS, LILIA G., M.D., FPOGS
Professional 2070 PASCUA STREET
MAKATI CITY
Denied
Nicolas,Lalaine,MD
Professional Congressional Rd
Cavite
Denied
Pampanga
Denied
Nierva David,Cecilia,MD
NIERVA PEDIATRIC LUNG DISEASE
CLINIC
Institutional
NIERVA-DELA CRUZ, CECILIA, MD
Nieto Carlos,Judy,MD
NIEVERA, CARMEN B., MD
NIGHTINGALE NURSING SVS INC
NIKO MEDICAL SUPPLIES &
EQUIPMENT
NINALGA,HAZEL DAPHNE,R
1013 CAVITE ST BALIBAO, ANGELES CITY PAMPANGA
1013 CAVITE ST BALIBAGO, ANGELES
Professional CITY
303 WINDSOR TOWER 163 LEGASPI
Professional 1361 1363 RIZAL AVENUE, STA. CRUZ
RM 3224 NATIONAL KIDNEY INST EAST
Professional AVE
Denied
PAMPANGA
Denied
Pangasinan
Denied
Status and Workflow
Owner - KD
No Activity
4/26/2004 Hold (>2yr)
WPS Provider
WPS Provider added denied date 10-55/27/2009 File Updated 09 on pds
WPS Provider
3/20/2006 File Updated 03/20/2006
No Activity
3/20/2006 Hold (>2yr)
WPS Provider
QUEZON CITY
Denied
9/5/2007
MAKATI CITY
Denied
10/2/2007
MANILA
Denied
1/12/2008
QUEZON CITY
Denied
12/23/2010
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
Status and Workflow
Owner - KD
10/15/2007
01/12/2008
ADDED DENIED DATE
ON WPS
1/24/2011
Status and Workflow
Owner - KD
9/18/2006
Noel Francisco Dental Clinic
Professional Tondo A66 Norhbay Shopping Ctr
Manila
Denied
NOEMIS PHARMACY
Professional PUBLIC MARKET, LIPA CITY
BATANGAS
Denied
NOEMI'S PHARMACY
BATANGAS
Denied
RIZAL
Denied
WPS Provider
1/17/2008 File Updated 01/17/2008
MEDICAL CENTER MANILA, 1122 GEN.
Professional LUNA STREET, PACO
Pasig City
Denied
MANILA
Denied
NOLEJAS, MD
Professional
NOLIDO, ANNA MARIE S., MD
NORANDO O ALFONSO DENTAL
CLINIC
NORBERTO P YUMUL MD
INTERNAL MED CARDIO CLINIC
NORTH CALOOCAN DOCTORS
HOSPITAL INC
Professional
Institutional
NORTH GENERAL HOSPITAL
NORTHERN ZAMBALES
POLYCLINIC
Institutional
KAUSWAGAN RD TALAMBAN
Professional
Professional
MUNTINLUPA
CITY
Denied
MAKATI CITY
Denied
PAMPANGA
Denied
ANGELES CITY Denied
CALOOCAN
CITY
Denied
CEBU CITY
Denied
ZAMBALES
Denied
NORTHERN ZAMBLES POLYCLINIC Professional POBLACION SOUTH STA CRUZ
BASEMENT, CHONG HUA MEDICAL ARTS
NOVAL, LERMA R., MD
Professional CENTER, J. LLORENTE STREET, CEBU
NOVAL, LERMA R., MD
ZAMBALES
Denied
CEBU
Denied
CEBU CITY
Denied
NOVEL
GUAGUA
Denied
Professional POBLACION SOUTH, STA CRUZ
Professional 6 SAN NICOLAS 1ST
WPS Provider
9/5/2007 File Updated 09/05/2007
No Activity
8/29/2005 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
Professional 626 GUYABANO STREET, NAPICO
PASIG CITY
Denied
PAMPANGA
Denied
11/15/2007
QUEZON CITY
Denied
12/29/2010
Nunez,Anthony,G
Professional 2ND FLOOR INTREPID PLAZA LIBIS
Pasig City
Denied
5/11/2009
Nursing Care Specialists
Professional Solis St Barangay Tap
Denied
5/26/2009
NUTRICO MARKETING
Professional 32 ST ANTHONY ST SAN JOSE VILLAGE
NO. 38 TANDANG SORA AVENUE,
Institutional TALIPAPA, NOVALICHES
Iloilo City
MUNTINLUPA
CITY
Denied
7/21/2010
QUEZON CITY
Denied
9/27/2005
Request
Certification/R
WPS Provider
NUGUID,ARNEL
OASIS INDUSTRIAL GAS
OBILLO MEDICAL CLINIC &
DIAGNOSTIC LABORATORY
Institutional
A. SORIANO STREET, TANZA
CAVITE
Denied
OBILLO, MARIO A., MD
Professional A. SORIANO STREET, TANZA
CAVITE
Denied
OCA-BUNYE, MIRAFLOR T., MD
NO. 60 ROGAN STREET, BARANGAY
Professional MAHARLIKA
2F CASA FILIFINA BUILDING, ALABANG
Professional ROAD
OCAMPO LERMA, LOURDES
Professional RES LA SALLE AV
OBSIOMA, JOEL V., RN
TAGUIG CITY
MUNTINLUPA
CITY
Denied
Denied
BACOLOD CITY Denied
Page 73
11/11/2009
3/9/2009
2/23/2009
4/7/2008
7/27/2009
1/14/2008
Status and Workflow
Owner - KD
12/9/2005
02/22/2006
7/24/2006
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
07/12/2007
Status and Workflow
Owner - KD
Denied
NUDO, JAHZIEL M., MD
2/2/2009
5/4/2010
4/1/2011
6/1/2011
7/23/2010
Family
12/9/2010 Practice
1/3/2011
10/1/2007
WPS Provider
10/29/2008 File Updated 10/29/2008
12/15/2008
WPS Provider
MUNTINLUPA
CITY
NOVENARIO, JOSE CELSO, M.D.
NPO FOAM & GENERAL
MERCHANDISE
4/24/2006
10/02/2007
No Activity
8/9/2005 Hold (>2yr)
WPS Provider
WPS Provider
4/14/2008 File Updated 03/26/2008
WPS Provider
2/4/2009 File Updated 02/04/2009
CITY ALABANG
STREET, LEGASPI VILLAGE
D-5 AL'S SHOPPING MALL, McARTHUR
HIGHWAY, BALIBAGO, ANGELES CITY
ANGELES UNIVERSITY FOUNDATION MED
CTR SALAPUNGAN
B10 L31 BANKERS VIL LL QUIRINO BRGY
184 ZONE 16 DIST 1
4/24/2006
10/8/2007
Denied
NOLASCO, ESTELA R., MD
10/5/2009
09/05/2007
NOBLE, PERRY N., MD
Nogoy,Roneil,M,MD
1/7/2010
10/30/2009
ROOM 251, NEW WING, MAKATI MEDICAL
CENTER, NO. 2 AMORSOLO STREET,
MAKATI CITY
NOGOY, RONIEL M., MD
6/26/2006
No Activity
4/12/2004 Hold (>2yr)
WPS Provider
5/19/2008 File Updated 05/19/2008
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
ADDED DENIED DATE
ADDED DENIED DATE
ON WPS
5/8/2006
6/2/2008
5/27/2011
2/14/2011
5/25/2009
updated provider
ADDED DENIED DATE
ON WPS
09/27/2005
NEED A RECERT &
NEED TO VERIFY
SPECIALTY IS A GROUP
11/08/2006
10/12/2009
8/9/2010
9/11/2006
7/9/2007
12/25/2006
Status and Workflow
Owner - KD
11/13/2006
No Activity
10/5/2006 Hold (>2yr)
WPS Provider
5/18/2007 File Updated 05/18/2007
6/11/2007
10/4/2010
OCAMPO MEDICAL CLINIC
OCAMPO, ARIEL L. MD
OCAMPO,FROILAN BENEDIC,L
Institutional
833 HENSON STREET, ANGELES CITY
PAMPANGA
DIAMOND MEDICAL ACCESS CLINIC, 30-5A
S.R.LIM STREET, DIAMOND SUBDIVISION,
PAMPANGA
61 A HALCON STREET SILAB 1 STA MESA
QUEZON CITY
Professional HTS
ROOM 511, ASIAN HOSPITAL & MEDICAL
OCAMPO-CHUATICO, MA. REGINA
CENTER, NO. 2205 CIVIC DRIVE,
MD
OCCIDENTAL MEDICAL
LABORATORY
Professional 2 F FAVIS BLDG LAKANDULA ST
OCDOL,HELEN,MD
OCHOA, ROLANDO ANGELO, M.D. Professional CITY, ALABANG
OCO, FRANCISCO A., MD
Professional STO DOMINGO CAPAS TARLAC CITY
OCO, MA. LUZ C., MD
CLINICA STO. DOMINGO, STO.DOMINGO,
Professional CAPAS, TARLAC CITY,
OCTO CARE MEDICAL SUPPLY
Institutional
Ocuillo,Joan
Professional University Of the Philippines Taft Ave
ODI, TYGAN ROMEO MD
OFFICE OF THE PROVINCIAL
TREASURER, REPUBLIC OF THE
PHILIPPINES
OGBAC, RUBEN V., MD
Institutional
PROVINCIAL CAPITOL, CITY OF SAN
FERNANDO
Denied
Denied
MUNTINLUPA
CITY
Denied
BAGUIO CITY
Denied
QUEZON CITY
Denied
MUNTINLUPA
CITY
Denied
TARLAC
Denied
Denied
Denied
RIZAL
Denied
PAMPANGA
Denied
Olimpo,Renato,A,Jr
Professional Ospital Ng Tagaytay
Tagaytay City
Denied
OLIMPO,RENATO,A,MD
Professional 31 J P RIZAL ST GALICIA MENDEZ
MT CARMEL GENERAL HOSPITAL,
Professional LUCENA CITY
C/O FIL-AMERICAN RETIREES CLINIC
SUITE 205, 2ND FLOOR, VELASCO
NO. 19 25TH STREET, EAST BAJACProfessional BAJAC, OLONGAPO CITY
CAVITE
Denied
&QUEZON
Denied
CAMARINES
SUR
Denied
Pangasinan
Denied
PANGASINAN
Denied
Pangasinan
Denied
OLONGAPO EENT CLINIC
OMN HEALTH CARE PHILIPPINE
CORP
ON CALL DRUGS AND MED
SUPPLIES
Pangasinan
Denied
ZAMBALES
Denied
HOSPITAL ROAD, OLONGAPO CITY
ZAMBALES
NO. 1626 RIZAL AVENUE, EAST TAPINAC,
ZAMBALES
U 301 CEDAR EXEC BLDG II NO 26 TIMOG
QUEZON CITY
Professional AVE LAGING HANDA
Institutional
Institutional
NO. 5477-A MAKATI TOWNHOUSE EDSA
CORNER BRGY. PINAGKAISAHAN
MAKATI CITY
ONG, ELTON O., MD
ELI BUILDING, BONNY SERRANO AVENUE
QUEZON CITY
Professional CORNER 6TH AVENUE
Professional FOUNDATION, PANTAY DAYA, VIGAN CITY VIGAN CITY
ONG, JOHN MD
Professional ERMITA
ONAGAN, MERCEDES C., MD
No Activity
3/31/2006 Hold (>2yr)
Status and Workflow
Owner - KD
Manila
Denied
Olivar,Francisco,MD
OLONGAPI SURGICAL
AMBULATORY CLINIC
OLONGAPO CITY GENERAL
HOSPITAL
WPS Provider
4/26/2004 File Updated 26-04-04
Denied
CAVITE
Olivar,Arnulfo,MD
No Activity
Status and Workflow
Owner - KD
2/7/2006 Hold (>2yr)
MANILA
OLIMPO, RENATO MD
OLIVA,PHILIP
2/26/2007
No Activity
7/2/2005 Hold (>2yr)
WPS Provider
Denied
Denied
Oliva,Philip
Status and Workflow
Owner - KD
TARLAC
BATANGAS
OLIVA, PETER MANUEL M., MD
8/8/2005
31-3-06 CORRECTION
WPS Provider
2/23/2007 File Updated 02/23/2007
Professional GENERAL DELIVERY, BATANGAS CITY
MARK JAMES HOSPITAL, BRGY. DE
Professional OCAMPO, TRECE MARTIRES CITY
OLITOQUIT, DANILO G. MD
No Activity
7/28/2005 Hold (>2yr)
Status and Workflow
Owner - KD
MANILA
Denied
Denied
No Activity
7/14/2005 Hold (>2yr)
No Activity
8/17/2005 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
Status and Workflow
Owner - KD
3/19/2007
4/11/2011
11/3/2010
5/8/2006
4/10/2006
10/29/2007
4/23/2007
7/29/2009
6/16/2008
8/8/2005
Status and Workflow
Owner - KD
10/10/2005
06/02/2008
8/4/2008
added denied date
ADDED DENIED DATE
ON WPS
9/28/2009
03/20/2006
4/10/2006
updated pds with denied
date
2/14/2011
10/23/2009
9/29/2009
ADDED DENIED DATE
ON WPS
11/26/2010
10/23/2009
added full first name per
spreasheet
9/29/2009
06/09/2008
6/16/2008
03/04/2009
4/6/2009
06/18/2008
8/4/2008
ADDED DENIED DATE
6/30/2011
No Activity
5/2/2006 Hold (>2yr)
Status and Workflow
Owner - KD
6/19/2006
Denied
No Activity
8/29/2005 Hold (>2yr)
Status and Workflow
Owner - KD
3/12/2007
Denied
WPS Provider
8/13/2008 File Updated 08/13/2008
Denied
Denied
Denied
ONG, MARITES M., MD DPPS
BLK 18 LOT 4C, PHASE 1 STA. LUCIA
Professional RESETTLEMENT, MAGALANG
PAMPANGA
Denied
Ong,William,Y,Md
Professional 3370 Ibarra St Palanan
Makati City
Denied
Page 74
WPS Provider
3/3/2008 File Updated 03/03/2008
6/4/2011
No Activity
6/5/2006 Hold (>2yr)
3/23/2009
Status and Workflow
Owner - KD
2/5/2007
Status and Workflow
Owner - KD
6/5/2006
No Activity
5/22/2006 Hold (>2yr)
WPS Provider
10/12/2009
ONG-GARCIA, HELEN N., MD
ONOYA, CZARINA MD
OPINION,JR, JAIME M. MD
OPTIN NOCSON GANZON MDS
Orbeta,Sanirose,S
Ordinal,Charry Pink,O
ORDINARIO-SANTIAGO, LILIA MD
QUEZON CITY Denied
Professional V & G BLK 18 LOT 42-44 TACLOBAN CITY
Institutional AMORSOLO STREET
LEYTE
Denied
MAKATI CITY
Denied
Professional 17 San Geronimo St Magallanes Village
Makati City
Denied
Rizal
Denied
ROOM M-30 2ND FLOOR, SAN ANTONIO
Professional PLAZA ARCADE, FORBES PARK
MAKATI CITY
ORDONO,SIXTO,R
BETHANY HOSPITAL, WIDDOES STREET,
CARLATAN SAN FERNANDO CITY LORMA
Professional MED CTR
OREVILLO, IAN JOHN B., MD
Professional LEGASPI STREET, DUMAGUETE CITY
ORDONO, MARIA LUISA R., MD
OREVILLO'S DENTAL CLINIC
Professional LEGASPI STREET, DUMAGUETE CITY
DIAGNOSTIC CENTER, NO.30 CANDA ST.
ORGANO II, JAIME RUPERT B., MD Professional EAST BAJAC-BAJAC, OLONGAPO CITY
ORGANO, ANGELITA R., MD
Professional NATIONAL HIGHWAY, STA.CRUZ
Denied
8/4/2008
WPS Provider
12/10/2007 File Updated 12/10/2007
2/11/2008
Status and Workflow
Owner - KD
No Activity
12/9/2005 Hold (>2yr)
WPS Provider
6/5/2006 File Updated 06/05/2006
WPS Provider
WPS Provider
No Activity
3/12/2007 Hold (>2yr)
9/11/2006
Denied
12/15/2008
Denied
10/11/2010
Denied
LA UNION
NEGROS
ORIENTAL
NEGROS
ORIENTAL
Denied
ZAMBALES
Denied
Denied
No Activity
1/12/2006 Hold (>2yr)
Status and Workflow
Owner - KD
ZAMBALES
Denied
ORGANO,ANGELITA,R,MD
Professional PALANGINAN IBA
ZAMBALES
Denied
Organo,Ma Angelita,R,MD
Olongapo City
Denied
PAMPANGA
Denied
WPS Provider
ORO, MERIAM M., MIDWIFE-PDN
FR. ISMAEL CATAAG STREET, ORMOC
CITY,
OSPA FARMERS MEDICAL CENTER,
Professional CARLOTA HILLS, ADIENG, ORMOC CITY
BLK 5 LOT 32 PHASE 1, VILLA NENA
SUBDIVISION, BALULANG, CAGAYAN DE
Professional ORO CITY
NO. 23 CAMIA STREET PUTCOF 9. SIGNAL
Professional VILLAGE TAGUIG CITY
Orphalese Wellness Medical Clinic
Professional 2613 Macarthur Hiway
ORO OXYGEN CORPORATION
ORTEGA, ALEXANDER G., MD
ORTEGA, MAE RINA M.D.
Ortho Plus Company
LEYTE
Denied
LEYTE
Denied
MISAMIS
ORIENTAL
Denied
MANILA
Denied
Balibago Angeles Denied
CLINICA GAMBOA HOSPITAL, SAN
PAMPANGA
Professional JOAQUIN, STA. ANA
QUEZON CITY
Denied
Denied
ORTHOKINETICS
Professional 191 Pajo St Project 2
3/F AKLE SQUARE BUILDING, 9532 AKLE
Professional CORNER KAMAGONG STREET
ORTHOMAN ENTERPRISE
Institutional
NO. 2422-B SUTER STREET, STA. ANA
MANILA
Denied
ORTHOMEDILINK
Institutional
NO. 1303-1305 RIZAL AVENUE, STA. CRUZ MANILA
Denied
ORTHO-MEDLINK
Institutional
ORTHOPHIL ENTERPRISE
Professional
ORTHOTECH MEDICAL SUPPLIES
Professional
ORTIZ, ANTONIO MD
Professional
ORTIZ, GRACE G., MD
Professional
ORTIZ, JOSEPH M.D.
1746 RIZAL AVENUE
NO 150 UNIT C MAYON ST BRGY STA
TERESITA
1369 RIZAL AVENUE CORNER BAMBANG
STREET, STA. CRUZ
OLONGAPO CITY
CLINIC, 51 BURGOS AVENUE,
Quezon City
Denied
MAKATI CITY
Denied
MANILA
Denied
QUEZON CITY
Denied
MANILA
Denied
ZAMBALES
Denied
NUEVA ECIJA
Denied
QUEZON CITY
Page 75
12/7/2009
Status and Workflow
Owner - KD
ROYALE HEALTH CARE & MEDICAL
Professional CENTER , PANGILINAN IBA
Institutional
12/18/2009
4/30/2007
ORGANO, MA ANGELITA R. MD
ORMOC PARAMEDIC SERVICES
CO (LABORATORY)
ORMOC POLYMEDIC REHAB CTR
CO
6/19/2006
Status and Workflow
Owner - KD
No Activity
Status and Workflow
Owner - KD
5/30/2005 Hold (>2yr)
WPS Provider
2/10/2010 File Updated none
ORIEL, CATHERINE C., PTRP
4/10/2006
No Activity
8/31/2006 Hold (>2yr)
WPS Provider
WPS Provider
12/31/2008 File Updated 12/31/2008
WPS Provider
12/3/2008 File Updated 12/03/2008
LA UNION
ZAMBALES
WPS Provider
3/24/2008 File Updated 12/10/2007
Denied
Status and Workflow
Owner - KD
No Activity
11/27/2006 Hold (>2yr)
WPS Provider
6/2/2008 File Updated 06/02/2008
WPS Provider
WPS Provider
WPS Provider
02/28/2008
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
No Activity
2/14/2005 Hold (>2yr)
Status and Workflow
Owner - KD
WPS Provider updated provider due to
12/24/2008 File Updated dup records
Status and Workflow
Owner - KD
No Activity
7/27/2009 Hold (>2yr)
WPS Provider
8/25/2008 File Updated 08/25/2008
WPS Provider
9/28/2006 File Updated 09/28/2006
WPS Provider
2/13/2007 File Updated 02/13/2007
Status and Workflow
Owner - KD
No Activity
2/22/2006 Hold (>2yr)
WPS Provider
WPS Provider
1/12/2008 File Updated 01/12/2008
WPS Provider
4/28/2008 File Updated 04/28/2008
WPS Provider
2/23/2009 File Updated 02/23/2009
No Activity
10/5/2004 Hold (>2yr)
Status and Workflow
Owner - KD
6/6/2011
3/2/2009
1/30/2006
5/14/2007
8/19/2010
Family
12/9/2010 Practice
5/27/2011
4/23/2007
7/14/2008
4/21/2008
1/21/2011
Family
8/19/2010 Practice
6/25/2007
1/26/2009
8/10/2009
9/15/2008
12/11/2006
4/23/2007
3/20/2006
5/27/2011
2/2/2009
5/12/2008
4/13/2009
9/4/2006
Ortiz,Antonio,M,MD
OSCAR, NAIDAS MD
OSPITAL NING ANGELES
OSTEODYNAMICS MEDICAL
SUPPLIES
OUR FATHERS MEDICAL CLINIC
Fecho Bldg Hospital Rd E Bajac Bajac
Professional Olongapo City
ONA COMPOUND VISITACION STREET
CORNER PAMPANGA ROAD, VILLA
Professional ROSARIO, PAMPANG, ANGELES CITY
93 PHASE 1 GARDEN VILLAGE, STA.
Professional MARIA
ROOM 6, CORNELIO BUILDING., RIZAL
Professional STREET, DARAGA
Zambales
Denied
QUEZON CITY
Denied
PAMPANGA
Denied
BULACAN
Denied
ALBAY
Denied
OUR LADY LA NAVAL DE MANILA
CHILDREN DIAGNOSTIC CLINIC
Institutional
SAN RAMON, DINALUPIHAN
BATAAN
Denied
Our Lady Mediatrix Hospital
Institutional
San Jose
Iriga City
Denied
OUR LADY OF ANGELS MEDICAL
CLINIC
Our Lady Of Good Birth Birthing
Home Inc
OUR LADY OF MEDIATRIX
HOSPITAL
OUR LADY OF MERCY GENERAL
HOSPITAL
OUR LADY OF MOUNT CARMEL
HOSPITAL
OUR LADY OF PURIFICATION
DOCTORS HOSPITAL
OUR LADY OF THE ASSUMPTION
PEDIATRIC CLINIC
Paaloyo,Siegfredo,R
PABILONIA, JEAN B., MD
PABILONIA-MERINO, AGNES MD
PACAP COOPERATIVE OF THE
PHILIPPINES-ILOILO
PACIFIC MEDCARE SOLUTIONS,
INC.
Institutional
5-B LABRADOR ST. MABAYUAN,
OLONGAPO CITY
ZAMBALES
Denied
11/15/2004
Angeles City
CAMARINES
SUR
Denied
3/29/2010
Denied
8/14/2006
BULACAN
Denied
6/27/2005
4 TALISAY STREET PROJECT 3
QUEZON CITY
Denied
3/15/2011
Institutional
POBLACION, BINMALLEY
PANGASINAN
Denied
12/26/2007
Institutional
Professional East Avenue
REYES BLDG ELIAS ANGELES ST., NAGA
Professional CITY
BLOCK 18, LOT 4-A, PHASE 1-A, PACITA
Professional COMPLEX 1, SAN PEDRO
Institutional
Institutional
MUEDA STREET, MIAG-AO
260 MANABAT STREET, SAN ANTONIO,
BINAN
LUNA STREET, LA PAZ, ILOILO CITY
CITY, ALABANG
2ND FLOOR RECAR SHOPPING MALL,
BALANGA CITY
RIZAL STREET, POBLACION, PADRE
GARCIA
LORMA MEDICAL CENTER, CARLATAN,
CITY OF SAN FERNANDO
PACO, CHARITO P., MD
Professional
PADILLA, PRAXEDES, OD
Professional
PADRE GARCIA PHARMACY
Professional
PADRID, JANE M., MD
Professional
PAELMO, MA. TERESA S., MD
PAMPANGA
Denied
Quezon City
CAMARINES
SUR
Denied
LAGUNA
ILOILO
LAGUNA
Palaganas,Paulo Maria,R
Denied
Denied
Denied
Denied
IMUS CAVITE
Denied
MUNTINLUPA
CITY
Denied
BATAAN
Denied
BATANGAS
Denied
LA UNION
Denied
MUNTINLUPA
CITY
NO. 139 GERONIMO DRIVE, BANLAT,
QUEZON CITY
Professional TANDANG SORA
PAGDANGANAN, MA. CECILIA M.D. Professional SR.AVENUE
QUEZON CITY
Rubetan Bldg I Cv Starr Ave Philamlife
Pagtakhan,Patrick,M
Las Pinas City
Professional Commercial Plz
Palabay,Crisanta Gabriel,B,MD
Denied
ILOILO
PAGAY, FELIX T., RMT
Paiso Ramos,Trudi Flor
No Activity
2/6/2006 Hold (>2yr)
WPS Provider
Institutional
PACIFICA AGRIVET SUPPLIES INC Professional E AGUINALDO HIWAY TANZANG LUNZA I
PAGUIRIGAN, MA. JOSEFINA
TENAZAS
WPS Provider
WPS Provider
WPS Provider
Institutional
AGAPITO DEL ROSARIO, 648 RIZAL
STREET, ANGELS CITY
MEDICAL CENTER MANILA GEN.LUNA
MANILA
Professional STREET, MALATE
QUEZON CITY
Professional SR. BOULEVARD
Santolan Pasig
City
Professional 102 Amang Rodriguez Ave
La Union
Rm 132 Mab St Lukes Med Ctr 279 E
Quezon City
Professional Rodriguez Sr Blvd Kal
Page 76
Denied
Denied
Denied
Denied
Denied
Denied
Denied
Denied
Denied
12/18/2009
WPS Provider
3/2/2009 File Updated added mailing address
ZONE 1, SAN JOSE, IRIGA CITY
DRT HIGHWAY, BARANGAY LONGOS,
PULILAN
Institutional
PACIFICA AGRIVET SUPPLIES INC Institutional
PAGTALUNAN, REDENTOR J.,MD
WPS Provider
02/16/2009
03/02/2009
ADDED DENIED DATE
ON WPS
Status and Workflow
Owner - KD
3/23/2009
3/9/2009
4/13/2009
3/17/2010
2/13/2006
2/1/2010
No Activity
Status and Workflow
Hold (>2yr)
Owner - KD
1/22/2007
File Updated ON WPS
6/19/2010
WPS Provider
File Updated
2/1/2010
File Updated ON WPS
11/3/2010
File Updated ON WPS
3/30/2011
WPS Provider
File Updated
12/30/2009
No Activity
9/7/2005 Hold (>2yr)
WPS Provider
WPS Provider
Status and Workflow
Owner - KD
12/19/2005
8/3/2009
2/1/2010
No Activity
3/17/2005 Hold (>2yr)
Status and Workflow
Owner - KD
4/4/2005
No Activity
5/9/2005 Hold (>2yr)
Status and Workflow
Owner - KD
7/11/2005
No Activity
4/7/2005 Hold (>2yr)
Status and Workflow
Owner - KD
7/23/2007
Status and Workflow
Owner - KD
7/3/2006
No Activity
4/27/2006 Hold (>2yr)
WPS Provider
Status and Workflow
Owner - KD
No Activity
7/19/2004 Hold (>2yr)
WPS Provider
4/11/2006 File Updated 04/11/2006
WPS Provider
3/26/2008 File Updated 03/26/2008
WPS Provider
12/3/2008 File Updated 12/03/2008
6/6/2011
9/4/2006
7/10/2006
6/30/2008
3/30/2009
No Activity
7/19/2004 Hold (>2yr)
Status and Workflow
Owner - KD
9/4/2006
No Activity
3/19/2007 Hold (>2yr)
Status and Workflow
Owner - KD
6/25/2007
WPS Provider
No Activity
9/9/2005 Hold (>2yr)
Status and Workflow
Owner - KD
WPS Provider
3/8/2007 File Updated 03/08/2007
WPS Provider
WPS Provider
WPS Provider
9/6/2010
11/8/2009
1/9/2006
7/16/2007
9/7/2009
Pulmonary
10/30/2009 Disease
7/13/2009
Palaganas,Rommel,T,MD
PALISOC-GARCIA, MARIAN MD
PALMA, BABY GRACE G., MD
PALMARES, REGIL C., MD
PALMERO
REYES,ELIZABETHLUKBA,MD
PALMERO, ELIZABETH L., MD
PALMES, PATRICIO P., MD
PALO, JOSE MD
PALOYO, SIEGFREDO R., MD
PALPAL-LATOC, JOY S., MD
PAMANA MEDICAL CENTER
PAMANA MEDICAL CENTER
Professional No 1 Gov Pack Rd
ALCANTARA BUILDING A. BONIFACIO
Professional AVENUE, CAINTA
IGNATIUS HEALTHCARE LINK, JECSON'S
QUEZON CORNER TEXAS STREETS,
SUITE 3A HEALTH PARTNERS CONDO
CLINIC, DIVERSION ROAD (BS AQUINO
Professional AVENUE), SAN RAFAEL, MANDURRIAO,
SAVIOUR MEDICAL AND DENTAL,
Institutional BARANGAY HALANG, CALAMBA CITY
Institutional
PAMI-ALVE, MARIE FLOR, MD
PAMI-MONTESCLAROS, MARIAN
MD
PAMI'S POLYCLINIC AND
DIAGNOSTIC CENTER
Professional
Pampanga Medical Specialists Clinic
Professional
PANALIGAN, CARLOS JOSEPH JR.
T., MD
Professional
PANALIGAN, MARIO M., MD
PANALIGAN,CARLOS
JOSEPH,T,MD
PANAY HEALTH CARE MULTIPURPOSE COOPERATIVE
PANGAN, SOL M.,MD
PANGANDIAN, JUANITO C., MD
Baguio City
Professional
Professional
STO. ENTIERRO STREET, STO. CRISTO,
ANGELES CITY
ROOM 223, QUEZON CITY MEDICAL
Professional CENTER, AURORA BOULEVARD
258 STA MARIA ST POBLACION FLORIDA
Professional BLANCA
Institutional
M. ROXAS AVENUE EXTENSION, KALIBO
NORTH WOMEN'S ULTRASOUND AND
KID'S CLIINIC, 4/F NORTHRIDGE PLAZA,
Professional CONGRESSIONAL AVENUE
No Activity
8/15/2005 Hold (>2yr)
TARLAC
Denied
ILOILO
Denied
PASIG CITY
Denied
PANGILINAN, JOHN ARNEL MD
PANGKALAHATANG
PANGANGALAGA SA KALUSUGAN
NG KABABAIHAN FOUDA
PANIZALES, ALVIN EZRA V., MD
PANIZALES, ALVIN EZRA V., MD
Panizales,Alvin Ezra,V,MD
PANIZALES,ALVIN EZRA,V,MD
PANIZALES,ALVIN,E
6/30/2008
WPS Provider 01-04-09
4/1/2009 File Updated RECERTIFICATION
WPS Provider
7/23/2008 File Updated 07/23/2008
MANILA
Denied
WPS Provider updated denied date in
2/16/2009 File Updated wps
RIZAL
Denied
LAGUNA
Denied
WPS Provider
11/19/2004 File Updated 11/19/2004
No Activity
8/8/2005 Hold (>2yr)
LEYTE
Denied
11/21/2005
LEYTE
Denied
9/25/2006
LEYTE
Denied
Balibago Angeles
City
Denied
9/25/2006
8/27/2009
Status and Workflow
Owner - KD
5/4/2009
8/11/2008
2/6/2010
2/19/2011
12/13/2004
8/13/2007
Status and Workflow
Owner - KD
No Activity
Hold (>2yr)
1/14/2008
WPS Provider
WPS Provider
WPS Provider
File Updated
10/12/2009
2/19/2011
QUEZON CITY
Denied
PAMPANGA
Denied
AKLAN
Denied
No Activity
Status and Workflow
Owner - KD
6/14/2007 Hold (>2yr)
WPS Provider
Denied
No Activity
8/10/2005 Hold (>2yr)
Status and Workflow
Owner - KD
5/12/2005
No Activity
9/2/2008 Hold (>2yr)
Status and Workflow
Owner - KD
9/8/2008
Status and Workflow
Owner - KD
2/26/2007
RIZAL
SUITE 203, 2/F DR. J. C. BORROMEO
BUILDING, KAMUNING STREET, CAPITOL
CEBU
Professional SITE CEBU CITY
QUEZON CITY
Professional 16 DOMINGO ST CRMEL SUBD
MERIDIAN HEALTHCARE SERVICES, LLC,
2301A ALPHA GRANDVIEW CONDOMINIUM
Professional 1716 M H DEL PILAR STREET, MALATE
29 DAPITAN CORNER ISAROG STREET,
Professional BRGY. STA. TERESITA,
Rm 399 Aguilar Compound 2nd Fl Gabriel
Professional Bldg Alabang Zapote
UNIT 620 2301 CIVIC DRIVE 2301 CIVIC DR
Professional FILINVEST CORP
WPS Provider
4/16/2008 File Updated 04/16/2008
Denied
Denied
3/21/2011
6/17/2011
PASIG CITY
PAMPANGA
8/20/2007
No Activity
9/7/2005 Hold (>2yr)
WPS Provider
Denied
Denied
Gastroenterol
7/29/2009 ogy
Status and Workflow
Owner - KD
10/17/2005
ILOILO
SUITE 712, NORTH TOWER, CATHEDRAL
PANGANIBAN, JULIANO ZACARIAS
MEDICAL CENTER, NO. 279 E. RODRIGUEZ
K., MD
QUEZON CITY
PANGASINAN POLYMEDIC AND
THERAPEUTIC CENTER
PANGASINAN
Institutional RIZAL AVENUE, SAN CARLOS CITY
PANGILAN, PIMBAYA JR. A., MD
Status and Workflow
Owner - KD
Denied
QUEZON CITY
256 FALCON STREET CORNER EAST
Professional BANK ROAD, SAN ANDRES, CAINTA
RIZAL
PAMPANGA
229 B P BURGOS STREET, TACLOBAN
CITY
NO. 1086 REAL STREET, SAN MATEO,
CARIGARA
1086 REAL STREET, BARANGAY SAN
MATEO, CARIGARA
Ste 3 2nd Flr Willy Ng Bldg Macarthur Hi Way
Cor Fields Av
HENSON STREET, ANGELES CITY,
Denied
Denied
Denied
No Activity
8/1/2005 Hold (>2yr)
WPS Provider
Denied
Status and Workflow
Owner - KD
Denied
Denied
No Activity
5/27/2008 Hold (>2yr)
WPS Provider
11/17/2008 File Updated 11/17/2008
7/16/2007
5/19/2011
11/3/2009
5/1/2010
6/30/2008
12/15/2008
Denied
7/31/2010
MANILA
Denied
8/16/2010
QUEZON CITY
Denied
Las Pinas City
MABALACAT
PAMPANGA
ALABANG
MUNTINLUPA
Denied
QUEZON CITY
Page 77
Denied
Denied
WPS Provider
WPS Provider
WPS Provider
WPS Provider
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
3/16/2011
5/25/2010
3/16/2011
3/16/2011
PANLILIO, JOSEPHINE DMD
PANLILIO, MICHAEL ANTHONY
DMD
Professional
PANLILIO,MARIO
Professional
PANOPIO, REGINALDO L., MD
Professional
PANTI,LOUIE,MD
Professional
PAMPANGA
ANGELES CITY
ST LOURDES SUR
NO. 533 R. POLICARPIO STREET, BRGY.
19, NEW ZANIGA
STE 104 G F VELASCO BLDG
PANGANIBAN DR
Denied
PAMPANGA
Denied
5/23/2005
PAMPANGA
MANDALUYON
G CITY
CAMARINES
SUR
Denied
8/24/2010
Denied
11/21/2005
Denied
6/7/2010
PANTIG, VITTORIO D., MD
Professional MCARTHUR HIGHWAY, ANGELES CITY
PAMPANGA
PANTIG,PERINO PINEDA
Professional VILLA ANGELINA SUBD 10 CATHERINE ST
Co Dallas Med Grp Mercedes 076 Sto Entierro
Professional St Sto Cristo
REHABILITATION DEPARTMENT, GROUND
FLOOR, ASIAN HOSPITAL & MEDICAL
CENTER, NO. 2205 CIVIC DRIVE FILINVEST
SUITE 138 MEDICAL ARTS BUILDING, ST.
UNIT 213 LLANAR BLDG 77 XAVIER
Professional AVENUE LOYOLA HGTS
BAUANG MUNICIPAL HEALTH OFFICE,
Professional BAUANG,
ANGELES CITY Denied
Paolo,Raoul
PAPA, ANNA MARIE OT
PAR, CLEOFE MD
PARACELSUS MEDICAL CLINIC
PARADO, BERNARDO E., MD
PARAGUYA, LIZA C., MD
PARAGUYA, REY O., MD
Professional NO. 87 DIVERSION ROAD, IMUS
ST. MARTIN DE PORRES POLYCLINIC 87,
Professional PALICO IV, IMUS
Paramedic Hosp Equip & Med Supply Professional 1334 Rizal Ave Sta Cruz
PARAS-TUAZON, MA. CHERYL T.,
MD
PARCERO
MEDICAL CENTER IMUS PALICO IV
BERNARDO,JUANCHITO,JR,MD
Professional DIVERSION ROAD IMUS CAVITE
Paredes Cruz Multispecialty Clinic
Denied
Pampanga
Denied
MUNTINLUPA
CITY
Denied
QUEZON CITY
Denied
QUEZON CITY
Denied
LA UNION
Denied
CAVITE
Denied
CAVITE
Denied
Manila
Denied
PAREDES, EDGARDO R., MD
Paredes,Annabella
Cavite
HANS BUILDING, 285 REAL STREET,
Professional PAMPLONA
PASCUAL, ERIC S., MD
Professional
PASCUAL, MARIE A, MD
Professional
PASCUAL, THERESA T., MD
Professional
PASCUAL,ERIC,S
Professional
PASCUAL,VIRGILIO,G,JR,MD
Professional
PASION, APOLONIO JR., MD
PASSI,EDUARDO DOMILOS,MD
PASUMBAL, EDWIN D., MD
PATAUEG,CAROLINE,MD
Pati,A,MD
MAYAMOT, MARCOS HIGHWAY,
EXTENSION
Denied
Denied
Denied
RIZAL
Denied
QUEZON CITY
Denied
RIZAL
Denied
PASIG CITY
BATANGAS
CITY
Denied
PAMPANGA
Denied
Denied
Professional 141 HERRERO ST
DAGUPAN CITY Denied
PAMPANGA
Pangasinan
Page 78
3/25/2010
3/23/2009
3/14/2011
1/3/2011
No Activity
Status and Workflow
Owner - KD
12/27/2005 Hold (>2yr)
7/31/2006
3/14/2011
WPS Provider
10/26/2009
7/13/2009
Denied
PASCUAL MEDICAL CLINIC
03/02/2009
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
1/8/2010
Professional W Tapinac 395 Rizal Ave Corner 4th St
ZAMBALES
BATANGAS
CITY
WPS Provider
WPS Provider
WPS Provider
6/15/2011
Denied
Parrocha,Benedicto,D,MD
PASAMBA, NESTOR P., MD
WPS Provider
8/28/2006
4/20/2009
Denied
NEGROS
OCCIDENTAL
No Activity
5/30/2006 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
12/3/2008 File Updated 12/03/2008
PARRA, JOSEPH D., MD
PASALINAS, MD
Status and Workflow
Owner - KD
Denied
ROOM 214 DOCTORS' CLINICS, DANIEL O.
MERCADO MEDICAL CENTER , J.P.
BATANGAS
Professional LAUREL HIGHWAY, TANAUAN
DOOR NO. 5, INSULAR LIFE TOWNHOUSE,
21ST STREET, B.S. AQUINO DRIVE,
Professional BACOLOD CITY
2 23RD STREET, EAST BAJAC-BAJAC,
CTR LOPEZ JAENA ST BASEMENT ST
Professional PATRICS HOSP MED
No Activity
Status and Workflow
Hold (>2yr)
Owner - KD
7/2/2007
File Updated ON WPS
10/11/2010
WPS Provider
WPS Provider
Denied
Olongapo City
7/2/2007
WPS Provider
WPS Provider
WPS Provider
PAMPANGA
Denied
BALIBAGO STA
ROSA
Denied
Cavite
Professional 984 Bayan Luma Imus
CAMARINES
PARILLA, ENRILE V., MD
No Activity
5/23/2005 Hold (>2yr)
Status and Workflow
Owner - KD
Denied
Denied
No Activity
4/26/2005 Hold (>2yr)
5/7/2010
ADDED CERTIFIED
DATE ON WPS
11/15/2010
denied date 8-24-09
8/24/2009
Status and Workflow
Owner - KD
5/16/2005
Status and Workflow
Owner - KD
6/11/2007
No Activity
11/27/2006 Hold (>2yr)
WPS Provider
Status and Workflow
Owner - KD
No Activity
8/11/2006 Hold (>2yr)
WPS Provider
12/22/2008 File Updated update made
22-10-08 EXCLUDED
WPS Provider
WPS Provider
WPS Provider
10/06/2008
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
No Activity
Status and Workflow
Owner - KD
4/10/2004 Hold (>2yr)
WPS Provider
WPS Provider
10/12/2009
9/4/2006
10/19/2010
2/14/2011
2/19/2011
11/24/2008
10/27/2008
11/24/2010
2/14/2011
10/9/2006
3/14/2011
5/27/2011
5/18/2011
5/25/2009
Pati,Princess
PATILANO,RICHARD,A,MD
Professional JAMES GORDON MEMORIAL HOSPITAL
PATOS, MARY MELODIE, MD
PATRIARCA, REYNALDO G. MD
MEDISERV/CASA MEDICA, L/G SM
Professional SOUTHMALL, ALABANG- ZAPOTE ROAD
Professional
913 JUAN LUNA ST. STO. CRISTO, TARLAC
CITY
CITY, ALABANG
No Activity
1/16/2006 Hold (>2yr)
Status and Workflow
Owner - KD
TARLAC
No Activity
12/9/2002 Hold (>2yr)
on 15-July-2009 - Bulk
Update - KD
Denied
Denied
PAMPANGA
Denied
MUNTINLUPA
CITY
Denied
CAVITE
Denied
CAVITE
Denied
PAULE, JOSE RANILO M., MD
Professional
PAULINO, CONCEPCION T., MD
Professional
PAVILLION, CECILIA V.,MD
PAVILLION, GILBERT MD
PAWID, DINAH ABIGAIL S., MD
PAYAWAL, FIDEL C., MD
PAZ GRECIA
PASCUAL,TERESA,MD
PASCUAL EYE AND EAR CLINIC GEN
Professional TRIAS
PAZ PHARMACY
Paz Rios,Liza Marie,MD
PECANA DENTAL CLINIC
Denied
PASAY CITY
MUNTINLUPA
CITY
Denied
Denied
Denied
Professional GALLARES STREET
CAVITE
TAGBILARAN
CITY
Professional Ground Fl Bell Tower Bldg Paco Roman St
Laoag City
Denied
Denied
NO. 198 E. DELA PAZ STREET, STA.
Professional ELENA
NO. 1069 DRA. SALAMANCA STREET, SAN
CAVITE
Professional ANTONIO, CAVITE CITY
Denied
ALBAY
Professional SAN JOSE, LIBON,
STO NINO MEYCAUAYAN BLK 57 LOT 3 EL
BULACAN
Professional CAMINO RD
Denied
ILOLIO CITY
Denied
PAMPANGA
Denied
PAMPANGA
Denied
CAMARINES
SUR
Denied
RIZAL
Denied
MANILA
Denied
PERALTA MEDICAL CLINIC
Professional HEALTHPARTNERS II QUEZON ST
MALIGAYA STREET, SINDALAN, CITY OF
Professional ROAD
RM.305, DON SANTIAGO BUILDING, 1344
Professional TAFT AVENUE
UNIT B 02 OPPEN BLDG 349 SEN GIL
Professional PUYAT AVE
335 SEN GIL PUYAT AVE 2ND FLR ECC
Professional BLDG
NO. 20 ELICANO EAST BAJAC-BAJAC,
Peralta,Dina
PEDROSA DIAGNOSTIC CENTER
PEDROSO TABUENA,DAISY,A,MD
PEKSON-REYES, NINA M., MD
PENAFIEL, ALVIN G., MD
WPS Provider
PAMPANGA
Professional
PAZ, FRITZIE M., MD
Denied
WPS Provider
PAULE, BERNICE C., MD
PAZ, FELICISIMA G., MD
Pangasinan
OLONGAPO
CITY
Denied
WPS Provider
1/8/2008 File Updated 01/08/2008
WPS Provider
WPS Provider
No Activity
8/29/2005 Hold (>2yr)
4/11/2011
6/30/2008
1/24/2005
5/27/2011
5/7/2010
2/18/2008
10/27/2010
10/27/2010
Status and Workflow
Owner - KD
11/21/2005
Status and Workflow
Owner - KD
No Activity
5/7/2004 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
No Activity
1/25/2007 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
10/30/2009
9/4/2006
6/22/2011
6/27/2011
11/14/2009
Status and Workflow
Owner - KD
5/28/2007
02/13/2007
5/21/2007
03/03/2008
7/14/2008
ADDED DENIED DATE
ADDED DENIED DATE
ON WPS
6/16/2011
WPS Provider
1/12/2008 File Updated 01/12/2008
2/19/2011
1/19/2009
MAKATI CITY
Denied
MAKATI CITY
Denied
WPS Provider
WPS Provider
WPS Provider
File Updated
WPS Provider
WPS Provider
CEBU
Denied
WPS Provider
6/16/2008 File Updated 06/16/2008
CEBU
Denied
ZAMBALES
Denied
Professional Rm 908 S Twr Chbc 279 E Rodriguez Sr Blvd Quezon City
Denied
WPS Provider
6/16/2008 File Updated 06/16/2008
9/8/2008
WPS Provider
WPS Provider
Ophthalmolog
10/16/2009 y
PERALTA,MD
PEREYRAS URGEL,MARY
ROSE,MD
2205 CIVIC DRIVE FILINVEST CORPORATE MUNTINLUPA
CITY
COR NATIONAL HIGHWAY APOKON RD
TAGUM CITY
Professional GABRIEL BLDG
Denied
Status and Workflow
Owner - KD
12/9/2005
9/28/2010
Perez Francisco,Eliza Mei
Professional San Juan 30 J Basa St Brgy Pedro Cruz
Metro Manila
Denied
Perez Francisco,Eliza,M
PEREZ MEDICAL CLINIC AND
GASTROENTEROLOGY CLINIC
Professional Rm 714 N Cath Hgts Bldg E Rodriguez Ave
Quezon City
Denied
Professional GR FLR VIRTUCIO BLDG ILUSTRE LEMERY BATANGAS
Professional SUBIC BAY FREEPORT ZONE, OLONGAPO ZAMBALES
Denied
Professional 188 North Mall Alabang Town Ctr
Denied
PENAFLOR, NEIL ALDRIN I., MD
PENELO,ARACELL,MD
PENEYRA, JHADE LOTUS P., MD
PEOPLES HEALTHCARE
MANAGEMENT
PEOPLES HEALTHCARE
MANAGEMENT INC
PEPITO, EVELYN S.
PEPITO, LEOPOLDO
PEREZ REYES, MA. JEWELLIE MD
Perez Sison,Primitiva,U,MD
PEREZ, RONALD MD
PEREZ, RONALDO S., MD
Muntinlupa City
Denied
Denied
QUEZON CITY
Page 79
Denied
No Activity
8/29/2005 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
3/8/2011
7/2/2010
7/3/2005
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
updated record
9/6/2010
9/6/2010
9/8/2008
10/12/2009
3/26/2010
ADDED DENIED DATE
5/30/2011
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
WPS Provider
12/17/2007 File Updated 12/17/2007
No Activity
6/8/2005 Hold (>2yr)
1/24/2011
Status and Workflow
Owner - KD
10/23/2010
3/23/2010
2/25/2008
2/12/2007
PEREZ, SOCORRO C., MD
Professional 46 P. SANCHEZ STREET, STA. MESA
MANILA
Denied
Perez,Maria Dolores,B
Professional Rm 9 Perpetual Succour Hosp
GRD FLR VIRTUCIO BLDG ILUSTRE
Professional LEMERY
4 MARIETTA ARCADE, GIL FERNANDO
Institutional AVENUE, SAN ROQUE,
Cebu City
Denied
BATAGAS
Denied
PEREZ,THERESA DIGNA,MD
PERFECT STAR MEDICAL CLINIC
PERINO PINEDA PANTIG
Professional 10 CATHERINE ST VILLA ANGELINA SUBD ANGELES CITY Denied
PERPETUAL SUCCOUR HOSPITAL
AND MATERNITY
MANILA
Institutional 836 F CAYCO ST, SAMPALOC
Denied
PESA, MARIA VILMA G., MD
Professional SANGI, TABUNOK, TALISAY CITY
CEBU
Denied
Pescon Tenstronics Pt Supply
Professional 9 E Rodriguez Ave
Professional TERRACES, NO. 638 TM KALAW, ERMITA
Manila Doctors Hospital Rm 322 Dona
Professional Salustiana Medical
Quezon City
Denied
MANILA
Denied
Manila
Denied
PESTANO, NOEMI S., MD
Pestano,Noemi,S
PETERO, VIRGILIO G., MD
Professional UST HOSPITAL, ESPANA SAMPALOC
PFC Ambulatory Medicine & Surgery
Penafrancia Palm Twr W Tapinac 335 Rizal
Ctr
Professional Ave 3Rd St Olongapo
PGH BAYANIHAN MULTI-PURPOSE
COOPERATIVE
Professional TAFT AVENUE
Denied
Olongapo City
Denied
MANILA
Denied
PGH LABORATORY
Institutional
Ph Botica 24 Hours
Denied
PH BOTICA 24 HRS
Olongapo City
Professional 9 Perimeter St New Asinan
NO. 9 PERIMETER STREET, NEW ASINAN,
ZAMBALES
NO. 9 PERIMETER STREET, NEW ASINAN,
ZAMBALES
Ph Botica 24 Hrs
Denied
PH BOTICA 24 HRS
PHARMACIA ABBY
Institutional
PHARMACIA LYN-MAR
Institutional
PHARMACIA MAMITA
PHARMASCENE
PHARMASYA NATY
J RIZAL STREET, PAETE
MANILA
LAGUNA
Olongapo City
GM BUILDING, GROUND FLOOR DAHLIA
STREET, WEST FAIRVIEW
PUBLIC MARKET, WEST FERIA, SAN
FELIPE
Denied
Denied
Denied
QUEZON CITY
Denied
Denied
Professional ALDECOA ROAD DARO
ZAMBALES
DUMAGUETE
CITY
Professional 3A ATOK TRAIL LOAKAN RD
BAGUIO CITY
Denied
ZAMBALES
Denied
PHC Medical Diagnostics & Pharmacy Professional Torres Oliva Bldg Roxas Ave Ext Kalibo
Aklan
Denied
PHILIPPINE BLOOD CENTER
PHILIPPINE CHIROPRACTIC
HEALTHCARE SERVICE
MANILA
PARANAQUE
CITY
Denied
PHILIPPINE FOUNDATION FOR
BREAST CARE INC.
Institutional
BRGY.PALANGINAN,IBA
Denied
Professional BLDG 19 SAN LAZARO CPD STA CRUZ
146 AGUIRRE AVENUE, B F HOMES
Institutional PARANAQUE
Institutional
ROOM 4006 DEPARTMENT OF SURGERY,
EAST AVENUE MEDICAL CENTER,
PINAHAN, DISTRICT IV
MANILA
Denied
PAMPANGA
Denied
PAMPANGA
Denied
PHL Botica 24 Hrs
PHYSICAL THERAPY HOME
HEALTHCARE SERVICES
Olongapo City
Denied
Professional NOVELETA
CAVITE
Denied
Piedad,Frances Luke,N
654 MALABAñAS ROAD, PLARIDEL
1,ANGELES CITY
Denied
Institutional
PIEDAD, FRANCIS LUKE, MD
Institutional
QUEZON CITY
PHILIPPINE GENERAL HOSPITAL
PHILIPPINE INTERNATIONAL
HOSPITAL INC.
PHILIPPINE INTERNATIONAL
HOSPITAL INC., PSYCHIATRY
DEPARTMENT
PICAZO, EUGENIO A., MD
Institutional
TAFT AVENUE, ERMITA
654 MALABAñAS ROAD, PLARIDEL
1,ANGELES CITY
Denied
ROOM 505, MEDICO BUILDING, LOURDES
PASIG CITY
Professional STREET
RIZAL
Denied
Denied
Manila
PIMBAYA, PANGILAN JR. A., MD
Professional Manila Doctors Hospital Un Avenue Ermita
Pinasen ancheta,Joey,MD
Professional JC 055 Vc Arcadian Bldg Km 5
Pico La Trinidad Denied
PINEDA, ANTONIO M., MD
UNIT 2, QUEENSLAND SAN FERNANDO
Professional CITY
CEBU
PAMPANGA
Page 80
Denied
Denied
Denied
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
File Updated
No Activity
6/29/2006 Hold (>2yr)
WPS Provider
10/05/2006
ADDED DENIED DATE
ADDED DENIED DATE
ON WPS
5/30/2011
ADDED DENIED DATE
6/15/2011
Status and Workflow
Owner - KD
7/24/2006
1/8/2010
9/14/2009
8/31/2009
No Activity
6/29/2005 Hold (>2yr)
WPS Provider
WPS Provider
11/26/2008 File Updated 11/26/2008
No Activity
4/8/2009 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
1/10/2011
4/10/2006
Status and Workflow
Owner - KD
WPS Provider
WPS Provider
WPS Provider
WPS Provider
Obstetrics &
Gynecology
no update needed
WPS Provider
WPS Provider
No Activity
12/22/2005 Hold (>2yr)
3/12/2007
3/10/2005
7/6/2009
12/8/2008
Status and Workflow
Owner - KD
2/20/2006
updated denied date to 97-09 per spreadsheet
9/7/2009
3/5/2010
added denied date 9-7-09
per spreadsheet
3/5/2010
9/7/2009
Status and Workflow
Owner - KD
5/11/2009
02/14/2006
3/20/2006
ADDED DENIED DATE
ADDED DENIED DATE
ON WPS
6/20/2011
6/21/2010
Status and Workflow
Owner - KD
12/19/2005
No Activity
10/20/2003 Hold (>2yr)
WPS Provider
WPS Provider
9/19/2005 File Updated 09/19/2005
No Activity
Status and Workflow
Owner - KD
12/13/2006 Hold (>2yr)
WPS Provider updated record due to dup
2/5/2009 File Updated providers
WPS Provider corrected provider number
WPS Provider
WPS Provider
WPS Provider
No Activity
10/23/2006 Hold (>2yr)
05/01/2006
added denied date per
spreadsheet
ADDED DENIED DATE
ON WPS
Status and Workflow
Owner - KD
10/31/2009
11/15/2010
9/24/2007
7/23/2007
6/1/2009
10/2/2006
10/2/2006
9/7/2009
6/21/2010
2/5/2007
WPS Provider
8/13/2008 File Updated 08/13/2008
11/10/2008
WPS Provider
WPS Provider
12/17/2007 File Updated 12/17/2007
WPS Provider
No Activity
4/14/2005 Hold (>2yr)
6/30/2008
6/7/2010
Status and Workflow
Owner - KD
10/17/2005
PINEDA, JUDITH MD
PINEDA,AMELIA MARTINA,M
PIO, FELIPE FEDERICO JR O., MD
PIONEER HEALTHCARE CLINIC
PIPO, ALDA R., MD
PIZARRO, GERARDO JR. F., MD
PIZARRO,JERRY ALFONSO,II
PIZZARRO, RAMIL R., MD
PIZZARRO, RAMIL R., MD
PMP DIAGNOSTIC CENTER INC.
Poblete,Jesus,F
CLINICAL LABORATORY, PHILIPPINE
Professional ORTHOPEDIC CENTER
CITY MED PLAZA B MENDOZA ST STO
Professional ROSARIO SAN FERNANDO
QUEZON CITY
Denied
PAMPANGA
Denied
No Activity
Status and Workflow
Owner - KD
9/1/2006 Hold (>2yr)
WPS Provider provider added as
10/6/2010 File Updated denied at wps
CAMARINES
SUR
Denied
ROOM 20, NAZARETH GENERAL
HOSPITAL, 203 PEREZ BOULEVARD,
PANGASINAN
Institutional DAGUPAN CITY
Professional 91 P. RAMON STREET, DIPOLOG CITY
8420 KALAYAAN COR SALAMACA STS
CRIZELDA MARIE BLDG CAPITOL DR SAN
Professional JOSE, BALANGA CITY
CRIZELDA MARIE BLDG CAPITOL DR SAN
Professional JOSE, BALANGA CITY
G/F JOSHUA BUILDING CENTER, 1428
Professional TAFT AVENUE, ERMITA
Espana Sampaloc Rm 2005 Mab Bldg Ust
Professional Hosp
ZAMBOANGA
DEL NORTE
SALAMANCA
STS
3/22/2011
BATAAN
Denied
4/11/2006
BATAAN
Denied
5/16/2006
MANILA
Denied
2/18/2008
Manila
Denied
8/5/2009
Institutional
50 MARCOS HIGHWAY, TAYUG
POLYMEDIC GENERAL HOSPITAL
Institutional
163 E DE LOS SANTOS AVENUE
PERPETUAL HELP MED CENTER,
Professional ALABANG-ZAPOTE ROAD, PAMPLONA
Lifeline Med Ctr Angeles City 57 Don Juico St
Ponio,Joseph,G
Professional Riverside Subd
PONTEJOS, ALFREDO JR. Q.Y., MD Professional TERRACES, NO. 638 TM KALAW, ERMITA
GROUND FLOOR C YOUND BUILDING
POSECION, MANUEL J.,MD
Professional SOLIS STREET, ILOILO CITY
Institutional
ROOM 103 WAYPOINT VENTURES INC.,
KAMUNING STREET, CEBU CITY
2ND FLOOR PALAWAN MEDICAL CITY I,
ESM BUILDING, MALVAR STREET,
Professional PUERTO PRINCESA CITY
Institutional
RHEDA BUILDING CAPITOL DRIVE, SAN
JOSE, BALANGA CITY
6TH FLOOR AB BUILDING, 411 QUINTIN
PAREDES STREET
50 EVANGELISTA STREET, ALIMA
BACOOR
PRL ENTERPRISES
PRO HEALTH MEDICAL
SPECIALIST
Institutional
Procare Medical Supply
Professional Sto Nino
Institutional BOULEVARD
PROCOM HEALTH SYSTEMS
PRODIGALIDAD, JOSE MD
PRODIGALIDAD, JOSE VICENTE
MD
Institutional
PO BOX 7778 DOMESTIC AIRPORT POST
PROHEALTH MEDICAL SPEC CORP Institutional OFFICE
PRUDENTIAL LIFE HEALTHCARE
INC.
Professional 843 ARNAIZ AVENUE
No Activity
5/2/2005 Hold (>2yr)
WPS Provider
10/5/2005 File Updated 10/05/2005
WPS Provider
3/4/2009 File Updated 03/04/2009
Denied
ILOILO
Denied
WPS Provider
WPS Provider
Denied
No Activity
1/24/2005 Hold (>2yr)
Status and Workflow
Owner - KD
Denied
Denied
MANILA
Denied
PALAWAN
Denied
Denied
Denied
BATAAN
Denied
MANILA
Denied
CAVITE
Denied
Batangas City
Denied
1/24/2011
11/8/2004
3/9/2009
7/16/2007
11/14/2005
3/23/2009
No Activity
Status and Workflow
Hold (>2yr)
Owner - KD
4/10/2004
10/23/2009
MANILA
Prieto Jabines Ob Gyn
Panabo City
Professional New Pandan Km 31 Nat'l Highway
PRIME CARE MULTI SPECIALTY HS
UNIT B027 LOWER GROUND LEVEL BLF B, NEGROS
INC.
OCCIDENTAL
Institutional BACOLOD
PRIME HEALTH CHILDREN &
MEDICAL CLINIC
Status and Workflow
Owner - KD
Denied
CEBU
11/5/2010
No Activity
Status and Workflow
Hold (>2yr)
Owner - KD
9/3/2007
File Updated ON WPS
4/12/2011
WPS Provider
5/8/2006
WPS Provider
5/8/2006
WPS Provider
6/13/2011
File Updated TO PDS
10/25/2009 Neurology
Pampanga
TALOGTOG, POZORRUBIO 2435
PANGASINAN
QUEZON CITY
PRESTIGE MEDICAL SUPPLIES
PRI MEDICARE SERVICES
Institutional
Institutional
Denied
MANDALUYON
G CITY
Denied
PONIO LOIDAS MD
PREMIER X-RAY CLINIC
WPS Provider
10/22/2008 File Updated 10/22/2008
Denied
POLYFLEX INDUSTRIES
PRECIOUS LIFE CARE PHILS, INC.
Denied
1/24/2005
POBRE, ANTONIO A., MD
POZORRUBIO COMMUNITY
HOSPITAL
Denied
No Activity
10/21/2002 Hold (>2yr)
Denied
MANILA EAST MEDICAL CENTER, MANILA
RIZAL
Professional EAST ROAD TAYTAY
Status and Workflow
Owner - KD
3/24/2008
Status and Workflow
Owner - KD
No Activity
1/8/2007 Hold (>2yr)
WPS Provider
WPS Provider
2/2/2009 File Updated 02/02/2009
WPS Provider
WPS Provider
11/2/2005 File Updated 11/02/2005
No Activity
10/24/2005 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
2/6/2010
3/6/2010
1/22/2007
9/13/2010
6/4/2007
5/25/2010
4/27/2009
1/12/2010
12/26/2005
Status and Workflow
Owner - KD
9/1/2006
08/20/2007
9/3/2007
ADDED DENIED DATE
ON WPS
4/12/2010
7/1/2010
QUEZON CITY
Denied
16-08-07 PREVIOUSLY
WPS Provider CERTIFIED ON 03-Sep8/16/2007 File Updated 07
PASIG CITY
Denied
WPS Provider
9/20/2007 File Updated 09/20/2007
2/11/2008
PASIG CITY
Denied
WPS Provider
7/23/2008 File Updated 07/23/2008
8/11/2008
MANILA
Denied
MAKATI CITY
Denied
Page 81
Status and Workflow
Owner - KD
No Activity
3/27/2006 Hold (>2yr)
WPS Provider
1/8/2008 File Updated 01/08/2008
11/10/2008
6/12/2006
3/10/2008
PSALM MEDICAL LABORATORY
PSI HEALTHCARE DEVELOPMENT
SERVICES CORP
PSYCHIATRIC DEPARTMENTSUBIC BAY MEDICAL CENTER
PSYCHIATRY CLINIC
PUBLIC HEALTH & SAFETY
DEPARTMENT SUBIC
PUBLIC HEALTH AND SAFETY
DEPARTMENT - SUBIC HEALTH
AND SAFETY GROUP
PUBLIC PHARMACY
PULMANO LIM, MARIA LEAH MD
PULUMBARIT, RAQUEL MD
PUNSALAN, PATRIA P., MD
Institutional
STALL 5 DR.REYES ARCADE SAN
NICOLAS 1, MAGALANG,
PAMPANGA
Professional ORTIGAS AVE UGONG PASIG CITY
METRO MANILA Denied
BLDG.3000, ZAMBALES HIGHWAY UPPER
CUBI POINT, SUBIC BAY FREEPORT
ZAMBALES
Institutional ZONE, OLONGAPO CITY
PHYSICAL THERAPHY BUILDING,
Institutional MANAHAN STREET, TENEJERO, BALANGA BATAAN
BUILDING 280 DEWEY AVENUE, SUBIC
ZAMBALES
Professional BAY FREEPORT
BUILDING 280, DEWEY AVENUE, SUBIC
BAY FREEPORT ZONE
Denied
2/F PASEO DE STA. ROSA COMMERCIAL
Professional COMPLEX, BRGY. DON JOSE, STA. ROSA LAGUNA
UNIVERSITY OF SATO TOMAS HOSPITAL,
MANILA
Professional ESPANA, SAMPALOC
ST.FERDDINAND BUILDING B., MENDOZA
STREET, SAN FERNANDO CITY
RM 215 DON SANTIAGO BLDG 1344 TAFT
AVENUE
Brgy Mayamot Antipo
BLDG 1109 PALM ST SUBIC BAY
FREEPORT ZONE
Professional
Pura,Ma Corazon
Professional
PURAY, MAFAHRDILES U., MD
Professional
PUREGOLD DUTY FREE SUBIC
Professional
PUREGOLD PRICE CLUB INC
Professional MCARTHUR HI WAY DAU MABALACAT
PUREZA,EDWIN,J,MD
Professional BRGY 1
PURUGGANAN, BENITO JR. C., MD Professional EXTENSION,
ROOM 107 GROUND FLOOR, HEALTH
CARE PLAZA, STA. MARIA STREET,
PUSUNG, ANDREW JAY G., MD
Professional POBLACION, FLORIDA BLANCA,
35 SAN JOSE DRIVE, POBLACION,
Q C DIAGNOSTIC LABORATORY
Institutional ALAMINOS CITY
CS-17 MULTI-DECK PARKING, UST
QCMP INC.
Professional CAMPUS, SAMPALOC
PAMPANGA
6/16/2008
Denied
Denied
11/29/2010
Rizal
Denied
9/2/2009
QUEZON CITY
Denied
10/22/2008
OLONGAPO
Denied
6/21/2010
PAMPANGA
Denied
9/8/2010
LUCENA CITY
Denied
8/24/2010
PASIG CITY
Denied
PAMPANGA
Denied
PANGASINAN
Denied
MANILA
Denied
PASAY CITY
Denied
QUERIMIT,ISIDORA
Professional
QUERO, GESTE D., RN
Professional
QUERUBIN, LUZ MD
Professional
QUERUBIN, MA. LUZ S., MD
Professional
Querubin,Luz,C,MD
SUITE 305 CAPITOL MEDICAL CENTER,
QUEZON AVENUE CORNER SCOUT
MAGBANUA
QUETUA, ORLANDO, MD
Professional
QUETUA, ROWENA MD
Professional
QUETUA, ROWENA MD
Professional
QUIAMBAO, CEZAR M., MD
Professional
QUIAMBAO,CAROLYN
Professional 62 18TH ST E BAJAC BAJAC
MANILA
Denied
MANILA
Denied
MANILA
Denied
RIZAL
Denied
PANGASINAN
Denied
QUEZON CITY
Denied
PASIG CITY
Denied
Pasig City
Denied
Status and Workflow
Owner - KD
WPS Provider
9/17/2007 File Updated 09/17/2007
8/9/2005
NO. 81 SEN. GIL PUYAT AVENUE,
CALAHAN, CARDONA
G F PANGASINAN MED CTR NABLE ST
DAGUPAN CITY
No Activity
10/16/2006 Hold (>2yr)
Denied
Institutional
Institutional
2/2/2009
WPS Provider
4/22/2008 File Updated 04/22/2008
Denied
Professional 924 GANDARA ST BINONDO
1/15/2007
Denied
MAKATI CITY
QUE,JOCELYN
QUEEN MARY HELP OF
CHRISTIANS HOSP
1/28/2008
2/23/2009
Institutional
CAMPUS, SAMPALOC
Professional CAMPUS, SAMPALOC
No Activity
1/30/2006 Hold (>2yr)
WPS Provider
11/17/2006 File Updated 11/17/2006
WPS Provider
1/7/2009 File Updated 01/07/2009
Denied
G/F JM BUILDING, PRES.OSMENA
HIGHWAY, CORNER ROCKEFELLER
STREET
Institutional
Status and Workflow
Owner - KD
WPS Provider
2/13/2008 File Updated 02/13/2008
WPS Provider
2/4/2009 File Updated 02/04/2009
BATANGAS
ZAMBALES
Professional PALANGINAN, IBA
PUNZALAN,FELIX EDUARDO,R,MD
QUETUA, ORLANDO MD
Denied
Denied
Professional
QUANTUM CARE MEDICAL
PRODUCTS, INC.
PRODUCTS, INC.
Denied
ZAMBALES
Institutional
PUNSALAN, PORFIRIO B., MD
QUALITY PRODUCTS AND
SERVICE QUALIPROSE
PRODUCTS
Denied
No Activity
Status and Workflow
Owner - KD
12/5/2005 Hold (>2yr)
12/24/2007
1/18/2011
3/3/2008
7/23/2007
10/1/2007
No Activity
Status and Workflow
Hold (>2yr)
Owner - KD
10/17/2005
File Updated ON WPS
1/31/2011
WPS Provider
File Updated
11/25/2009
22-10-08 EXCLUDED
File Updated ADVICE
11/24/2008
File Updated ON WPS
7/19/2010
File Updated ON WPS
9/27/2010
File Updated ON WPS
WPS Provider
10/20/2008 File Updated 10/20/2008
WPS Provider
12/26/2007 File Updated 12/26/2007
WPS Provider
1/19/2004 File Updated 01/19/2004
WPS Provider
4/20/2009 File Updated 04/20/2009
11/3/2008
2/4/2008
12/18/2006
5/11/2009
Status and Workflow
Owner - KD
10/10/2005
No Activity
6/30/2005 Hold (>2yr)
WPS Provider
2/7/2006 File Updated 02/07/2006
No Activity
4/12/2006 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
File Updated
WPS Provider
WPS Provider
Status and Workflow
Owner - KD
8/7/2006
6/16/2008
05/07/2008
ADDED DENIED DATE
ON WPS
PREVIOUSLY
CERTIFIED
ADDED DENIED DATE
ON WPS
6/16/2008
03/05/2008
4/14/2008
WPS Provider
4/22/2008 File Updated 04/22/2008
6/23/2008
WPS Provider
12/17/2008 File Updated 12/17/2008
3/23/2009
WPS Provider
11/15/2007 File Updated 11/15/2007
3/14/2011
11/4/2005
6/15/2010 Psychiatry
7/27/2009
2/11/2008
Status and Workflow
Owner - KD
12/24/2007
No Activity
12/3/2007 Hold (>2yr)
WPS Provider
2/25/2008 File Updated 02/25/2008
4/14/2008
WPS Provider
5/21/2008 File Updated 05/21/2008
6/9/2008
QUEZON CITY
OLONGAPO
CITY
Page 82
Denied
Denied
WPS Provider
3/31/2008 File Updated 03/31/2008
10/20/2008
12/13/2010
QUIANZON,DOLORES,MD
Professional 1314 M ALVAREZ AVE TALON V
QUIBILAN, ANNA LILY, MD
QUIMSON, VILMA M., DMD
MUNTINLUPA
CITY
Denied
WPS Provider
2/28/2008 File Updated 02/28/2008
5/5/2008
TARLAC
RIZAL
Quintos,Jose Albert,d,MD
QUIWA-GARCIA, ELIZABETH M.,
R AND 8 PHARMACY
R AND SOL RTW AND STORE
R C ALGER ENTERPRISE
PAMPANGA
Denied
3/28/2005
PAMPANGA
Denied
6/16/2008
PAMPANGA
Denied
4/5/2006
Angeles City
Denied
1/28/2010
QUEZON CITY
ROOM 108 ST. FERDINAND MEDICAL
ARTS BUILDING, MENDOZA STREET, SAN
PAMPANGA
OLONGAPO
CITY
Professional EAST BAJAC BAJAC 64 18TH ST
OLONGAPO
CITY
Professional 25 23RD ST WEST BAJAC BAJAC
NO. 5 ROXAS STREET, 2ND AVENUE,
CALOOCAN
CITY
Professional GRACE PARK
R D BARRAMEDA MEDICAL CLINIC Institutional
R MEDINA SURGICAL
ENTERPRISES
Institutional
RM.8 2&3 BUILDING MCARTHUR
HIGHWAY, SAN PABLO, MALOLOS
Denied
9/7/2006
Denied
3/29/2011
Denied
11/10/2010
Denied
1/12/2008
Denied
1443-1447 RIZAL AVENUE, STA.CRUZ
MANILA
Denied
Pasig City
Denied
MAKATI CITY
Denied
RABOT, DANTE MD
Professional 2 AMORSOLO ST LEGASPI VILLAGE
IGNATIUS HEALTH CARE LINK, JECSONS
TARLAC
Denied
Rad Web Associates Inc
Professional Heights Batasan Hills 90 Jericho St Filinvest
Quezon City
Denied
RABOCA,MARIA JOSEFINA,C,MD
RADI'S DRUGSTORE
RADI'S MEDICAL CLINIC
RAFA, NIMROD
RAGODON MEDICAL CLINIC
RAINBOW VALLEY DRUGSTORE,
MEDICAL SERVICES AND
GENERAL MERCHANDISE
RAK PHARMACY & GEN
MERCHANDISE
RAMILO ANIMAL BITE CLINIC
RAMILO, MELVIN V., MD
RAMIREZ, MARCELLUS- FRANCIS
L., MD
RAMOLETE-CUYUGAN, MARILYN
MD
Ramos Vinluan Spec Clinic
RAMOS VINLUAN SPECIALTY
CLINIC
RAMOS, BENJAMIN JR L., MD
Institutional
597 RIZAL STREET,ANGELES CITY
PAMPANGA
597 RIZAL STREET,ANGELES CITY
ROOM 307, J&F BUILDING, Q PLAZA
Professional COMPLEX, FELIX AVENUE, CAINTA
Institutional
Institutional
JC 205 CENTRAL PICO, LA TRINIDAD
BLOCK 5 LOT 1 P- 12, AGUADO STREET,
Institutional BAHAYANG PAG-ASA, IMUS
Denied
No Activity
2/16/2004 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
08/29/2005
WPS Provider
9/24/2008 File Updated 09/24/2008
WPS Provider
No Activity
10/27/2003 Hold (>2yr)
CAVITE
Denied
Denied
11/9/2009
Status and Workflow
Owner - KD
10/24/2005
Denied
PARANAQUE
CITY
Page 83
10/13/2008
No Activity
10/27/2003 Hold (>2yr)
ZAMBALES
Denied
10/10/2005
Status and Workflow
Owner - KD
10/24/2005
Denied
Denied
1/10/2011
3/1/2010
ADDED DENIED DATE
ON WPS
12/26/2010
BENGUET
Bulacan
MALOLOS
BULACAN
5/4/2010
Status and Workflow
Owner - KD
12/25/2006
Status and Workflow
Owner - KD
Denied
6/30/2008
3/30/2009
Denied
TARLAC
3/24/2010
01/12/2008
RIZAL
Denied
7/26/2010
6/13/2011
WPS Provider
4/28/2008 File Updated 04/28/2008
WPS Provider
QUEZON CITY
10/23/2009
ADDED DENIED DATE
ADDED DENIED DATE
ON WPS
Denied
Professional UNIT 11, 808 E. RODRIGUEZ SR. AVENUE
NO. 87ADELITA CHIOCO STREET BF
Professional HOMES
No Activity
Hold (>2yr)
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
4/9/2007
Status and Workflow
Owner - KD
11/27/2006
ZAMBALES
Denied
Professional 237 PARIANCILO ST
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
Denied
CAVITE
Professional 237 Pariancillo St,Sto Nino City of Malolos
28-03-05
PAMPANGA
BLOCK 5 LOT 1, P-12, AGUADO STREET,
Professional BAHAYANG PAG-ASA, IMUS
144 CASTANEDA AVENUE,SAN MIGUEL,
Professional TARLAC CITY
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
6/9/2008 File Updated 06/09/2008
Denied
BULACAN
Rabanal,Teresita,N,MD
Status and Workflow
Owner - KD
11/28/2005
9/17/2007
QUINONES, ILDEFONSO JR. L., MD Professional 142 BALTAZAR STREET, TARLAC CITY
QUINTOS, ALBERT JEROME MD
CYBERCARE INC.,NO.57 DON JUICO
AVENUE (PERIMETER ROAD,
CLARKFIELD) RIVERSIDE SUBDIVISION,
QUINTOS, JOSE ALBERT L MD
Professional BARANGAY ANUNAS, ANGELES CITY
QUINTOS, JOSE ALBERT L., MD
Professional JUICO STREET, ANGELES CITY
1992 AFC BLDG ARTHUR HIGHWAY
QUINTOS, JOSE ALBERT, MD
Professional CORNER DON GUECO STREET BALIBAGO
QUIOGUE,VERGEL,A
5/7/2007
Denied
Denied
Professional Riverside Subd Balibago 57 Don Juico Ave
PHILIPPINE HEART CENTER EAST
Professional AVENUE
No Activity
6/14/2004 Hold (>2yr)
Status and Workflow
Owner - KD
6/13/2011
No Activity
8/29/2005 Hold (>2yr)
WPS Provider
5/24/2007 File Updated 05/24/2007
QUEZON CITY
QUIOGUE, ANNA MARGARITA
RUFINA M., MD
Professional 1224 Y O BLISS DILIMAN
Denied
WPS Provider
No Activity
8/11/2003 Hold (>2yr)
WPS Provider
1/7/2009 File Updated 01/07/2009
WPS Provider
7/11/2006 File Updated 07/11/2006
Status and Workflow
Owner - KD
No Activity
7/11/2006 Hold (>2yr)
WPS Provider
5/28/2007 File Updated 05/28/2007
No Activity
11/2/2005 Hold (>2yr)
3/8/2010
3/10/2005
2/2/2009
8/28/2006
8/28/2006
11/12/2007
Status and Workflow
Owner - KD
11/14/2005
WPS Provider
WPS Provider
No Activity
6/1/2006 Hold (>2yr)
5/5/2008
Status and Workflow
Owner - KD
Cardiology;#N
eurology;#Ped
iatrics –
6/16/2011 Please list any
6/16/2011
6/26/2006
RAMOS, CECILE POLICARP, MD
RAMOS, CLAVER P., MD
RAMOS, EUGENIO F., MD
1434 DAGONOY CORNER AMATISTA
Professional STREET, SAN ANDRES
MANILA
RM 212 MAKATI MEDICAL CENTER NO.2
MAKATI CITY
PASIG CITY
RAMOS, EUGENIO JOSE F., MD
Professional
RAMOS, JOSEPHINE MD
Professional
RAMOS, JOSEPHINE MD
Professional
RAMOS, LUMINARDO M., MD
Professional
RAMOS, MA TERESA MD
Professional
ROOM 205 MEDICO BUILDING, LOURDES
CORNER SAN MIGUEL AVENUE, ORTIGAS
CENTER
EXTENSION,
PASIG CITY
Denied
Denied
Denied
Denied
PAMPANGA
Denied
PAMPANGA
Denied
Denied
RAMOS, RIZALINA R., MD
QUEZON CITY
CAMARINES
SUR
RAMOS, ROSLYN P., MD
Professional MILAN BUILDING, MAGSAYSAY AVENUE
BAGUIO CITY
Denied
RAMOS, TRUDI FLOR PAISO, MD
Ramos,Josephine,B,MD
RAMOS,ROMULO,F,MD
RAMOS-BERNAD, CECILIA, MD
RAMOS-SALCEDA, PACITA, MD
RAMS MARKETING
RAÑOLA, JOSE MANUEL III T., MD
RAÑOLA, RENATO T., MD
RAÑON, JOSE JR. C., MD
RAÑON'S HEART CLINIC
Raso,Annette
RAURA, CLADIN MD
ST.MARCELLIN MULTI-SPECIALTY CLINIC,
CAINTA
Professional 268 DELA PAZ, MARCOS HIGHWAY
UERM MEMORIAL MED CTR AURORA
Professional BLVD DONA IMELDA
PERPETUAL SUCCOUR HOSPITAL, CEBU
Professional CITY
UNIT 211 2ND FLOOR MOLVINA
8528 JUANITA DE LEON STREET, DR. A
Professional SANTOS AVENUE, SUCAT
888 HEALTH CLINIC $ DIAGNOSTIC
RAÑOLA MEDICAL CLINIC, PANGANIBAN
Professional DRIVE, NAGA CITY,
Denied
Pasig City
Denied
QUEZON CITY
Denied
CEBU
Denied
RIZAL
PARANAQUE
CITY
Denied
RIZAL
Denied
CAMARINES
SUR
NO. 21 M.J. GUERRERO STREET,
Professional BARANGAY 21, LAOAG CITY
NO. 21 M.J. GUERRERO STREET,
Institutional BARANGAY 21, LAOAG CITY
West Tapinac Olongapo City 335 Rizal Ave
Professional Cor 3rd St
Denied
Denied
Denied
ILOCOS NORTE Denied
ILOCOS NORTE Denied
Zambales
CAVITE
Denied
Denied
RAVAGO, RAUL C. MD
ROOM 20 NAZARETH GENERAL HOSPITAL
Professional 203 PEREZ BOULEVARD, DAGUPAN CITY PANGASINAN
Denied
RAVANES, JESUS M., MD
Professional ARCHBISHOP REYES AVENUE, CEBU CITY CEBU
Denied
RAYMUNDO, CONNIE MD
RAY'S PHYSICAL THERAPY
SERVICES
RAYUMA AT IBA PA KLINIK
Professional 125-B EVANGELISTA ROAD, CAVITE CITY
CAVITE
Denied
Professional BRGY LOCLOC PALUIG
ZAMBALES
Denied
Institutional
MANILA
Page 84
Denied
8/11/2008
2/26/2007
8/11/2008
WPS Provider
Denied
6/13/2005
2/11/2008
Denied
CAVITE
2/9/2009
WPS Provider
12/10/2007 File Updated 12/10/2007
MANILA
Professional POBLACION, BACOOR
NATIONAL HIGHWAY, PLAZANG LUMA,
Professional ARAYAT
11 SOUTH A CORNER ROCES AVENUE,
Professional BRGY. PALIGSAHAN
RAMOS, MIGUEL ARAOJO JR., MD
No Activity
7/12/2005 Hold (>2yr)
Status and Workflow
Owner - KD
WPS Provider
7/23/2008 File Updated 07/23/2008
Denied
RAMOS, MARILOU MD
WPS Provider
7/23/2008 File Updated 07/23/2008
Denied
PARANAQUE
CITY
RAMOS, MARIE DESIREE R., MD
No Activity
Hold (>2yr)
Status and Workflow
Owner - KD
PASIG CITY
4297 LOTUS ROAD SUN VALLEY
Professional SUBDIVISION, MERVILLE,
RAMOS, MARIA TERESA S.,MD
WPS Provider
11/21/2008 File Updated 11/21/2008
WPS Provider
5/2/2005 File Updated 05/02/2005
No Activity
10/17/2005 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
No Activity
7/28/2005 Hold (>2yr)
WPS Provider
WPS Provider
No Activity
3/9/2006 Hold (>2yr)
09/15/2008
10/13/2008
06/21/2007
7/30/2007
04/15/2009
5/18/2009
08/04/2008
9/1/2008
08/04/2008
8/11/2008
Status and Workflow
Owner - KD
9/19/2005
ADDED DENIED DATE
ON WPS
Status and Workflow
Owner - KD
WPS Provider
11/30/2010
6/5/2006
2/19/2011
1/8/2005
Status and Workflow
Owner - KD
10/22/2007
No Activity
11/15/2006 Hold (>2yr)
WPS Provider
11/15/2006 File Updated 11/15/2006
WPS Provider
6/11/2007
6/11/2007
6/22/2009
Status and Workflow
Owner - KD
11/19/2007
Status and Workflow
Owner - KD
No Activity
2/24/2003 Hold (>2yr)
WPS Provider
6/6/2007 File Updated 06/06/2007
Status and Workflow
Owner - KD
No Activity
1/18/2005 Hold (>2yr)
WPS Provider
No Activity
11/9/2005 Hold (>2yr)
7/13/2009
12/8/2009
Status and Workflow
Owner - KD
No Activity
10/17/2005 Hold (>2yr)
7/2/2007
Status and Workflow
Owner - KD
10/29/2007
WPS Provider
No Activity
9/12/2005 Hold (>2yr)
2/6/2010
Status and Workflow
Owner - KD
6/13/2005
10/1/2007
2/14/2005
6/10/2011
3/20/2006
Raz,Donna,C,MD
RAZGRIZ TECHNOLOGIES INC.
RAZON, GERARD MD
West Tapinac Olongapo City 335 Rizal Ave
Professional Corner 3rd St
Zambales
KM 99 MAHARLIKA HIGHWAY, SAN
NUEVA ECIJA
Professional LEONARDO
PAMPANGA
RCC AMAZING TOUCH
INTERNATIONAL INC.
Institutional
RDB MEDICAL CLINIC
Institutional
1-5 TEACHERS BLISE CONDO II QUIRINO
HI-WAY, BALINTAWAK
QUEZON CITY
ROOM 8 , 2 AND 3 BUILDING, MACARTHUR
HIGHWAY, SAN PABLO, MALOLOS
BULACAN
Denied
Denied
Denied
Denied
WPS Provider
No Activity
11/21/2008 Hold (>2yr)
2/2/2010
Status and Workflow
Owner - KD
WPS Provider
1/15/2007
Denied
No Activity
Hold (>2yr)
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
Status and Workflow
Owner - KD
Professional 48 1ST ST NEW BENICAIN
OLONGAO CITY Denied
Professional 101 CHICO ST PROJECT 2
134 V LUNA ROAD EXT SIKATUNA
QUEZON CITY
Denied
10/6/2010
QUEZON CITY
Denied
10/6/2010
Reazon,Nilo,A,MD
Professional Ste 104 GF Velasco Bldg Panganiban Dr
Camarines Sur
Denied
REBLANDO, MYRNA MD
57 DON JUICO AVENUE, (PERIMETER
REBMAN INC.
REBOSA CLINIC
REBOSA ULTRASOUND, X-RAY &
LABORATORY CLINIC
REBULADO, JOSEPH T., MD
REBUTOC, EMELITA L., MD
Recio,Alma,G,MD
RECOVERY CIRCLE FOUNDATION
INC
RECTO JR., RAFAEL S., MD
Institutional
NO. 162 B LIMBAGE EXTENSION, BRGY.
SACRED HEART, DILIMAN
QUEZON CITY
Professional 139 MCARTHUR HIGHWAY, VILLASIS
PANGASINAN
POBLACION, VILLASIS
ROOM 3102, PEDIATRICS OUT-PATIENT
DEPARTMENT, BICOL REGIONAL
TRAINING TEACHING HOSPITAL, RIZAL
Professional STREET, LEGAZPI CITY
Institutional
Institutional
25 KINGSVILLE ST. WHITE PLAINS
Rejuso,Levi,R
RELAMPAGOS NAVOA,MA
ASUNCION
Professional NO. 1122 GENERAL LUNA ERMITA
2/F SM CITY LUCENA, BARANGAY IBA,
Institutional LUCENA CITY
SAN JUAN DE DIOS EDUCATIONAL
FOUNDATION HOSPITAL, 2772 ROXAS
MALIGAYA STREET, BARRIADA, LEGAZPI
Professional CITY
83 C CRUZ STREET CORNER ZAPATERO,
Professional BRGY. STA. ELENA
OUR LADY OF LOURDES HOSP SANCHES
Professional ST STA MESS
RELIABLE RENAL CARE INC.
Institutional
RELIABLE RENAL CARE INC.
Institutional
REDOR DENTAL CENTER
REENTEGRADO, JR., ARTHUR RN
REGANCES-DUANO, CHARINA MD
REGNER, LIZBETH V., MD
REHABILITATION & SPORTS
THERAPY CLINIC
Relos,Jesus,MD
REMANDABAN, REYNALDO MD
REMENTILLA MEDICAL CLINIC
REMENTILLA, NESTOR J., MD
REMO DRUG STORE
Denied
Denied
7/2/2007
No Activity
1/14/2009 Hold (>2yr)
Status and Workflow
Owner - KD
5/18/2009
Status and Workflow
Owner - KD
9/26/2005
Denied
MANILA
Denied
QUEZON
Denied
MANILA
Denied
ALBAY
Denied
CEBU
Denied
Mandaluyong
City
Denied
Denied
CONGRESSIONAL AVENUE, DASMARINAS CAVITE
Denied
BRGY. 3 POBLACION CUENCA
No Activity
2/5/2007 Hold (>2yr)
Denied
QUEZON CITY
CAVITE
Denied
Makati City
Denied
ZAMBALES
Denied
ZAMBALES
Denied
ZAMBALES
Denied
BATANGAS
Denied
REMULLA, JUANCHO F., MD
MANILA DOCTOR'S HOSPITAL, SUITE 208A
MANILA
Professional UNITED NATIONS AVENUE
Denied
Renaissance Makati City Hotel
Professional Esperanza St Cor Makati Ave
Denied
Makati City
Page 85
7/13/2009
Status and Workflow
Owner - KD
CAMARINES
SUR
Denied
10/26/2010
6/6/2005
No Activity
5/12/2005 Hold (>2yr)
Denied
10/26/2010
No Activity
2/3/2003 Hold (>2yr)
Denied
ALBAY
Mandaluyong
City
1/10/2011
Status and Workflow
Owner - KD
PANGASINAN
MANILA
CONGRESSIONAL AVENUE, DASMARINAS
Makati Med Ctr Legazpi Village 2 Amorsolo
Professional Cor Dela Rosa St
UNIT 10 AYC COMPLEX, NATIONAL
Professional HIGHWAY, STO. TOMAS SUBDIVISION,
52-A FOSTER STREET, NEW KABABAE,
NO. 52-A FOSTER STREET, NEW
Professional KABABAE, OLONGAPO CITY
Institutional
Denied
12/28/2010
4/23/2007
1/22/2007
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
RDM MEDICAL CLINIC
READ ABILITY LITERACY
IMPROVEMENT CENTER INC
READ ABILITY LITERACY
IMPROVEMENT CENTER INC
PAMPANGA
1/26/2009
WPS Provider
11/15/2007 File Updated 11/15/2007
WPS Provider
Status and Workflow
Owner - KD
No Activity
9/1/2002 Hold (>2yr)
WPS Provider
12/5/2005 File Updated 12/05/2005
WPS Provider
8/10/2005 File Updated 08/10/2005
WPS Provider
9/28/2006 File Updated 09/28/2006
WPS Provider
WPS Provider
WPS Provider
WPS Provider
No Activity
6/7/2006 Hold (>2yr)
No Activity
11/9/2005 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
No Activity
2/20/2006 Hold (>2yr)
No Activity
6/15/2005 Hold (>2yr)
WPS Provider
1/24/2011
3/3/2008
1/29/2010
7/2/2005
5/15/2006
2/21/2011
9/19/2005
2/19/2007
12/17/2007
7/14/2008
11/07/2008
11/17/2008
12/30/2009
ADDED DENIED DATE
updated due to dup
records
updated due to dup
records
6/9/2011
7/31/2006
7/31/2006
11/16/2009
01/28/2009
4/13/2009
11/17/2006
3/19/2007
11/17/2006
3/19/2007
Status and Workflow
Owner - KD
3/10/2008
Status and Workflow
Owner - KD
5/12/2005
11/27/2009
RENAL CARE CLINIC & PHARMACY Institutional
RENAL SERVICES, INC.
RENDON-RAGODON, CHRISTINE
LUISA MD
RES GESTAE DIAGNOSTIC
SERVICE
NO. 2114 F & C BUILDING, GIL PUYAT
AVENUE
PASAY CITY
POBLACION, MAHARLIKA HIGHWAY,
STO.TOMAS
RAGODON MEDICAL CLINIC, ROOM 307/8
J & F BUILDING, FELIZ AVENUE, Q-PLAZA
Professional COMPLEX, CAINTA
Institutional
251 J RIZAL STREET, SILANG
RESIDE, EVELYN VICTORIA E., MD Professional MAYAMOT, ANTIPOLO CITY
Retired Activities Center Iloilo Inc
Retired Us Military Serviceman
Healthcare Philippines
RETIRED US MILITARY
SERVICEMEN (RMS) HEALTHCARE
RETIRED US MILITARY
SERVICEMEN NORTH LUZON
HEALTHCARE PHILIPPINES INC.
REYES PEKSON, NINA MD
REYES, ALEXANDER JOSEPH L.,
MD
REYES, AUGUSTO JR. E., MD
REYES, CARMELA VERONICA O.,
MD
REYES, ETHEL MD
REYES, IMELDA MD
Institutional
Reyes,Cecilia,C,MD
Reyes,Eduardo,L
Reyes,Jose Paciano Ba,T,MD
Reyes,Jose Paciano,T,MD
REYES,MICHALE JOSEPH
Reyes,Rene,V,MD
REYES-CRISOSTOMO, CAROLYN
MD
REYNALDO E. ANG MEDICAL
CLINIC
Denied
RIZAL
Denied
CAVITE
Denied
RIZAL
Denied
8/7/2006
No Activity
8/16/2005 Hold (>2yr)
Status and Workflow
Owner - KD
3/10/2005
WPS Provider
3/6/2006 File Updated 06/03/2006
11/15/2010
3/10/2008
Professional 2nd Flr Marymart Mall Cor Valeria Delgado St Iloilo City
Denied
Professional Door 4 Naga Montana Arcade Panganiban Dr
DOOR 4 NAGA-MONTANA ARCADE,
Institutional PANGANIBAN DRIVE, NAGA CITY,
ROOM 5 HEART STATION, NAZARETH
GENERAL HOSPITAL, PEREZ BOULEVARD,
Professional 83 GIL FERNANDO AVENUE, SAN ROQUE
Naga City
CAMARINES
SUR
Denied
Denied
PANGASINAN
Denied
WPS Provider
2/1/2010
RIZAL
Denied
WPS Provider
1/28/2008 File Updated 01/28/2008
3/3/2008
NO. 16 BONANZA STREET, RANCHO
Professional ESTATE II
ROOM 717 NORTH TOWER, CHBC
Professional NO. 279 E. RODRIGUEZ SR. BOULEVARD
Professional MALOLOS
REYES, JOSE PACIANO BALTAZAR
T., MD
REYES, JOSE PACIANO MD
REYES, JOSEPH B., MD
REYES, NANETTE D., MD
REYES, NANETTE D., MD
FEU-NRMF HOSPITAL, REGALADO
REYES, NICANOR
Professional STREET CORNER DAHLIA STREET, WEST
DONA CRISPINA HOMES, AGNAYA,
REYES, NOEL D.
Professional PLARIDEL
REYES, RAMON A., MD
REYES, RENE V., MD
REYES, RENE V., MD
REYES, RIGO DANIEL VICTOR,
M.D.
Reyes,Annabeller,MD
BATANGAS
No Activity
6/20/2006 Hold (>2yr)
WPS Provider
1/15/2008 File Updated 01/15/2008
WPS Provider
WPS Provider
WPS Provider
REYES, JOCELYN I, MD
REYES, SAMMY B., MD
Denied
Status and Workflow
Owner - KD
2/1/2010
5/4/2010
No Activity
2/17/2006 Hold (>2yr)
Status and Workflow
Owner - KD
2/19/2007
No Activity
8/10/2005 Hold (>2yr)
Status and Workflow
Owner - KD
2/19/2007
QUEZON CITY
Denied
PAMPANGA
Denied
WPS Provider
CAMARINES
SUR
Denied
WPS Provider
11/12/2008 File Updated 11/12/2008
BULACAN
Denied
No Activity
Hold (>2yr)
Status and Workflow
Owner - KD
WPS Provider
8/13/2008 File Updated 08/13/2008
PASIG CITY
Denied
RIZAL
Denied
MANILA
Denied
MANILA
Denied
QUEZON CITY
Denied
BULACAN
Denied
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
01/02/2008
10/23/2009
1/26/2009
1/11/2004
4/16/2011
9/1/2008
3/3/2008
1/19/2009
01/12/2008
1/19/2009
07/07/2008
7/28/2008
05/22/2006
6/12/2006
Denied
WPS Provider
2/11/2008 File Updated 12/17/2007
8/18/2008
WPS Provider
3/3/2008 File Updated 03/03/2008
4/14/2008
WPS Provider
9/17/2008 File Updated 08/30/2008
9/29/2008
QUEZON CITY
PASIG CITY
Denied
MUNTINLUPA
CITY
Denied
Professional 39 M Paterno St
Manila Doctors Hosp 6 F Mac 664 TM Kalaw
Professional St Ermita
San Juan
Denied
Pasig City
Denied
Manila
Denied
644 T M KALAW STREET
3/8/2010
WPS Provider
Denied
Institutional
4/17/2010
Professional SEVILLA CENTER, SAN FERNANDO CITY LA UNION
Pangasinan
Muntinlupa City
Professional Rm 102 Medico Bldg
FAUSTA SUBDIVISION, MABOLO,
Professional MALOLOS CITY
4/7/2008
Denied
Denied
PASIG CITY
Mandaluyong
City
Denied
BULACAN
Denied
MANILA
Denied
Page 86
Denied
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
11/23/2009
08/12/2005
6/2/2006
9/29/2009
denied date 8-10-09
3/30/2010
8/10/2009
5/25/2009
11/9/2009
ADDED DENIED DATE
ON WPS
11/24/2010
added denied date to wps
2/19/2010
05/31/2007
6/11/2007
08/16/2005
5/12/2005
REYNALDO G. PATRIARCA
MEDICAL AND DRUG TESTING
CLINIC
TARLAC
Denied
11/11/2002
CAVITE
DAU
MABALACAT
Denied
9/8/2010
RFG PHARMACY
MABULOS DRIVE, SAN ROQUE
WELLCARES CLINIC AND LAB,
Professional GOVERNORS DR, MANGGAHAN GEN RI
UNIT 1 JOSE AND PAULA BLDG 224 MAC
Professional ARTHUR HIGHWAY
Denied
3/29/2011
RG MEDICAL CENTER
Professional 1692 EVANGELISTA ST BANGKAL
MAKATI CITY
Denied
5/10/2011
RG MEDITRON INC.
RG MERIDIAN HEALTH CARE
SERVICES
RG MERIDIAN HEALTH CARE
SERVICES
RG MERIDIAN HEALTHCARE
SERVICE
RG MERIDIAN HLTH CARE
SERVICES
Institutional
LFP BUILDING, NO. 82 PANAY AVENUE
Institutional CORNER ISAROG STREET,
UNIT 2804-A ALPHA GRANDVIEW
Institutional CONDOMINIUM, 1716 M.H. DEL PILAR
QUEZON CITY
Denied
9/28/2006
QUEZON CITY
Denied
5/27/2008
QUEZON CITY
Denied
7/30/2008
MANILA
MABALACAT
PAMPANGA
Denied
1/8/2007
Denied
10/14/2010
REYNERA, MARITES, M
RHCMC DIALYSIS FACILITIES
RIBU, RAMON MD
RICARDO R. SANTI CLINIC
Institutional
NAT'L HIGHWAY, IBA
ROOM 618, PHILIPPINE HEART CENTER,
Professional EAST AVENUE, DILIMAN
Institutional CENTER, PASONG LAWIN, DASMARINAS
Institutional
Ricarte Bravo,Arlene Alcantar
Professional G F Ever Gotesco Mall Ortigas Ave Extension
VAMENTA BOULEVARD, CARMEN,
RICARTE MEDICAL CLINIC
Institutional CAGAYAN DE ORO CITY
RICH CARDIO MEDICAL SUPPLIES
1241 CITY & LAND MEGA PLAZA, ORTIGAS
INC.
Professional CENTER,
ROOM 705 REAR TOWER, CATHEDRAL
RICO, AQUILEO C., MD
Professional CENTER, NO. 279 E. RODRIGUEZ SR.
ZAMBALES
Denied
QUEZON CITY
Denied
CAVITE
Denied
Pasig City
MISAMIS
ORIENTAL
Denied
PASIG CITY
Denied
No Activity
3/20/2006 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
Denied
QUEZON CITY
Denied
WPS Provider
9/14/2006 File Updated 09/14/2006
2/19/2007
QUEZON CITY
Denied
8/11/2010
Rigor,Leslie,R,MD
Professional Delos Santos Med Ctr 201 E Rodriguez Blvd
Quezon City
Denied
4/1/2009
Rimando Obillo,Froilan Jacinto,MD
Professional 730 C Christimar Vill Topaz La
Antipolo City
Denied
6/29/2009
RIVERA, ANTONIO MD
RIVERA, CLARA F., MD
MAKATI MEDICAL CENTER, NO.2
AMORSOLO ST. CORNER DELA ROSA ST.
MAKATI CITY
RIZAL
RIVERA, GENEROSO RENE B., MD Professional WALTERMART, DASMARINAS
CAVITE
RM.314 MEDICAL OFFICE B, CIVIC DRIVE
FILINVEST CORPORATE CITY, ALABANG
AMORSOLO CORNER DELA ROSA
STREETS, LEGASPI VILLAGE
12/7/2009
Status and Workflow
Owner - KD
11/21/2005
Status and Workflow
Owner - KD
WPS Provider
7/27/2007 File Updated 07/27/2007
8/27/2007
MANILA
Denied
WPS Provider
4/15/2009 File Updated 04/15/2009
5/18/2009
Rizal
Denied
Rivera,Jerome,MD
Professional
RIVERA,MARICEL,P
Professional MOTHER AND CHILD CLINIC QUEZON AVE LUCENA CITY
RIVERA,NOLI,P,MD
Professional VILLA LINA SUBD
250 JP RIZAL STREET, CALAMBA CITY
5/4/2009
Denied
Professional
Institutional
4/23/2007
MAKATI CITY
RIVERA, REYNALDO MD
Denied
BALANGA CITY Denied
Rizal
Denied
PASIG CITY
Denied
NEGROS
OCCIDENTAL
LAGUNA
Page 87
Denied
Denied
No Activity
12/13/2004 Hold (>2yr)
10/26/2009
Status and Workflow
Owner - KD
11/13/2006
WPS Provider
No Activity
8/29/2005 Hold (>2yr)
10/26/2009
5/26/2008
Professional
RIZAL MEDICAL CLINIC AND
LABORATORY
No Activity
11/15/2004 Hold (>2yr)
9/13/2010
WPS Provider
4/7/2008 File Updated 04/07/2008
RIVERA, REYNALDO D., MD
NO.5 B S AQUINO DRIVE, BACOLOD CITY
WPS Provider 08-04-09
4/8/2009 File Updated RECERTIFICATION
4/4/2011
Denied
Professional
Institutional
Status and Workflow
Owner - KD
3/19/2007
QUEZON CITY
RIVERA, RAMON O., MD
RIVERSIDE LEARNING CENTER
FOR CHILDREN
Denied
No Activity
4/12/2007 Hold (>2yr)
changed tax id provider
number PHL001509 not
on sharepoint
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
TO PDS
ADDED DENIED DATE
TO PDS
Denied
Professional
RIVERA,ROWENA PALERO
Denied
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
MUNTINLUPA
CITY
RIVERA, LUIS M., MD
Rivera,Reynaldo,md
Denied
7/10/2006
4/13/2009
3/9/2011
Denied
06/15/2006
03/30/2009
Denied
RINGOR, DEANA S., MD
6/16/2008
8/6/2007
11/22/2006
Denied
06/09/2008
03/12/2007
Denied
NO. 37 A. MABINIA STREET, SAN PABLO
CITY
LAGUNA
QUEZON CITY
2/11/2008
6/7/2010
QUEZON CITY
SAMPALOC
MANILA
Institutional
Status and Workflow
Owner - KD
RICO, AQUILEO C., MD
RIGHT PRESCRIPTION
DRUGSTORE INC
Professional 1073 BOHOL ST CORNER G TUAZON
RIGHT PRESCRIPTION PHARMACY
INC
Professional 66 N KITANLAD ST NEAN BANAWE ST
RINA OPTICAL
No Activity
Status and Workflow
Hold (>2yr)
Owner - KD
11/8/2004
File Updated ON WPS
10/11/2010
WPS Provider
6/8/2011
WPS Provider
6/30/2011
WPS Provider
2/26/2007
WPS Provider
11/3/2008
File Updated ON WPS
3/16/2011
WPS Provider
File Updated
1/21/2010
File Updated ON WPS
3/16/2011
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
No Activity
Hold (>2yr)
No Activity
6/27/2005 Hold (>2yr)
4/4/2005
12/18/2009
ADDED DENIED DATE
ON WPS
5/25/2010
3/28/2011
Internal
12/7/2009 Medicine
ADDED DENIED DATE
6/17/2011
Status and Workflow
Owner - KD
11/15/2004
Status and Workflow
Owner - KD
1/8/2005
RNMD's Multi Specialty Clinic
Makati
Denied
CEBU
Denied
WPS Provider
8/11/2008 File Updated 08/11/2008
ROA, MICHAEL
Professional 2 F Ecu Bldg 355 Sen G Puyat Ave
Roa,Camilo,MD
Rm 100 G F San Luis Terraces 638 T M
Professional Kalaw Ermita
Manila
Denied
ROALES,MARIA ELVIE,B,MD
Professional NO 9 MILITARY CUT OFF RD
BAGUIO CITY
Denied
ROBLES,JOSE
SUITE 5009 MEDICAL ARTS BUILDING UST
Professional HOSPITAL, ESPANA STREET, SAMPALOC MANILA
MATAAS NA LUPA, NATIONAL HIGHWAY,
BATANGAS
Professional LIPA CITY
DUMAGUETE
CITY
Professional QPCS CALINDAGAN ROAD
QUEZON CITY
RODIL, YOLANDA C., MD
ROASA, FRANCIS V., MD
ROBINSONS SUPERMARKET
ROBINSONS SUPERMARKET
PAMPANGA
Rogacion,Jossie,M,MD
MIKON BUILDING, BARANGAY DOLORES,
CORNER RIZAL $ LOPEZ JAENA STREETS,
Professional ORMOC CITY
MOLINO IV BACOOR MOLINO RD CORNER
Professional DUPLEX HOMES
ROLDAN,RUTH MARIE,A,MD
Professional 22 BRILL STREET W BAJAC BAJAC
RODRIGUEZ, ALEXANDER L., MD.
RODRIGUEZ, JOSE MARI S., MD
RODRIGUEZ, JUDEIA LIZA V., MD
RODRIGUEZ-BANDOLA, MARIA
ANGELA S., MD
ROEMARK TRADING
ROMANO, VICENTE JR V., MD
Rommel M E A Bugho Md Rehab Med Professional T Claudio St
ROMULO, LEANDRO JORENDIL A.,
MD
RONALD D GUIAO MD MEDICAL
CLINIC
Professional 5047 RIZAL ST LOURDES SUR
RM 1003 MEDICAL ARTS TOWER ORTIGAS
RONQUILLO,ELEANOR,L,MD
Professional AVE UGON
RONQUILLO,JENIFER,M,RN
MOTHER AND CHILD HOSPITAL, NO. 75
KESSING STREET, NEW ASINAN,
ROQUE IDIO, OLIVIA MD
ROQUE IDIO,OLIVIA,MD
Professional 111 KESING NEW KALAKAKE
75 KESSING STREET, NEW ASINAN,
ROQUE, ARISTOTLE BERNARD MD Professional OLONGAPO CITY
ROQUE, ARISTOTLE M., MD
PAMPANGA
Denied
Denied
Denied
Denied
Denied
Denied
RIZAL
Denied
LEYTE
Denied
CAVITE
Denied
Cavite
OLONGAPO
CITY
Denied
Denied
MAKATI CITY
Denied
Tabloban City
Denied
PAMPANGA
Denied
ANGELES CITY Denied
PASIG CITY
MABALACAT
PAMPANGA
Denied
Denied
ZAMBALES
OLONGAPO
CITY
Denied
ZAMBALES
Denied
Denied
WPS Provider
IntlSOS
Update
None
4/18/2011 Complete
6/26/2006
No Activity
4/14/2005 Hold (>2yr)
Status and Workflow
Owner - KD
8/15/2005
WPS Provider
11/27/2006 File Updated 11/27/2006
WPS Provider
WPS Provider
WPS Provider
WPS Provider
No Activity
Status and Workflow
Owner - KD
7/10/2006 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
Denied
7/21/2008
Rosales Amante,Marie Yvette,MD
CAVITE
Professional 45 GEN. TRIAS STREET, MENDEZ
Muntinlupa City
Denied
4/22/2009
ROSALES X-RAY CLINIC
Professional 5057 KULIAT STREET, ANGELES CITY
Denied
5/4/2004
Professional
ROSALES, CATHERINE MD
Professional
ROSALES, CATHERINE MD
Professional
ROSALES, DELFIN M., MD
Professional
ROSALES, DELFIN M., MD
Professional
ROSALES-AMANTE, MARIA
YVETTE B., MD
ROOM 510 MAB MANILA DOCTORS
Professional HOSPITAL 667 U.N. AVENUE, ERMITA
QUEZON CITY
Denied
updated record
ADDED DENIED DATE
ON WPS
No Activity
9/6/2004 Hold (>2yr)
WPS Provider
4/28/2010
ROSALES, CATHERINE M.D.
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
2/19/2011
4/23/2007
4/16/2011
7/1/2010
10/17/2009
5/23/2011
Status and Workflow
Owner - KD
11/13/2006
Denied
SR.AVENUE
BUILDING, GIL FERNANDO AVENUE, SAN
EXTENSION,
7/7/2011
No Activity
6/8/2006 Hold (>2yr)
4/20/2005
PAMPANGA
Internal
Medicine;#Pul
2/6/2010 monary
Status and Workflow
Owner - KD
Denied
RORALDO, JUDITH T.
11/3/2008
No Activity
Status and Workflow
Owner - KD
5/11/2006 Hold (>2yr)
10/2/2006
11/22/2010
4/29/2011
5/12/2011
ZAMBALES
SUBIC BAY
Professional GATEWAY PARK 2 BRAVEHEART STREET FREEPORT
ROQUE,ARISTOTLE,MD
7/6/2009
03/04/2009
ADDED DENIED DATE
ON WPS
09/15/2008
No Activity
Status and Workflow
Hold (>2yr)
Owner - KD
File Updated ON WPS
WPS Provider
WPS Provider
WPS Provider
No Activity
10/5/2004 Hold (>2yr)
Status and Workflow
Owner - KD
2/15/2010
2/2/2009
8/26/2010
4/4/2011
Registered
3/16/2011 Nurse
4/13/2009
8/26/2010
12/22/2008
6/6/2005
7/19/2010
8/4/2008
Endocrinology
3/25/2010 ;#Internal
6/15/2011
9/4/2006
WPS Provider
11/29/2007 File Updated 11/29/2007
2/4/2008
Denied
WPS Provider
3/23/2009 File Updated 03/23/2009
4/13/2009
CAMARINES
SUR
Denied
WPS Provider
12/22/2008 File Updated 12/22/2008
4/20/2009
CAMARINES
SUR
Denied
WPS Provider
2/11/2008 File Updated 26-12-05
4/20/2009
PASIG CITY
MANILA
Page 88
Denied
No Activity
11/28/2005 Hold (>2yr)
Status and Workflow
Owner - KD
5/29/2006
ROSALES-AMANTE, MARIA
YVETTE B., MD
UNIT 503 CROWN TOWER, NO. 107 HV
Professional DELA COSTA STREET SALCEDO VILLAGE MAKATI CITY
ROSARIO MEMORIAL HOSPITAL
Institutional
SAN ROQUE, GUAGUA
PAMPANGA
ROSARIO, MINETTE CLAIRE O., MD Professional BOULEVARD
QUEZON CITY
ROSARIO, TIMMIE MD
PANGASINAN
Rosario,Gary
Pangasinan
ROSCA, JASON D., MD
INT HOTEL BARCELO ANTES SHERAT
Professional IXTAPA-ZEHUATANEJO
ROSELL, JULIA GRACE P., MD
DIAGNOSTIC CENTER NO. 30 CANDA
STREET, EAST BAJAC-BAJAC, OLONGAPO
ZAMBALES
Professional CITY,
ROSAS MORA, RAFAEL
ROSELLYN AQUINO-SALANGAD
MEDICAL CLINIC
GUERRERO
RIZAL
231 VALDEZ STREET, MARISOL
PAMPANGA
ROOM 102 MEDICAL ARTS BUILDING.
ROSITA, ROMULO ROMMEL L., MD Professional MARY MEDIATRIX MEDICAL CENTER, LIPA BATANGAS
Institutional
Denied
WPS Provider
11/28/2005 File Updated 11/28/2005
WPS Provider
Denied
Status and Workflow
Owner - KD
Denied
Denied
Denied
Denied
Denied
Denied
Denied
Denied
Roslin Pharmacy
Professional Nel Ars Arellano St
Dagupan City
Denied
Rosline Oliveros,Maria Aurea,MD
Manila
Denied
MANILA
Denied
ROXAS, ALBERTO B., MD
ROXAS, ARTEMIO MD
ROXAS, ARTEMIO MD
Professional
ROXAS, ARTEMIO MD
Professional
ROXAS, ARTEMIO MD
Professional
ROXAS, DIANA JEAN C
Professional
ROXAS, EMMANUEL M., MD
Roxas,Diane Jean
EXTENSION,
VETHELP MEDICAL SERVICES, UNIT N
MANILA BAY ARCADE 2150 ROXAS
BOULEVARD CORNER QUIRINO AVENUE,
SUITE 514 MEDICAL OFFICE BUILDING,
WESTLIFE MEDICAL LABORATORY
DIAGNOSTIC CENTER, CRICLE C
ROXAS-DELA CRUZ, CORAZON A.,
BUILDING, CONGRESSIONAL AVENUE,
MD
Professional BAHAY TORO I
No Activity
11/19/2008 Hold (>2yr)
WPS Provider
6/2/2008 File Updated 06/02/2008
WPS Provider
No Activity
10/12/2005 Hold (>2yr)
Status and Workflow
Owner - KD
No Activity
12/19/2005 Hold (>2yr)
5/29/2006
3/1/2010
12/1/2008
6/16/2008
9/29/2009
6/18/2007
2/19/2011
Status and Workflow
Owner - KD
12/24/2007
Status and Workflow
Owner - KD
No Activity
4/4/2005 Hold (>2yr)
WPS Provider
12/17/2007 File Updated 12/17/2007
WPS Provider
WPS Provider
WPS Provider
WPS Provider
1/10/2008 File Updated 01/10/2008
Status and Workflow
Owner - KD
5/14/2007
3/10/2008
10/26/2009
9/28/2009
2/6/2010
2/18/2008
RIZAL
Denied
No Activity
1/30/2008 Hold (>2yr)
PASIG CITY
Denied
WPS Provider
6/18/2008 File Updated 06/18/2008
8/4/2008
PASIG CITY
Denied
WPS Provider
7/23/2008 File Updated 07/23/2008
8/11/2008
MANILA
Denied
WPS Provider
11/26/2008 File Updated 11/26/2008
12/15/2008
MUNTINLUPA
CITY
Mandaluyong
City
Denied
Denied
Status and Workflow
Owner - KD
No Activity
3/19/2007 Hold (>2yr)
WPS Provider
9/2/2009 File Updated no updated needed.
No Activity
Status and Workflow
Hold (>2yr)
Owner - KD
File Updated ON WPS
WPS Provider
File Updated
WPS Provider
File Updated
File Updated ON WPS
WPS Provider
WPS Provider
3/24/2008
7/30/2007
9/14/2009
QUEZON CITY
SUBIC BAY
FREEPORT
Denied
9/17/2007
Denied
5/24/2010
ZAMBALES
Denied
12/19/2005
ZAMBALES
Denied
1/10/2008
Royale Health Care & Medical Center Professional 30 A Canda St East Bajac Bajac
ROYALE HEALTH CARE AND
NATIONAL HIGHWAY, BRGY.
MEDICAL CENTER
Olongapo City
Denied
2/10/2010
ZAMBALES
Denied
4/5/2006
Rss Citi Health Services Corp
Pasig City
Denied
6/24/2009
LAGUNA
Denied
4/16/2008
PAMPANGA
Denied
WPS Provider
5/7/2010
Denied
WPS Provider
5/7/2010
BULACAN
Denied
Status and Workflow
Owner - KD
8/8/2005
ZAMBALES
Denied
QUEZON CITY
Denied
ROYAL DUTY FREE SHOP INC
Professional BLDG 1109 PALM ST
CENTER
Institutional PALANGINAN, IBA
CENTER
Institutional PALANGINAN, IBA
RUBIO TALLA, CYNTHIA M., MD
RUBIO, ELIZABETH S., MD
RUBIO, FERDINAND JR. C., MD
Professional Unno Pasig Blvd Caniogan
ROOM 3111 ANNEX BUILDING, CALAMBA
Professional MEDICAL CENTER, CALAMBA CITY
RUGAY MATERNITY AND GENERAL
HOSPITAL
Institutional
RUIZ, ELVIRA G., DDS
RUIZ, MA. FATIMA C., RN
RUSTAN COMMERCIAL
CORPORATION
M CRUZ STREET, CARPA VILLAGE,
SABANG BALIUAG
Professional 81 RIZAL AVE, OLONGAPO CITY
10 CIRILO STREET, ISIDORA HILLS,
Professional BARANGAY HOLY SPIRIT,
Institutional
PAMPANGA
RUSTANS TOWER - BRANCH SHANGRI-LA MANDALUYON
PLAZA, EDSA, WACKWACK
G CITY
Page 89
Denied
No Activity
7/7/2005 Hold (>2yr)
WPS Provider
1/26/2009 File Updated 01/26/2009
WPS Provider
10/8/2007 File Updated 10/08/2007
No Activity
3/8/2007 Hold (>2yr)
Status and Workflow
Owner - KD
2/18/2008
6/20/2010
2/4/2008
2/4/2008
Family
12/9/2010 Practice
3/5/2010
8/17/2009
5/19/2008
2/16/2009
4/21/2008
5/7/2007
RX STATION PHARMACY
RXLABUTO DISTRIBUTORS, INC.
Institutional
Institutional
UNIT 6G & 7G, METROWALK
COMMERCIAL COMPLEX, MERALCO
AVENUE
PASIG CITY
MED ARCADE BUILDING, SOBREPENA
CORNER DR. RAFAEL RUEDA STREET,
SAN JOSE CITY
NUEVA ECIJA
NO. 38 18TH STREET, EAST BAJAC BAJAC, OLONGAPO CITY
RYAN CRIS ELECTRICAL SUPPLY
Institutional
S P RAMOS MEDICAL CLINIC
Professional 607 BONI AVENUE
S R R DRUG STORE
Professional 9 PERIMETER ST NEW ASINAN
Sabadao,Jonathan,MD
Professional No 62 18 St E B B Olongapo City
Sabado,Grace,MD
Sabado,Raul,F,MD
SABAOT,SWIFT TARA,MD
SABATER PASCUAL OPTICAL
SACRED HEART CLINIC AND
LABORATORY
Professional Pmc Nable Street
Institutional
Institutional
SACRED HEART DIAGNOSTIC
MEDICAL CLINIC, INC.
Institutional
SACRED HEART MEDICAL
Institutional
SACRED HEART MEDICAL CLINIC
SADILI, MA. ADELINA, M.D.
SAFEDRIVE DRUG TEST CENTER
INC
SAFEWAY DIAGNOSTICS AND
MEDICAL CLINIC INC
SAGIP KALINGA PHARMACY AND
CONVENIENCE STORE
SAGUAN, JAMES T., RMT
Saint Louis Univ Hosp of the Sacred
Hrt
LEVEL 1, ROBINSONS PLACE
IMUS,E.AGUINALDO HIGHWAY, IMUS
Denied
Olongapo City
Denied
Rizal
Denied
UPPER GROUND FLR BLDG A SM
Professional MEGAMALL ESDA
2972 R MAGSAYSAY BLVD STA MESA
Professional CENTILLION CENTRE BLDG
Denied
Denied
Dagupan City
Denied
PANGASINAN
Denied
2106 P. BURGOS STREET, ANGELES CITY PAMPANGA
BURGOS RD CARIDAD
MCARTHUR HIGHWAY, SAN FRANCISCO,
Denied
ZAMBALES
MANDALUYON
G CITY
OLONGAPO
CITY
CAVITE
SUITE 103-105 DHI BUILDING, NO.2 LAPULAPU AVENUE CORNER EDSA,
MAGALLANES VILLAGE
Denied
Denied
Denied
MAKATI CITY
Denied
CAVITE CITY
Denied
PAMPANGA
Denied
WPS Provider
1/26/2009
8/23/2010
10/29/2009
7/13/2009
Orthopedic
Medicine;#Rh
4/25/2011 eumatology;#
6/17/2011
No Activity
7/12/2005 Hold (>2yr)
Status and Workflow
Owner - KD
10/31/2005
No Activity
9/5/2005 Hold (>2yr)
Status and Workflow
Owner - KD
10/15/2007
No Activity
Status and Workflow
Hold
(>2yr)
Owner - KD
6/28/2004
9/18/2006
5/30/2011
Denied
Denied
Status and Workflow
Owner - KD
11/19/2007
CAVITE
Denied
Professional SSS Bldg Harrison Rd
Baguio City
Denied
Baguio City
Denied
Saint Louis University
Baguio City
Professional A Bonifacio St
SALVADOR BUILDING, PARANG PARANG,
BATAAN
Professional ORANI
Denied
QUEZON CITY
Denied
SALAYA,MA SHELAH,L,MD
Professional 1 F MAIN BUILDING, E. RODRIGUEZ SR.
MARQUINTON RESIDENCES UNIT 618 B
Professional BARCELONA TOWERS
RM 8 2 F LOURDES BLDG HEALTH
Professional PARTNERS II
QUEZON CITY
Denied
SALAYA,SHELAH,MD
Professional SOLIS ST BRGY TAP OC MOLO
ILOILO CITY
Denied
SALAZAR & SALAZAR MDS
SALAZAR MONTEMAYOR,
ELIZABETH B., MD
Institutional
NO. 101 P. BURGOS STREET, BOCAUE
ROOM 802 MAC BUILDING MANILA
Professional DOCTORS HOSPITAL, 667 UN AVENUE,
UNIT 1 2ND FLR SAIYO BLDG
Professional KARANGALAN VILLAGE IMELDA AVE
BULACAN
Denied
MANILA
Denied
CAINTA RIZAL
Denied
BATAAN
Denied
Denied
No Activity
10/2/2007 Hold (>2yr)
Status and Workflow
Owner - KD
No Activity
10/17/2005 Hold (>2yr)
11/5/2007
WPS Provider
9/29/2009
WPS Provider
2/9/2009 File Updated changed denied date
9/7/2009
duplicate number , xWPS Provider referenced to phl044162
5/26/2009 File Updated phl 0001
9/7/2009
WPS Provider
7/28/2008 File Updated 07/28/2008
9/1/2008
WPS Provider
7/7/2008 File Updated 07/07/2008
7/21/2008
9/6/2010
10/17/2010
10/17/2010
WPS Provider
WPS Provider
12/1/2008 File Updated 12/01/2008
2/2/2009
WPS Provider
6/9/2011
WPS Provider
11/8/2006 File Updated 11/08/2006
11/27/2006
Status and Workflow
Owner - KD
LOS POZOS NO. 155 MNZA 3 LOTE 40
SALAZAR-INSUNZA, GILBERTO MD Professional FRACC ARCOS DEL SOL
SALAZAR-MONTEMAYOR,
ELIZABETH B., MD
SALAZAR-MONTEMAYOR,
ELIZABETH B., MD
CABO SAN
LUCAS
Denied
No Activity
10/16/2006 Hold (>2yr)
MANILA
Denied
WPS Provider
MANILA
Denied
SALCEDO, ODHYLON A., MD
CAVITE
Denied
3/12/2007
MANILA
Denied
Professional MOLINO II, BACOOR
SALAZAR SUPE,MYLA GLORIA,MD
SALAZAR, MARICHELLE FRANCES
P., MD
Professional TUYO, BALANGA CITY
No Activity
1/25/2007 Hold (>2yr)
WPS Provider
10/22/2008 File Updated 10/22/2008
WPS Provider
WPS Provider
Denied
Institutional
SAINTS INC.
SALANDANAN CABILDO,JOSE
EMMANUEL
Status and Workflow
Owner - KD
MAKATI CITY
MANDALUYON
G CITY
Saint Louis University
SAINT THERESA LABORATORY
No Activity
6/29/2005 Hold (>2yr)
Status and Workflow
Owner - KD
10/10/2005
1/14/2008
No Activity
Status and Workflow
Owner - KD
5/17/2004 Hold (>2yr)
9/4/2006
10/28/2010
11/15/2010
LANDMARK BUILDING II, MAIMPIS CITY OF
PAMPANGA
Professional SAN FERNAND0,
A Bonifacio St
No Activity
10/3/2005 Hold (>2yr)
Status and Workflow
Owner - KD
Page 90
WPS Provider
10/20/2008 File Updated 08/13/2008
WPS Provider denied date added to
3/9/2006 File Updated record
6/18/2007
2/6/2010
5/4/2009
10/27/2010
SALCEDO, ODHYLON, M.D.
SALDIVAR, CARLITOS C., MD
SALDO, TESSIE
49 DAMA DE NOCHE STREET, MANUELA
Professional SUBDIVISION
SUITE 403 PHILIPPINE HEART CENTER,
QUEZON CITY
Denied
SAMAR
Denied
LAGUNA
Denied
LAGUNA
Denied
LAGUNA
Denied
SALIALAM, SHEILA B., DDS
Professional G H DEL PILAR STREET, CATARMAN
CALAMBA MEDICAL CENTER, CROSSING,
Professional CALAMBA
DENTAL CITY, 3F BEAUTY CENTRAL
Professional ARCADE, MARKET MARKET
TAGUIG CITY
Denied
Salih,Rizal
Professional No 62 18 St E B B Olongapo City
Olongapo City
Denied
SALES AND SALES
SALES, ANDRADE DOREEN MD
SALES, GERONIMO JR. B., MD
SALILLAS, ANNETTE L., MD
SALONGA-ADAO, CAROL MD
SALUD,JOSE ANTONIO,M,MD
21-F NICHOLS HEIGHTS, GUADALUPE,
CEBU
RM 508 MEDICO BLDG MEDICAL SAN
Professional MIGUEL COR LOURDES RD
SALVADOR BAUTISTA,CELIA,S,MD Professional 32 B G MOLINA ST PARANG
QUEZON CITY
MANDALUYON
G CITY
Denied
Denied
Denied
SALVADOR, EDUARDO J., MD
DELA SALL UNIVERSITY MEDICAL
Professional CENTER, DASMARINAS
CAVITE
Denied
SALVADOR, VICTORIA
Professional 1620 RIZAL AVENUE, STA. CRUZ
MANILA
Denied
SALVA-SIBULO, CONSTANCIA C.,
MD
SALVE REGINA GENERAL
HOSPITAL
PAMPANGA
Denied
LOT A2A MARCOS HI-WAY, DELA PAZ
PASIG CITY
RIZAL DRIVE COR 5TH AND 32ND AVE
SALVINO,ROBERTO,MD
TAGUIG CITY
Professional FORT BONIFACIO GLOBAL CITY
SALVIO-REBANCOS, LIGAYA T., MD Professional CENTER, 279 E. RODRIGUEZ SR.
QUEZON CITY
Denied
SAMANIEGO, ROWENA DJ, MD
Professional CENTRO I, ORANI
BATAAN
Denied
Samonte,Melben,P
Professional Lourdes Sur 1979 Apt A Kuliat St
Angeles City
Denied
SAMPALOC MEDICAL CENTER
Institutional
Professional 1009 ESPANA STREET, SAMPALOC
SAMPANA CLINICAL LABORATORY Institutional
SAMPANA, CRISTINA
SAMSON DENTAL CENTER
SAMSON, JANETH T., MD
SAMSON, MA. JANETH M.D.
SAMSON, MA. JANETH T., MD
SAMSON, VICTORINO MD
Samson,Adel,V,MD
SAN ANTONIO DE PADUA
GENERAL HOSPITAL
SAN ANTONIO DIAGNOSTIC
LABORATORY DME
MANILA
NO. 131 HULO STREET, SAN AGUSTIN,
HAGONOY,
BULACAN
NO. 131 HULO STREET, SAN AGUSTIN,
Professional HAGONOY
BULACAN
Professional DBP BUILDING SESSION ROAD
BAGUIO CITY
11 BARCELONA CORNER ZARAGOZA
RIZAL
Professional STREET, CAINTA
QUEZON CITY
C/O TRISERVE HEALTHCARE, SUITE 817
QUEZON CITY
Denied
Denied
Denied
Denied
Denied
Denied
Denied
Denied
Denied
CAVITE
Denied
Pampanga
Denied
SAN ANTONIO ST ROSALES
PANGASINAN
MONTANA DRIVE PANGANIBAN DR NAGA CAMARINES
SUR
Professional CITY
Institutional
Page 91
Denied
Denied
No Activity
4/26/2004 Hold (>2yr)
Status and Workflow
Owner - KD
7/31/2006
No Activity
3/13/2006 Hold (>2yr)
Status and Workflow
Owner - KD
3/17/2008
Status and Workflow
Owner - KD
7/2/2007
No Activity
11/3/2006 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
No Activity
10/5/2006 Hold (>2yr)
11/12/2008
12/1/2008
11/12/2008
1/26/2009
11/12/2008
1/26/2009
10/27/2008
1/26/2009
11/18/2009
Status and Workflow
Owner - KD
No Activity
Status and Workflow
Owner - KD
6/8/2005 Hold (>2yr)
WPS Provider
9/9/2005 File Updated 09/09/2005
Status and Workflow
Owner - KD
No Activity
7/10/2006 Hold (>2yr)
WPS Provider
8/11/2006 File Updated 08/11/2006
WPS Provider
WPS Provider
WPS Provider
05/05/2008
01/09/2006
ADDED DENIED DATE
ON WPS
1/15/2007
2/12/2007
8/9/2010
2/28/2011
8/3/2009
9/19/2005
2/2/2009
10/16/2006
2/21/2011
6/9/2008
2/13/2006
6/15/2010
No Activity
4/22/2009 Hold (>2yr)
Status and Workflow
Owner - KD
5/11/2009
No Activity
4/18/2006 Hold (>2yr)
Status and Workflow
Owner - KD
9/25/2006
No Activity
4/27/2006 Hold (>2yr)
Status and Workflow
Owner - KD
9/25/2006
No Activity
12/29/2008 Hold (>2yr)
Status and Workflow
Owner - KD
2/2/2009
No Activity
10/11/2005 Hold (>2yr)
Status and Workflow
Owner - KD
12/19/2005
WPS Provider
5/31/2004 File Updated 31-05-04
05-09-07 CORRECTION
9/11/2006
8/4/2008
No Activity
Status and Workflow
Owner - KD
10/17/2005 Hold (>2yr)
11/19/2007
10/25/2009
7/8/2010
WPS Provider
SAN CARLOS IMAGING CENTER
INC
SAN DIEGO MEDICAL &
DIAGNOSTIC CLINIC
SAN FELIPE, MICHAEL C., MD
Institutional
ILANG, SAN CARLOS CITY
PANGASINAN
NO.10 J BUENVIAJE STREET, CAINTA
Institutional
SAN GABRIEL, JOSE MD
Professional
SAN JOSE, CRISOSTOMO, MD
Professional
San Jose,Crisotomo,Z,MD
Professional
SAN JUAN, EDGARDO MD
Professional
AMORSOLO ST. DELA ROSA ST. LEGASPI
VILLAGE
ACCUCARE MEDICAL ASSOCIATION, INC.,
BARANGAY MAYAMOT, ANTIPOLO CITY,
Rm 101 Our lady of Mt Carmel 78 Mcarthur
Hiway Saguin San F
EXTENSION,
San Lazaro Hospital
SAN LORENZO GENERAL
HOSPITAL
Institutional
Institutional
SAN LORENZO RUIZ HOSPITAL
SAN LORENZO RUIZ MED AND
DIAB CLNC
SAN LORENZO RUIZ MEDICAL
CLINIC
Institutional
RIZAL
RIZAL
Denied
Denied
Denied
MAKATI CITY
Denied
RIZAL
Denied
Pampanga
Denied
PASIG CITY
Denied
Quiricada St Sta Cruz
Manila
Denied
QUIRINO HIGHWAY, LAGRO
QUEZON CITY
Denied
4/24/2006
No Activity
1/9/2006 Hold (>2yr)
Status and Workflow
Owner - KD
3/13/2006
WPS Provider
8/18/2008 File Updated 08/18/2008
No Activity
2/21/2005 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
Denied
3/17/2005
Professional 33 BRGY MANGLICMOT SAN FELIPE
NO. 1900 BURGOS STREET, ANGELES
Institutional CITY
ZAMBALES
Denied
2/22/2011
PAMPANGA
Denied
9/28/2006
SAN LUIS, TEOFILO L., MD
Denied
10/13/2008
SAN PABLO CGH PHARMACY
Professional COLAGO AV SAN ROQUE
QUEZON CITY
SAN PABLO
CITY
Denied
9/8/2010
SAN VICENTE, PETER JAY MD
Institutional
177 DAIMATATAC STREET, SAN PASCUAL BATANGAS
52 MCARTHUR HIGHWAY, MATINA, DAVAO DAVAO DEL
SUR
Professional CITY
Denied
Denied
SANCHES, AILEEN C., MD
CAVITE
Denied
SANCHEZ ORTHOPEDIC HOSP
Professional 122 CABANTAN ST BARANGAY LUZ
CEBU CITY
Denied
SANCHEZ, BENILDA C., MD
SANCHEZ, JOCELYN A., MD
1431 LBH BUILDING, A. MABINI STREET,
Professional ERMITA
MANILA
SANCHEZ, ROMEO G., MD
Professional NO. 132 NAGUILIAN ROAD, BAGUIO CITY
Sanchez,Cynthia,E
Professional Plainview Apt D516 130 San Francisco St
Sanchez,Raphael,C,MD
2 AMORSOLO COR DELA ROSA ST
Professional MAKATI MED CTR LEGAZPI VILLAGE
HEALTHWAY MEDICAL CLINIC 2 F
Professional ALABANG TOWN CENTER ALABAN
SANDICO MEDICAL CLINIC, UNIT 101, S&C
APARTELLE, 4716 EDUQUE STREET,
Manila
Professional G F Ever Gotesco Mall Ortigas Ave
634 RIZAL ST LOURDES SUR R AND R
Professional BLDG
SANCHEZ, MARION
SANCHEZ, RAPHAEL C., MD
SANCHEZ,TERESITA,R,MD
SANDAGON,MARY JANE,T
SANDALO,RACHELLE,O,MD
SANDICO IV, CARLOS MD
Sandico,Carlos,C,MD
Sandico,Ma Christina,O
SANGALANG,JUANITO,G,MD
Sangalang,Juanito,MD
Sangalang,Juanito,MD
Denied
Status and Workflow
Owner - KD
11/10/2008
5/7/2007
11/19/2007
WPS Provider
5/1/2010
LAGUNA
SAN PASCUAL POLYCLINIC
NATIONAL HIGHWAY BAGONG CALAMBA
No Activity
3/27/2006 Hold (>2yr)
Status and Workflow
Owner - KD
07/23/2008
denied date 8-24-09
ADDED DENIED DATE
ON WPS
8/11/2008
8/24/2009
1/31/2011
No Activity
Status and Workflow
Hold (>2yr)
Owner - KD
4/4/2005
File Updated ON WPS
5/5/2011
WPS Provider
10/16/2006
WPS Provider
12/15/2008
File Updated ON WPS
11/30/2010
No Activity
5/26/2005 Hold (>2yr)
Status and Workflow
Owner - KD
6/3/2006
No Activity
11/22/2006 Hold (>2yr)
Status and Workflow
Owner - KD
8/6/2007
No Activity
Status and Workflow
Owner - KD
10/17/2005 Hold (>2yr)
11/19/2007
7/23/2010
No Activity
2/16/2007 Hold (>2yr)
Status and Workflow
Owner - KD
3/12/2007
No Activity
5/22/2006 Hold (>2yr)
Status and Workflow
Owner - KD
7/3/2006
BAGUIO
Denied
QUEZON CITY
Denied
WPS Provider
11/26/2008 File Updated 11/26/2008
12/8/2008
PASIG CITY
Denied
WPS Provider
11/10/2008 File Updated 09/15/2008
2/2/2009
TARLAC
Mandaluyong
City
Denied
Denied
Denied
MAKATI CITY
MUNTINLUPA
CITY
MABALACAT
PAMPANGA
Denied
MAKATI CITY
Denied
Pasig City
Denied
Pasig City
Denied
Denied
Denied
ANGELES CITY Denied
Pampanga
Denied
Pangasinan
Denied
Page 92
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
ADDED DENIED DATE
ON WPS
3/21/2011
11/16/2009
5/25/2009
ADDED DENIED DATE
ON WPS
8/24/2010
ADDED DENIED DATE
ADDED DENIED DATE
ON WPS
6/13/2011
09/05/2005
9/17/2007
General
12/30/2009
ADDED DENIED DATE
ON WPS
added denied date 10-509 to pds
5/19/2011
9/29/2009
10/5/2009
SANIEL, MEDIADORA MD
Saniel,Mediadora,C,MD
SANTARINA, JOSETTE MARIE L.,
MD
PASIG CITY
Pasig City
SANTI, RICARDO R., MD
MAHARLIKA HIGHWAY, CABANATUAN
Professional CITY
Professional CENTER, PASONG LAWIN, DASMARINAS
SANTIAGO,CELESTE,C,MD
Professional COLAGO AVE
CAVITE
SAN PABLO
CITY
SANTIAGO,LILIA,O,MD
DONE SANTIAGO BLDG 1344 TAFT AVE
Professional ERMITA RM 217
MANILA
SANTOS GENERAL HOSPITAL OF
MALOLOS INC.
Santos Ocampo,Ramon Augusto
SANTOS, DELFIN MD
SANTOS, ELENITA C., MD
SANTOS, ELMER B., MD
SANTOS, IAN A., MD
SANTOS, IMELDA C.
SANTOS, JOSE A., MD
SANTOS, LOURDES P., MD
Institutional
F. ESTRELLA STREET SATO. ROSATIO
MALOLOS
Professional 2ND FLOOR MOLVINA COMMERCIAL
NO. 61-A CALAMANSI STREET, TRINIDAD
Professional VILLAGE, CALIBUTBUT, BACOLOR
COMMERCIAL COMPLEX, BRGY.
UNIT 552 BUILDING A, SM MEGAMALL, J.
Professional VARGAS STREET, WACK WACK
Denied
Denied
Denied
SANTOS, NOEL C., MD
Professional
SANTOS, RENE G., MD
Professional
SANTOS, RODRIGO C., MD
Professional
SANTOS, RODRIGO, MD
Professional
SANTOS, TERESITA L., MD
Santos,Elenita,MD
Santos,Joy,P
Santos,Noel,C,MD
Santos,Ronald
Santos,Ronald,S,MD
SANTOS,VICENTE,C,MD
TLS BUILDING KALAYAAN VILLAGE,
Professional QUEBIAWAN, SAN FERNANDO CITY
Professional 22 Westpoint St Subdivision
Professional Metro Manila 253 Shoe Ave Sto Nino
06/15/2006
ADDED DENIED DATE
ON WPS
Status and Workflow
Owner - KD
Pasay City
Denied
RIZAL
Denied
WPS Provider
2/25/2008 File Updated 02/25/2008
PAMPANGA
Denied
RIZAL
Denied
RIZAL
Denied
PAMPANGA
Denied
RIZAL
MANDALUYON
G CITY
Denied
Denied
Denied
Denied
No Activity
4/10/2004 Hold (>2yr)
Status and Workflow
Owner - KD
WPS Provider
WPS Provider
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
No Activity
1/23/2007 Hold (>2yr)
Status and Workflow
Owner - KD
WPS Provider
11/12/2007 File Updated 11/12/2007
WPS Provider
8/27/2007 File Updated 08/27/2007
No Activity
5/24/2004 Hold (>2yr)
5/25/2009
7/10/2006
1/10/2011
Unable to meet provider
after several attempts.
Denied
SANTOS, MARIA DOLMA G., MD
Professional
No Activity
7/13/2005 Hold (>2yr)
WPS Provider
WPS Provider
IntlSOS
Update
4/19/2011 Complete
11/3/2008
Status and Workflow
Owner - KD
10/17/2005
No Activity
1/24/2006 Hold (>2yr)
SANTOS, NOEL C., MD
Denied
WPS Provider
10/20/2008 File Updated 10/20/2008
WPS Provider
BULACAN
SANTOS, MA. SHEILA T., MD
MEDICAL CENTER, Macarthur HIGHWAY,
LOURDES SUR, ANGELES CITY
VETHELP MEDICAL SERVICES, UNIT N
MANILA BAY ARCADE 2150 ROXAS
BOULEVARD CORNER QUIRINO AVENUE,
Denied
NUEVA ECIJA
QUEZON CITY
QUEZON CITY
SANTOS, MA. CECILIA, M.D.
Denied
Status and Workflow
Owner - KD
WPS Provider
11/22/2006 File Updated 11/22/2006
5/22/2006
7/27/2009
6/2/2008
10/9/2006
2/19/2011
2/19/2011
3/12/2007
1/21/2008
9/24/2007
9/4/2006
10/1/2007
No Activity
5/7/2004 Hold (>2yr)
Status and Workflow
Owner - KD
9/4/2006
No Activity
4/16/2008 Hold (>2yr)
Status and Workflow
Owner - KD
6/30/2008
PAMPANGA
Denied
WPS Provider
10/1/2008 File Updated 10/01/2008
3/23/2009
MANILA
Denied
WPS Provider
12/15/2008 File Updated 12/15/2008
12/22/2008
RIZAL
Denied
2/19/2011
PASIG CITY
Denied
WPS Provider
3/30/2009 File Updated 03/30/2009
4/20/2009
MUNTINLUPA
CITY
PAMPANGA
Cubao Quezon
City
Denied
Denied
No Activity
12/27/2006 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
Denied
WPS Provider
Denied
Denied
Rizal
Denied
Marikina City
Denied
Manila
Mandaluyong
City
Denied
MARIKINA CITY
Professional GIL FERNANDO AVE SAN ROQUE
CEBU MEDICAL CENTER, SITE 301, MA.
CRISTINA BLDG., OSMENA BOULEVARD,
SANTOS-ABALOS, VIRGINIA M., MD Professional CEBU CITY
CEBU
SANTOS-TIAMZON, EDEL MARLA
MD
PAMPANGA
SANTOS-VICENTE, BEATRICE MD Professional ANUNAS, ANGELES CITY
PAMPANGA
Page 93
Denied
Status and Workflow
Owner - KD
5/21/2007
11/27/2009
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
Internal
2/19/2011 Medicine
3/22/2010
12/7/2009
no updated needed
9/14/2009
7/13/2010
11/23/2009
Denied
WPS Provider
7/3/2005 File Updated 07/03/2005
4/9/2007
Denied
WPS Provider
5/2/2005 File Updated 05/02/2005
7/2/2007
SANVICARE MEDICAL SUPPLY
SAPERA, MA. KAREN R., MD
SAQUIAN, CHARLIE M., MD
SAQUILAYAN, RELITO MD
SARABIA, MIGUEL TOMAS S., MD
SARANGGANI, ABDULLAH JR. M.,
RN
SARILE SAMANIEGO, JAIME MD
SARMIENTO, AUGUSTO MD
SARMIENTO, FELISA R., MD
SARMIENTO, JOSIERINA, MD
SARMIENTO, LUCIANO L., MD
SARREAL, JOSE ROBERTO AN L.,
DMD
SAULOG VALENTIN, VIENNE MD
SAWIT, SIMON, MD
SAWIT. SIMON B., MD
SAYO, ANDREA D., MD
Institutional
490 C MAGSAYSAY AVENUE
BAGUIO CITY
DAGUPAN DOCTORS VILLAFLOR
MEMORIAL HOSPITAL, MAYOMBO
PANGASINAN
Denied
QUEZON CITY
Denied
PAMPANGA
NEGROS
OCCIDENTAL
NO. 60 ROGAN STREET, BARANGAY
Professional MAHARLIKA
TAGUIG CITY
Professional NO. 216 GEN. LUIS STREET, NOVALICHES
NO. 466 RIZAL STREET, SAN NICOLAS,
ANTEL SEAVIEW TOWERS, NO. 2626
Professional ROXAS BOULEVARD
Professional THE MEDICAL CITY STE 305 ORTIGAS
ROOM 600 MOB, ASIAN HOSPITAL &
MEDICAL CENTER, 2205 CIVIC DRIVE
Professional FILINVEST CORPORATE CITY, ALABANG,
DIAGNOSTIC X-RAY & ULTRASOUND
CLINIC, YMCA BLDG., IZNART STREET,
Denied
Denied
Denied
Denied
Status and Workflow
Owner - KD
No Activity
5/2/2005 Hold (>2yr)
WPS Provider
No Activity
10/12/2006 Hold (>2yr)
QUEZON CITY
Denied
QUEZON CITY
Denied
PAMPANGA
Denied
ZAMBALES
Denied
Status and Workflow
Owner - KD
Status and Workflow
Owner - KD
WPS Provider
1/14/2009 File Updated 01/14/2009
WPS Provider
1/29/2007 File Updated 01/29/2007
WPS Provider
3/16/2009 File Updated 03/16/2009
Status and Workflow
Owner - KD
6/2/2008
6/2/2008
9/11/2006
2/23/2009
5/21/2007
4/20/2009
10/15/2007
Denied
WPS Provider
10/8/2007 File Updated 10/08/2007
10/29/2007
PASIG CITY
MUNTINLUPA
CITY
Denied
SAZON, MARCELA DIANALYN C.,
MD
PAMPANGA
Denied
Scottland Inc The Spa
Professional L5 Quadratnt E Fort Bonifacio Global City
Taguig City
Denied
Denied
SD CLINICAL LABORATORY
Institutional
Sebastian,Elizabeth Roman
SECTION OF THORACIC AND
CARDIOVASCULAR ANESTHESIA
Denied
MANILA
Professional TAFT AVE
QUEZON CITY
Denied
QUEZON CITY
Denied
SEMBRANO, GABRIEL L., MD
Professional 285 MARINE ROAD
Denied
SEMBRANO,JOSE MARIA,J,MD
PANGASINAN
MUNTINLUPA
CITY
Denied
Denied
Denied
Denied
SEMILLA, NABLE A., MD
OUR LADY OF LOURDES HOSPITAL, NO.
Professional 46 P.SANCHEZ STREET, STA. MESA
MANILA
Denied
SEMILLA, NABLE A., MD
Professional 825 F CRUZ STREET, MALIBAY,
PASAY CITY
Denied
Page 94
Ophthalmolog
5/27/2011 y
Denied
Denied
RIZAL
7/2/2007
No Activity
11/9/2005 Hold (>2yr)
WPS Provider
7/27/2007 File Updated 07/27/2007
PASAY CITY
CAVITE
No Activity
5/10/2005 Hold (>2yr)
7/24/2006
Status and Workflow
Owner - KD
11/13/2006
WPS Provider
4/30/2008 File Updated 04/30/2008
CYBERCARE INC.,NO.57 DON JUICO
AVENUE (PERIMETER ROAD,
SEGUBRE, JULIANA S., RN
1/11/2004
No Activity
9/15/2004 Hold (>2yr)
WPS Provider
5/23/2005 File Updated 05/23/2005
Professional POBLACION 1-C, IMUS
SEGUBAN, SUSAN MD
Status and Workflow
Owner - KD
No Activity
4/16/2008 Hold (>2yr)
SAYOC ABELLA-SAUNA, ARLENE
AURELIA MD
SEDILLA, ELSON D.G., MD
3/10/2005
ILOILO
NO. 10 J. BUENVIAJE STREET, CAINTA
No Activity
8/11/2003 Hold (>2yr)
Status and Workflow
Owner - KD
2/19/2007
No Activity
4/27/2006 Hold (>2yr)
Status and Workflow
Owner - KD
7/3/2006
No Activity
7/1/2005 Hold (>2yr)
Status and Workflow
Owner - KD
7/31/2006
Status and Workflow
Owner - KD
4/9/2007
No Activity
3/28/2005 Hold (>2yr)
WPS Provider
12/30/2009
Status and Workflow
Owner - KD
No Activity
10/12/2006 Hold (>2yr)
WPS Provider
WPS Provider
6/23/2008 File Updated 06/02/2008
WPS Provider
10/22/2008 File Updated 10/22/2008
WPS Provider
10/31/2005 File Updated 10/31/2005
WPS Provider
5/19/2008 File Updated 05/19/2008
No Activity
11/28/2005 Hold (>2yr)
Status and Workflow
Owner - KD
12/4/2006
12/30/2009
8/9/2010
8/4/2008
3/9/2009
10/8/2007
10/6/2008
12/30/2010
3/12/2007
10/29/2007
SENERPIDA, ALAIN O., MD
SENSENG,ELIZZA,S,MD
SEREDRICA, GINA M., MD
SEREDRICA, GINA M., MD
PRIMECARE CEBU, 2ND LEVEL SM CITY
CEBU, J. LUNA AVENUE, NORTH
RECLAMATION AREA, MABOLO, CEBU
Professional CITY
G F EVER GOTESCO MALL ORTIGAS
PRIME CARE CEBU, 2ND LEVEL, SM CITY
CEBU, NORTH RECLAMATION AREA,
SEREMBAN SPECIALIST HOSPITAL Institutional
LOT PT 6219 6220 JALAN TIOMAN 1
KEMAYAN SQ SEREMBAN
SERGEON,CORBELITA,MD
Professional EAST AVENUE STE 622 MAB
Sernal,Consolacion,P,MD
Professional Malhacan Rd 182 C G F F D Bldg
Professional Hwy Urdanteta Cit
GROUND FLOOR, PORTA VAGA BUILDING,
Professional SESSION ROAD
SERRANO, VIGILLIUS MD
SERRANO, VIVIAN L., MD
Serrano,Agnes,MD
Serrano,Roy,MD
SESSION SUPERMART
SEVILLA, EDGARDO L., MD
SUITE 516 CIVIC DRIVE FILINVEST
SHEER NATURAL SKIN CLINIC INC. Institutional
CEBU
Denied
PASIG CITY
Denied
No Activity
1/30/2006 Hold (>2yr)
CEBU
Denied
WPS Provider
2/18/2008 File Updated 02/18/2008
NEGERI
SEMBILAN
Denied
QUEZON CITY
Denied
Meycauayan
Bulacan
Denied
QUEZON CITY
Denied
QUEZON CITY
Denied
Pangasinan
Denied
Pangasinan
Denied
BAGUIO CITY
Denied
Denied
Denied
207 MAIN BUILDING, MANILA DOCTORS
HOSPITAL, UNITED NATIONS AVENUE,
SHIAO MENG WANG, EDWARD MD Professional ERMITA
MANILA
Denied
Shopwise Rustan Superctr Inc
Alabang
Denied
SIAPNO, MELANIE, M.D.
SIASON, ANNABELLE RUIZ, DMD
SIBAL, RODOLFO MD
SIBAYAN, MARICHU RN
SIBULO, STHENIE, MD
SIGNAL VILLAGE LABORATORY
AND DIAGNOSTIC CENTER INC
SIGUE, AIREN J., MD
QUEZON CITY
444 P. DEL ROSARIO EXTENSION, CEBU
Professional CITY
CEBU
STO. ENTIERRO STRET, STO. CRISTO,
Professional BARANGAY HOLY SPIRIT
9 E RODRIGUEZ ST ZONE 6 SIGNAL
ROOM 262 DOCTOR'S OFFICES,
HOSPITAL OF THE INFANT JESUS, 1556
Professional LAON LAAN STREET, SAMPALOC,
SILOS, MANUEL HECTOR MD
Professional
SILOS,MANUEL HECTOR
Professional
SILVA, JOHN V., MD
Professional
SILVA, PAOLO MD
Professional
7 HECHANOVA CORNER R.ROMAN
STREETS, BF HOMES
SILVERCREST FOUNDATION
Institutional
SIM CLINIC LABORATORY
Professional NO. 732 ONGPIN STREET
Denied
Denied
PAMPANGA
Denied
QUEZON CITY
Denied
PAMPANGA
Denied
TAGUIG
Denied
METRO MANILA Denied
HEALTHWAY MEDICAL CLINIC, 4TH
LEVEL, MARKET! MARKET!, FORT
BONIFACIO GLOBAL CITY,
G F EVER GOTESCO MALL ORTIGAS EXT
EXTENSION
Status and Workflow
Owner - KD
Denied
PARANAQUE
CITY
Professional Filinvest Mall
No Activity
5/16/2006 Hold (>2yr)
WPS Provider
CEBU
MUNTINLUPA
CITY
SM BICUTAN, DONA SOLEDAD AVENUE,
DON BOSCO
Status and Workflow
Owner - KD
TAGUIG CITY
Denied
PASIG CITY
Denied
MANILA
Page 95
Denied
WPS Provider
WPS Provider
No Activity
1/9/2006 Hold (>2yr)
No Activity
11/30/2006 Hold (>2yr)
No Activity
8/16/2005 Hold (>2yr)
WPS Provider
6/17/2011
7/24/2006
9/1/2008
19-11-08 NOT IN
PHILIPPINE TERRITORY 1/12/2009
ADDED DENIED DATE
ON WPS
12/10/2010
22-10-08 EXCLUDED
WPS Provider
WPS Provider
WPS Provider
WPS Provider
8/6/2007
7/6/2009
11/24/2008
added denied date 9-2909 on pds
3/31/2010
9/29/2009
02/23/2009
3/23/2009
Status and Workflow
Owner - KD
2/20/2006
9/29/2009
Status and Workflow
Owner - KD
12/18/2006
Status and Workflow
Owner - KD
9/18/2006
10/26/2009
No Activity
4/26/2004 Hold (>2yr)
Status and Workflow
Owner - KD
4/10/2006
No Activity
12/7/2004 Hold (>2yr)
Status and Workflow
Owner - KD
7/24/2006
Status and Workflow
Owner - KD
4/16/2007
No Activity
3/28/2007 Hold (>2yr)
WPS Provider
3/5/2008 File Updated 03/05/2008
Status and Workflow
Owner - KD
No Activity
3/20/2006 Hold (>2yr)
WPS Provider
No Activity
Status and Workflow
Owner - KD
1/4/2007 Hold (>2yr)
WPS Provider
12/10/2007 File Updated 12/10/2007
No Activity
Status and Workflow
Owner - KD
6/7/2005 Hold (>2yr)
4/14/2008
11/5/2007
6/23/2011
12/10/2007
3/19/2007
6/15/2010
3/22/2010
5/26/2008
8/15/2005
1/17/2011
EMERGENCY ROOM, ASIAN HOSPITAL
AND MEDICAL CENTER, CIVIC DRIVE
MUNTINLUPA
CITY
Denied
MUNTINLUPA
CITY
Denied
Pasig City
Denied
PAMPANGA
Denied
WPS Provider
SISON, MICHAEL MD
WPS Provider 10-11-04 SOS Provider:
11/10/2004 File Updated TGRO
WPS Provider
Sison,Domingo Felix
Sison,Gerardo Juan,M,MD
SIMON, EDGARD M., MD
SINON, JOHNNY MD
Sioson,Marianna Ramona,MD
SISON, DOMINGO FILEX G., MD
SISON, GERARDO JUAN M., MD
SISTOZA, LIZETTE C., MD
SKINHEALTH
PASIG CITY
Denied
PAMPANGA
Denied
Professional 602 M L Quezon St Lourdes Sur East
Angeles City
Denied
Manila
Denied
QUEZON CITY
3RD LEVEL PHASE III STA LUCIA E
RIZAL
Institutional GRAND MALL CAINTA
SM CITY LIPA
Professional BRGY, MARAOUY, LIPA CITY
SMILE MAKE OVERS DENTAL AND
L2 CLARK HAUS MA ROXAS BLVD
ASTHETIC CENTER BRANCH
Professional BAYANIHAN PARK BALIBAGO
SO KAW, PAULINE MD
Professional PLAZA COMPLEX, FELIX AVENUE, CAINTA
So,Anthony,C,MD
5 & K Apt Rue De Paree St L & S Subd Sto
So,Anthony,C,MD
Professional Domingo
SOBREVEGA, LEONOR L., MD
SOCORRO WEE SIT TOLEDO
CLINIC
Professional
SOLIMAN, NATHANIEL M., MD
Professional
SOLIMEN,DOMINGO,P,MD
Professional
SOLIS, SALVADOR M., MD
Professional
SOMERA, RUPERTO MD
SOMERA,RUPERT ANICETO,C,MD
Institutional
ILOILO MEDICAL ARTS CONDOMINIUM,
ILOILO DOCTORS HOSPITAL, WEST
AVENUE, MOLO, ILOILO CITY
ASSOCIATED DOCTORS CLINIC,
NATIONAL HI-WAY, PACITA COMPLEX,
QUEENSLAND BLDG, McARTHUR HI-WAY,
DOLORES
RM 8 2ND FLR GOCHU BLDG GEN LUNA
RD
Institutional
NORTH DOMINGO STREET
SORIA,MARIA LUZ JOANNA MD
SORIANO, ARSENIO MD
SORIANO, JONATHAN G., MD
SORIANO, JOSE ROMMEL T., MD
57 DON JUICO AVENUE, (PERIMETER
Denied
RIZAL
Denied
Rizal
Denied
Angeles City
Denied
ILOILO
Denied
LAGUNA
Denied
PAMPANGA
Denied
BAGUIO CITY
Denied
QUEZON CITY
Denied
Professional
SORIANO, ZONEECEL PTRP
Professional
SORIANO, ZONEECEL PTRP
Professional
SORIANO, ZONEECEL RPT
Professional
No Activity
1/18/2006 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
No Activity
4/27/2006 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
Denied
Denied
2/2/2009
5/14/2007
2/4/2010
5/25/2009
05/05/2008
ADDED DENIED DATE
ON WPS
5/26/2008
03/09/2009
3/30/2009
5/19/2011
7/29/2009
12/14/2009
Status and Workflow
Owner - KD
7/3/2006
12/18/2006
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
7/27/2010
07/19/2005
7/24/2006
Denied
MANILA
5/27/2011
4/10/2006
PAMPANGA
PARANAQUE
CITY 1700
Denied
7/27/2009
12/27/2005
Denied
Denied
12/11/2006
2/26/2007
QUEZON CITY
No Activity
11/3/2006 Hold (>2yr)
9/4/2006
Status and Workflow
Owner - KD
Status and Workflow
Owner - KD
Denied
Professional 1314 M. ALVAREZ AVENUE, TALON V
PANGASINAN
Denied
PHYSICAL THERAPHY BUILDING,
Professional MANAHAN STREET, TENEJERO, BALANGA BATAAN
Denied
SORIANO, MD
WPS Provider
3/12/2007 File Updated 03/12/2007
WPS Provider
WPS Provider
Denied
PAMPANGA
CITY ALABANG
WPS Provider
5/26/2008 File Updated 04/28/2008
No Activity
Status and Workflow
Owner - KD
2/13/2007 Hold (>2yr)
SAN JUAN
MANILA MEDICAL HEALTH SPECIALISTS,
SORIA, MARIA LUZ JOANNA B., MD Professional 2447 PEDRO GIL STREET, STA. ANA
Denied
ANGELES CITY Denied
CASIMIRO LAS
PINAS
Professional LAS PINAS DRS HOSP
594 N S. AMORANTO STREET, STA. MESA
SONGCO, CHRISTINANETTE F., MD Professional HEIGHTS
DR. RICARDO D. SONGCO MED CLINIC,
1056 P. DE GUZMAN, BARANGAY CLARO
SONGCO, RICARDO D., MD
Professional M. RECTO, ANGELES CITY,
KM 18 WEST SERVICE RD S SUPER
SONIA TRADING
Professional HIWAY MARCELO GREEN
SONOCARE
BATANGAS
Denied
No Activity
5/7/2004 Hold (>2yr)
Status and Workflow
Owner - KD
WPS Provider
1/8/2007
7/5/2010
3/26/2007
2/14/2011
6/11/2007
12/3/2007
6/23/2011
No Activity
12/19/2005 Hold (>2yr)
Status and Workflow
Owner - KD
3/12/2007
No Activity
5/25/2005 Hold (>2yr)
Status and Workflow
Owner - KD
6/6/2005
Status and Workflow
Owner - KD
6/20/2005
No Activity
2/24/2003 Hold (>2yr)
WPS Provider
6/21/2007 File Updated 06/21/2007
WPS Provider
5/21/2008 File Updated 05/21/2008
WPS Provider
11/17/2006 File Updated 11/17/2006
10/6/2008
1/15/2007
MUNTINLUPA
CITY
Denied
PAMPANGA
Denied
WPS Provider
7/2/2008 File Updated 07/02/2008
7/14/2008
PAMPANGA
Denied
WPS Provider
7/16/2008 File Updated 07/16/2008
7/28/2008
PAMPANGA
Denied
WPS Provider
5/27/2008 File Updated 05/27/2008
7/7/2008
Page 96
No Activity
8/29/2005 Hold (>2yr)
Status and Workflow
Owner - KD
7/2/2007
12/9/2005
SOSA, MADELINE GRACE M., MD
NO. 2205 CIVIC DRIVE, FILINVEST
MUNTINLUPA
CITY
Denied
Sosa,Cecille,A,MD
Denied
SOTTO, NOEL R., MD
SOUTHERN INDUSTRIAL GASES
PHILIPPINES, INC.
Cavite City
OCCIDENTAL
MINDORO
Professional ST. ANDREW'S CLINIC, MAMBURAO
KENTREDDER SQUARE BUILDING, A.C.
Professional CORTES AVENUE, MANDAUE CITY
SPECTRA MEDICAL SUPPLIES AND
SERVICES
Institutional
SPECTRUM DIAGNOSTIC CENTER Institutional
CEBU
ILUCH CORNER BADELLES STREETS,
LANAO DEL
ILIGAN CITY
NORTE
2184 KULIAT ST LOURDES SUR ANGELES
CITY
PAMPANGA
SPECTRUM DIAGNOSTIC CENTER Professional 2184 KULIAT STREET, ANGELES CITY
SPEECH LADDER THERAPY
UNIT 406 QUADSTAR BUILDING, NO. 80
CENTER
Institutional ORTIGAS AVENUE, GREENHILLS
ALABANG SERVICE TOWN, ALABANG
SPRAIN & STRAIN INC.
Institutional TOWN CENTER
SRR DRUG STORE
ST BARACHIEL DIAGNOSTIC
LABORATORY
ST JOHN RNMD ANIMAL BITE
CENTER
Denied
Denied
Denied
Denied
PAMPANGA
Denied
Denied
Professional 9 PERIMETER ST NEW ASINAN
SAN JUAN
MUNTINLUPA
CITY
OLONGAPO
CITY
Professional 418 DOLORES CITY OF SAN FERNANDO
PAMPANGA
Denied
Professional J DE LEON ST STA CRUZ
LAGUNA
Denied
Denied
Denied
St John The Baptist Hosp of Marikina Institutional
No 23 Betelnut Sta Anna Ext San Roque
Marikina City
Denied
St Joseph Ambulatory Surgical Ctr
Institutional
60 14 Cor Hasen St E Tapinac
Denied
ST JOSEPH MEDICAL CLINIC
Institutional
STO CRISTO
Olongapo City
GUAGUA
PAMPANGA
ST JOSEPHS FAMILY HOSPITAL
Institutional
ST JUDE FAMILY CLINIC
ST MAGDALENE POLYCLINIC
HOSPITAL
Professional 62 18TH ST E BAJAC BAJAC
St Mary's Medical Supply
ST MARY'S POLYCLINIC AND
DIAGNOSTIC CENTER
ST THERESE CLINICAL
LABORATORY
ST THERESE OF CHILD JESUS
MED CLINIC
St Therese Of the Child Jesus
ST. ANTHONY'S DRUG II AND
FOODMART
ST. BENEDICT HEALTHCARE CO.
ST. JOHN MEDICAL CLINIC
ST. JOHN MEDICAL LABORATORY
No Activity
8/1/2005 Hold (>2yr)
No Activity
12/1/2003 Hold (>2yr)
No Activity
8/29/2005 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
Denied
Denied
9/8/2010
LAGUNA
Denied
4/18/2011
Professional 1443 Rizal Ave St Cruz
Manila
Denied
4/29/2009
Professional DAU MABALACAT
PAMPANGA
Denied
1/26/2011
Professional C L HILARIO ST POBLACION BUSTOS
BALACAN
Denied
10/1/2010
Professional GEN LUNA ST LEMERY
BATANGAS
Denied
4/18/2011
Professional 62 Silahis St Orani
Bataan
Denied
7/22/2009
NATIONAL RD BANLIC CABUYAO
B.MENDOZA STREET, CITY OF SAN
FERNANDO
GF MADRID BUILDING, WASHINGTON
Professional DRIVE, LEGAZPI CITY
Institutional
GROUND FLOOR D'MATZ BUILDING, NO.
ST. BONAVENTURE POLYCLINIC
Institutional 5004 P. BURGOS STREET
ST. CATHERINE OF ALEXANDRIA
FOUNDATION & MEDICAL CENTER
OPD EXTENSION PHYSICAL
DON BONIFACIO BOULEVARD, ANGELES
THERAPY REHAB UNIT
Professional CITY
NO. 630 MANGGA STREET, DONA
ST. CLAIRE'S PSYCH CLINIC
Institutional FRANCISCA SUBDIVISION, BALANGA CITY
ST. DOMINIC MEDICAL CENTER
ST. FRANCIS MEDICAL AND
1679 BARANGAY DILA, NATIONAL
ANIMAL BITE TREATMENT CENTER Institutional HIGHWAY, STA. ROSA CITY
ST. GERARD MEDICAL
2F CASA FILIFINA BUILDING, ALABANG
LABORATORY
Institutional ROAD
ST. IGNATIUS HOSPITAL
ST. JOHN BOSCO ULTRASOUND
CLINIC
No Activity
10/5/2006 Hold (>2yr)
WPS Provider
LAGUNA
OLONGAPO
CITY
Institutional
P BURGOS ST BGY NO.1 CABUYAO
Denied
Status and Workflow
Owner - KD
Institutional
NO. 606 SIERRA MADRE STREET
Professional ANNETTE BUILDING 62 BONI AVENUE
Institutional
Institutional
02/24/2003
ADDED DENIED DATE
ON WPS
5/19/2011
05/02/2006
3/12/2007
07/27/2007
8/27/2007
ADDED DENIED DATE
ON WPS
9/14/2010
9/20/2010
ADDED DENIED DATE
ON WPS
ALBAY
Denied
MAKATI CITY
Denied
Status and Workflow
Owner - KD
PAMPANGA
Denied
BATAAN
Denied
QUEZON CITY
Denied
LAGUNA
MUNTINLUPA
CITY
Denied
MAKATI CITY
Page 97
Denied
Denied
Denied
Denied
3/28/2011
7/13/2009
3/21/2011
Status and Workflow
Owner - KD
2/21/2005
ADDED DENIED DATE
ON WPS
11/30/2010
ADDED DENIED DATE
ON WPS
5/16/2011
denied date 8-17-09
8/17/2009
ADDED DENIED DATE
ON WPS
3/21/2011
ADDED DENIED DATE
ON WPS
12/17/2010
Denied
MANDALUYON
G CITY
MANDALUYON
G CITY
6/6/2005
11/12/2007
PAMPANGA
Denied
5/28/2007
Status and Workflow
Owner - KD
11/14/2005
No Activity
Hold (>2yr)
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
WPS Provider
No Activity
12/22/2005 Hold (>2yr)
6/9/2011
Status and Workflow
Owner - KD
12/12/2005
No Activity
Status and Workflow
Owner - KD
5/25/2005 Hold (>2yr)
18-12 SUSANA ST. DIAMOND SUBDIVISION
PAMPANGA
SUNVAR PLAZA 2ND FLOOR, S-5 PASAY
ROAD CORNER AMORSOLO STREET
Status and Workflow
Owner - KD
1/15/2007
WPS Provider
4/3/2008 File Updated 04/03/2008
WPS Provider
WPS Provider
10/8/2008 File Updated 10/08/2008
WPS Provider
3/28/2005 File Updated 28-03-05
WPS Provider
5/21/2007 File Updated 05/21/2007
Status and Workflow
Owner - KD
No Activity
2/5/2007 Hold (>2yr)
WPS Provider
10/22/2008 File Updated 10/22/2008
5/30/2011
5/30/2011
8/8/2005
12/7/2010
4/16/2007
4/21/2008
5/11/2010
10/27/2008
5/21/2007
6/11/2007
5/7/2007
1/26/2009
No Activity
4/28/2003 Hold (>2yr)
Status and Workflow
Owner - KD
8/29/2005
No Activity
10/31/2005 Hold (>2yr)
Status and Workflow
Owner - KD
9/1/2006
NEGROS
ORIENTAL
Denied
2/23/2004
CAVITE
Denied
11/3/2006
ST. JUDE DRUG STORE
NO. 1020-A BAYAN LUMA IX, IMUS
62 HARRIS STREET CORNER 18TH
Professional STREET, OLONGAPO CITY
ZAMBALES
Denied
3/2/2009
ST. JUDE M
Professional POST OFFICE BOX 08/39 GERONA
TARLAC
Denied
2/25/2009
ST. LUKES MEDICAL CENTER INC
Institutional
1177 J. BACOBO STREET, ERMITA
MANILA
Denied
10/13/2008
ST. JOHN'S MEDICAL CLINIC
Institutional
ST. JUDE CHILDREN & MATERNITY
CLINIC
Institutional
ST. MATTHEW'S MEDICAL AND
MATERNITY CLINIC
Institutional
ST. PATRICK'S HEALTH CARE
SYSTEM, INC.
Institutional
ST. PEREGRINE MEDICAL CLINIC
Institutional
ST. PHILOMENA'S DRUG STORE
ST. THERESA'S DIAGNOSTIC
CENTER
ST. THERESE MEDICAL /
PEDIATRIC CLINIC AND A.F.
SALVADOR DIAGNOSTIC CENTER
ST. THERESE SPECIALIST CLINIC
& LABORATORY
ST. THERESE SPECIALIST CLINIC
& LABORATORY
ST. THOMAS AQUINAS MEDICAL
CLINIC
ST. VINCENT HOSPITAL
ST.AGNES EYES EARS NOSE &
THROAT CLINIC
ST.ELIZABETH BLOOD BANK
ST.JOHN THE BAPTIST MEDICAL
CENTER, INC.
Institutional
Institutional
Institutional
V. ALDECOA ROAD, DARO DUMAGUETE
CITY
NO.607 J P RIZAL ST., CONCEPCION
891 SAMAT STREET
291 FRANCIS STREET, NEPO
CABALLERO STREET, POZORRUBIO
Professional NO. 02 A. BONIFACIO AVENUE, CAINTA
Institutional
Institutional
Institutional
NO. 2 A. BONIFACIO AVENUE, CAINTA
35 BAYAN-BAYANAN AVENUE
CONCEPCION
Denied
No Activity
4/24/2006 Hold (>2yr)
6/5/2006
No Activity
6/14/2005 Hold (>2yr)
Status and Workflow
Owner - KD
8/15/2005
BATAAN
Denied
RIZAL
Denied
PAMPANGA
Denied
Denied
LEYTE
Denied
Institutional
VALERIA STREET, ILOILO CITY
ILOILO
Denied
Institutional
PARIAN, CALAMBA CITY
LAGUNA
Denied
Institutional
23 STA. ANA EXTENSION COR. BETEL NUT
STREET, A.TUAZON, SAN ROQUE,
STA CRUZ HOSPITAL
Institutional
POBLACION, CALUMPIT
STA ISABEL MEDICAL CLINIC
Professional 27 CAMARIN RD NORTH CALOOCAN
STANDARD MEDICAL SUPPLY
STARS & STRIPES HEALTH CARE
ALLIANCE - ASIA PACIFIC
STARS & STRIPES HEALTHCARE
ALLIANCE-PHILIPPINES CLINIC
Institutional
Institutional
100 D TUAZON ST.
BULACAN
CALOOCAN
CITY
Denied
Denied
No Activity
3/2/2009 Hold (>2yr)
Status and Workflow
Owner - KD
4/13/2009
No Activity
12/15/2004 Hold (>2yr)
Status and Workflow
Owner - KD
2/21/2005
Status and Workflow
Owner - KD
1/23/2006
No Activity
12/9/2005 Hold (>2yr)
WPS Provider
2/16/2005 File Updated 02/16/2005
WPS Provider
8/1/2005 File Updated 08/01/2005
No Activity
11/28/2005 Hold (>2yr)
WPS Provider
WPS Provider
Denied
Status and Workflow
Owner - KD
Denied
BAGUIO CITY
TAGBILARAN
CITY BOHOL
Denied
STO NINO UROLOGY CLINIC
NO.28 LOWER P BURGOS ST
RAMIRO COMMUNITY HOSPITAL
Professional GALLARES STREET
STO. ARA MEDICAL CLINIC
Professional 1023 HAPPY VALLEY, DINALUPIHAN
BATAAN
Denied
Page 98
Denied
Denied
9/5/2005
8/15/2005
Status and Workflow
Owner - KD
11/12/2007
QUEZON CITY
CEBU CITY
Institutional
5/19/2008
Denied
Denied
5/5/2008
No Activity
6/9/2004 Hold (>2yr)
TARLAC
BAGUIO CITY
MUNTINLUPA
CITY
8/16/2010
Status and Workflow
Owner - KD
Denied
Denied
STATER PHARMACY
STO NINO JESUS MEDICAL
CENTER
No Activity
9/12/2005 Hold (>2yr)
WPS Provider
10/15/2007 File Updated 10/15/2007
PARANAQUE
CITY
MANILA
9/19/2005
Status and Workflow
Owner - KD
10/22/2007
No Activity
Status and Workflow
Owner - KD
12/16/2002 Hold (>2yr)
WPS Provider
11/29/2004 File Updated 29-11-04
NO. 1612 BAMBANG STREET, STA. CRUZ
LOUNGE 1 & 2 NOTRE DAME DE
Institutional CHARTRES DIAGNOSTIC CENTER, GEN.
ROOM 341 ALABANG MEDICAL CENTER,
Institutional ALABANG-ZAPOTE ROAD, ALABANG
19 DON JULIO LLORENTE ST CAPITOL
Professional SITE
Institutional
12/9/2005
Status and Workflow
Owner - KD
ST.JOHN THE BAPTIST OF
MARIKINA HOSPITAL
STA. RITA HOSPITAL
STA. TERESITA GENERAL
HOSPITAL
11/3/2008
Denied
118 STO.NINO STREET, TACLOBAN CITY
972 G CRUZ ST BACLARAN
F. TIMBOL STREET, SAN NICOLAS
CONCEPCION,
4/6/2009
PAMPANGA
Institutional
STA RITA DE BACLARAN HOSPITAL Institutional
3/30/2009
Denied
RIZAL
2194 A DEL ROSARIO STREET, ANGELES
CITY
5/4/2010
MANDALUYON
G CITY
24 SILAHIS STREET, ORANI,
No Activity
5/12/2003 Hold (>2yr)
Status and Workflow
Owner - KD
7/24/2006
No Activity
Status and Workflow
Owner - KD
3/22/2005 Hold (>2yr)
PANGASINAN
402-A REAL STREET, PULANG LUPA
No Activity
Status and Workflow
Hold (>2yr)
Owner - KD
File Updated ON WPS
WPS Provider
WPS Provider
File Updated records
No Activity
2/23/2007 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
1/27/2010
6/15/2011
7/3/2005
4/21/2011
1/29/2007
4/16/2007
05/11/2006
9/1/2008
27-03-06
ADDED DENIED DATE
ON WPS
4/7/2008
09/01/2002
ADDED DENIED DATE
12/11/2010
3/1/2005
6/27/2011
11/10/2009
STO. ARA MEDICAL CLINIC
STO. DOMINGO DIAGNOSTIC &
MEDICAL CENTER
1023 HAPPY VALLEY, DINALUPIHAN
ROOM 303-304 LM BUILDING, QUEZON
Professional AVENUE, BRGY. STO. DOMINGO
Institutional
BATAAN
Denied
QUEZON CITY
Denied
04-09-08 CERTIFIED
WPS Provider UNDER PROFESSIONAL
9/4/2008 File Updated PHL043554 A001
10/27/2008
WPS Provider
11/17/2008 File Updated 11/17/2008
4/20/2009
STO. DOMINGO, RODOLFO T.
Professional 56 MAPAGKAWANGGAWA STREET
QUEZON CITY
Denied
1/25/2006
STO. NINO MEDICAL CLINIC
Professional B INTING STREET, TAGBILARAN CITY
BOHOL
Mandaluyong
City
Denied
9/18/2006
Denied
11/16/2009
Professional Catmon Malolos City
Bulacan
Denied
8/19/2009
Baguio City
Denied
TARLAC
Denied
ZAMBALES
Subic Bay
Freeport
Denied
Subic Homes Food Inc
Professional Notre Dame De Chartres Hos 25 Gen Luna Rd
BUILDING 3000, UPPER CUBI POINT,SUBIC
Institutional BAY FREEPORT ZONE, OLONGAPO CITY
Lot 2 Blk 2 Maharlika Ground Rizal Ave Cbd
Professional Area
Subic International Hotel Corporation
Professional Rizal Cor Sta Rita Road Subic Bay
Freeport Zone
Denied
Streble,Heinrik,M
Strix Toledo,Sandro
STRIX-TOLEDO, SANDRO MD.,
Suanding,Ray,P,MD
SUBIATE, ROMEO G., MD
SUBIC BAY MEDICAL CENTER
SUBONG, ROBERTO F., JR., MD
Sulit,Renato,J,Jr,RMT
SUMOGAT, NOVA P., MD
BACHILLER'S BUILDING, WASHINGTON
Professional DRIVE, LEGASPI CITY
Professional 50 Matahimik St Teachers Village
ALBAY
Denied
Quezon City
Denied
PAMPANGA
Denied
SUNGA, BENITO V., MD
Professional NO.1624 E. REMOGIO STREET STA. CRUZ MANILA
SUNICO MEDICAL AND MATERNITY
NO. 237 PUROK SILANGAN, MARCOS
CLINIC
RIZAL
Institutional HIGHWAY, ANTIPOLO CITY
SUNICO, VIRGINIA R., MD
SUNRISE BIOCARE MGT., INC.
SUNSHINE COM INC.
NO. 237 PUROK SILANGAN, MARCOS
RIZAL
Professional HIGHWAY, ANTIPOLO CITY
QUEZON CITY
Institutional BOULEVARD,
954TH STREET, BRGY. MARIANA, NEW
QUEZON CITY
Institutional MANILA
SUNTAY FORES AND ASSOCIATES Institutional
SUPAN, ELENITA, M.D.
AMORSOLO STREET CORNER DELA ROSA
STREET, LEGASPI VILLAGE
MAKATI CITY
MEDICAL CENTER, 279 E. RODRIGUEZ
QUEZON CITY
Professional AVENUE
SUPE,MYLAR GLORIA
ZAMBALES
RM 307 J AND F BLDG Q PLAZA COMPLEX CAINTA RIZAL
1900
Professional FELIX AVE
SUPER 8
STO DOMINGO MARKET STO DOMINGO
Professional ST
SUPER SHOPPING MARKET INC
Professional MA ROXAS HWY CLARK SM CITY CLARK
SUPE, MYLA GLORIA MD
SUPER SHOPPING MARKET INC.
Institutional
SUPERFICIAL,DENNIS,MD
Professional SOLIS ST BRGY TAP OC MOLO
SUPERIOR GAS & EQUIPMENT
COMPANY OF CEBU INC.
SURE HEALTH PHARMACY &
MEDICAL CLINIC
Institutional
ANGELES
PAMPANGA
CLARK
FREEPORT
ZONE
VALENZUELA
CITY
ILOILO CITY
5000
MCARTHUR HIGHWAY, BRGY. KARUNAT
Denied
POST OFFICE BOX 365, BASAK, MANDAUE
CITY
CEBU
Denied
Denied
Denied
Denied
Denied
Denied
Denied
Denied
Denied
Denied
Denied
Iloilo City
Denied
SUYO, HELEN
ILOILO
Denied
SY GARCIA,FLOREMA,Z,MD
RM 207 BORROMEO BLDG KAMUNING ST
Professional CAPITOL SITE
CEBU CITY
VALENZUELA
CITY
CAMARINES
SUR
CAMARINES
SUR
Denied
SY, FREDDIE Y., MD
Page 99
Denied
Denied
Denied
No Activity
11/15/2006 Hold (>2yr)
4/16/2011
6/7/2010
3/21/2011
3/5/2007
2/2/2010
2/2/2010
11/4/2005
1/7/2010
Denied
Professional J & B III Bldg Ste 204 Quezon St
SY, FREDDIE MD
No Activity
Hold (>2yr)
WPS Provider
Status and Workflow
Owner - KD
Status and Workflow
Owner - KD
Denied
Professional 149 B MCARTHUR HI WAY, MARULAS,
SUITE 205 2ND FLOOR, VELASCO
WPS Provider
2/21/2005 File Updated 21-02-05
WPS Provider
WPS Provider
Denied
Denied
BATAAN
SY, CELIA T., MD
WPS Provider
WPS Provider
WPS Provider
3/31/2006 File Updated 03/31/2006
WPS Provider
11/15/2006 File Updated 11/15/2006
Professional ARELLANO AVENUE, MULAWIN, ORANI
Suresca Vi T,Sheenly,MD
No Activity
Status and Workflow
Hold (>2yr)
Owner - KD
4/2/2007
File Updated ON WPS
6/15/2010
WPS Provider
File Updated
12/30/2009
WPS Provider
File Updated
11/8/2009
WPS Provider
WPS Provider
4/28/2008 File Updated 04/28/2008
5/7/2010
5/15/2006
1/15/2007
1/15/2007
1/24/2010
6/30/2008
No Activity
6/8/2005 Hold (>2yr)
Status and Workflow
Owner - KD
8/29/2005
No Activity
4/26/2004 Hold (>2yr)
Status and Workflow
Owner - KD
4/10/2006
No Activity
Status and Workflow
Owner - KD
8/18/2008 Hold (>2yr)
IntlSOS
Update
None
3/29/2011 Complete
Status and Workflow
Owner - KD
No Activity
8/17/2006 Hold (>2yr)
WPS Provider
Status and Workflow
Owner - KD
No Activity
1/24/2006 Hold (>2yr)
WPS Provider
9/17/2008 File Updated 09/17/2008
WPS Provider
IntlSOS
Update
5/25/2011 Complete
WPS Provider
WPS Provider
WPS Provider
9/1/2008
2/18/2011
6/2/2011
12/14/2010
9/4/2006
6/29/2011
7/24/2006
10/13/2008
5/4/2010
06/23/2008
8/25/2008
None
7/10/2011
11/30/2007
08/04/2008
ADDED DENIED DATE
ON WPS
12/24/2007
9/1/2008
1/24/2011
SY, GEORGE MD
SY, RODY G., MD
SY, STEPHANIE T., MD
SY-MACINAS, SALVACION MD
TABLAN, APOLINARIO MD
TABLANTE, EMILIANO, MD
TAC-AN, CONTESSA S., MD
TADAOAN, CAROL GRACE D., MD
TAGUIANG-ABU, CHERRY, MD
TAGULINAO, OSCAR VICTOR A.,
MD
TALAMPAS, ROSMINDA A., MD
TALAMPAS, ROSMINDA A., MD
TALAVERA, AURA LYNN MD
TALAVERA, DIOMEDES M.D.
Talento Jacildo,Ma Christina
Talosig,Antoniette,N
PAMPANGA
ROOM 159 CARDINAL SANTOS MEDICAL
Professional CENTER, WILSON STREET, GREENHILLS
ROOM 308 CDC ADMINISTRATION
Professional BUILDING, M. ROA STREET, CEBU CITY
NEW BAYTON BUILDING, RIZAL STREET,
Professional DARAGA
Professional PALANGINAN, IBA,
Professional CITY OF SAN FERNANDO
ROOM 1114 DELA SALLE MEDICAL
CENTER, CONGRESSIONAL AVENUE,
Professional BAGONG BAYAN, DASMARINAS
Professional UST HOSPITAL 5010 MAB, ESPANA
NUEVA ECIJA DOCTORS HOSPITAL, 145
Professional MELENCIO STREET CABANATUAN CITY
Tan Coeli,Kim,DDS
TAN DE GUZMAN, WILSON L., MD
TAN LIM,PEK ENG,MD
Tan Nunez,Irma,G,MD
TAN, DANIEL MD
TAN, EDWARD D., MD
Denied
CEBU
Denied
ALBAY
Denied
ZAMBALES
Denied
PAMPANGA
Denied
4/9/2007
Status and Workflow
Owner - KD
3/5/2007
No Activity
1/24/2006 Hold (>2yr)
WPS Provider
3/17/2008 File Updated 03/17/2008
WPS Provider
8/7/2006 File Updated 08/07/2006
WPS Provider
9/8/2008 File Updated 09/08/2008
Denied
LA UNION
Denied
12/18/2006 File Updated date
WPS Provider
4/17/2006 File Updated 04/17/2006
CAVITE
Denied
WPS Provider
11/17/2006 File Updated 11/17/2006
Status and Workflow
Owner - KD
MANILA
Denied
No Activity
11/9/2005 Hold (>2yr)
QUEZON CITY
Denied
WPS Provider
7/23/2008 File Updated 07/23/2008
QUEZON CITY
MUNTINLUPA
CITY
Mandaluyong
City
San Juan Metro
Professional Cardinal Santos Medical Ctr Rm 246 248 Mab Mani
SUITE 378, MAKATI MEDICAL CENTER,
NO.2 AMORSOLO STREET, BARANGAY
Professional SAN LORENZO
No Activity
7/3/2005 Hold (>2yr)
PAMPANGA
NUEVA ECIJA
ST. GABRIEL VILLAGE, TOLENTINO EAST
Professional TAGAYTAY
TAMAYO, BELEN MD
TAMAYO, BELEN MD
TAMAYO, BELEN MD
TAMAYO, CHERYL C., MD
PFC AMBULATORY MEDICINE AND
SURGERY CENTER, NO. 335 RIZAL
TAMAYO, JOSEPH
Professional AVENUE CORNER 3RD STREET, WEST
JUICO AVENUE, (PERIMETER ROAD,
TAMAYO, JOSEPH G., MD
TAMAYO, JOSEPH GEORGE G., MD Professional ENTIERRO STREET, STO. CRISTO,
TAMAYO, MARK HOMER
Tamayo,Arnildo
Professional Hwy
TAMAYO-AGRAVIADOR, EVNA LIN,
MD
TAMBUNTING, MA. MILAGROS
ANTONIA P., MD
TAN CHUN BING,AURALEE
SENIEDO
SAN JUAN
TAMANO, BIENVENIDO R., MD
Denied
Status and Workflow
Owner - KD
CAVITE
Denied
Denied
Denied
Denied
Denied
Denied
No Activity
7/19/2005 Hold (>2yr)
9/25/2006
9/22/2008
5/31/2010
10/23/2009
5/15/2006
4/9/2007
6/5/2006
8/11/2008
2/28/2011
Status and Workflow
Owner - KD
10/17/2005
Status and Workflow
Owner - KD
No Activity
10/5/2004 Hold (>2yr)
WPS Provider
No Activity
3/31/2006 Hold (>2yr)
4/14/2008
Status and Workflow
Owner - KD
9/4/2006
12/4/2009
5/28/2010
6/12/2006
Denied
WPS Provider
2/2/2009 File Updated 02/02/2009
2/16/2009
WPS Provider
11/30/2007 File Updated 11/30/2007
2/4/2008
3/9/2009
PASIG CITY
PASIG CITY
Denied
WPS Provider
2/2/2009 File Updated 02/02/2009
PAMPANGA
Denied
WPS Provider
ZAMBALES
Denied
PAMPANGA
Denied
PAMPANGA
Denied
ZAMBALES
Denied
Zambales
Denied
NEGROS
OCCIDENTAL
Denied
MAKATI CITY
WPS Provider
7/10/2008 File Updated 07/10/2008
WPS Provider
WPS Provider
WPS Provider
4/28/2008 File Updated 04/28/2008
WPS Provider
Denied
3/4/2005
Professional RM 204 BORROMEO BLDG OSMENA BLVD CEBU CITY
Denied
4/15/2010
Professional Rm 110 Olivarez Gen Hospital Sucat Rd
ROOM 115 UNIVERSITY OF SANTO
Professional TOMAS HOSPITAL, ESPANA STREET,
Paranaque City
Denied
6/8/2009
MANILA
Denied
2/9/2009
Professional J LLORANTE ST
OUR LADY OF LOURDES HOSPITAL,
MEDICAL ARTS BUILDING, ROOM 402
Professional P.SANCHEZ, STA.MESA
SPACE NO. 2, TCS BUILDING, LOURDES
Professional SUR, RIZAL STREET, ANGELES CITY
CEBU CITY
Denied
6/23/2010
Pasig City
Denied
5/27/2009
MANILA
Denied
PAMPANGA
Denied
Page 100
8/18/2008
No Activity
Hold (>2yr)
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
5/7/2010
5/5/2008
1/8/2010 Surgery
12/17/2007
Status and Workflow
Owner - KD
11/28/2005
denied date 8-10-09
02/09/2009
ADDED DENIED DATE
ON WPS
WPS Provider
8/29/2005 File Updated 08/29/2005
6/28/2010
8/10/2009
4/6/2009
7/23/2010
5/12/2005
4/28/2011
TAN, GERRY
TAN, GERRY H., MD
SUITE 208, CDCI ARTS BUILDING,
Professional OSMENA BOULEVARD CEBU CITY
TAN, RIZALINA, C
SILIMAN UNIVERSITY MEDICAL CENTER,
Professional DARO, DUMAGUETE CITY
OLD BUILDING 2 C ROOM 12, CHINESE
GENERAL HOSPITAL, NO. 286
Professional BLUMENTRITT STREET, STA. CRUZ
METROPOLITAN HOSPITAL, 1357 G.
Professional MASANGKAY STREET, STA. CRUZ
ROOM 32, METROPOLITAN HOSPITAL,
Professional MASANGKAY STREET, STA. CRUZ
CHINESE GEN HOSP MED CTR, 286
Professional BLUMENTRITT ST , STA CRUZ,
Tan,Edgar,H,MD
Tan,Gabriel,G,MD
Professional Metro South Medical Ctr
TAN,GABRIEL,G,MD
Tan,Gerry
TAN,LILY,L,MD
TAN,WINDFIELD,MD
Professional SAN CARLOS HOSP NATIONAL HWY
Tandoc,Erdulfo,E,MD
TAN, JAIME U., MD
TAN, JOSE A., MD
TAN, JOSE JR., MD
TAN, KIM SHI MD
TAN, PERRY T., MD
TAN-GATUE, MA. ASUNCION B., MD Professional CITY, ALABANG
TAN-GATUE, ROBERT D., MD
TANGCO, MARIA VICTORIA MD
TANGCO, VICTORIA MD
Tangco,Ma Victoria,V,MD
TANGKEKO-LOPEZ, THERESA MD
TANGLAO,MICHELLE,G
TAN-NUNEZ, IRMA G., MD
TAN-NUNEZ, IRMA G., MD
TANTOCO, ARNALDO V., MD
TANTUCO,MARILOU,O,MD
ESSEL PARK SUBD TELABASTAGAN 28 7
Professional ENCARNACION RD
MARY MEDIATRIX MEDICAL CENTER, J P
Professional LAUREL HIGHWAY, LIPA CITY
RM A18 MEDICAL ARTS CHINESE GEN
Professional HOSP 286 BLUM ST STA CRUZ
TAPECERNA, RHONA BETH M., RN Professional BRGY. HOLY SPIRIT
TARLAC ASTHMA CHEST CLINIC &
PHARMACY
Professional M H DEL PILAR STREET, TARLAC CITY,
TARLAC CHILDREN'S MEDICAL &
MCARTHUR HIGHWAY, STO. CRISTO,
MATERNITY CLINIC
Institutional TARLAC CITY
TARUC, MARIA CAROLINA V., MD
Co Dallas Med Grp Mercedes 076 Sto Entierro
Taruc,Carolina,MD
Professional St Sto Cristo
TATAD-TO, ANNA MELISSA
THE NEW MEDICAL CITY, UNIT 1806
FRANCESCA C., MD
Professional MEDICAL ARTS TOWER, ORTIGAS
TAYAG MEDICAL CLINIC
TAYAG, ANDREW ALLEN P., PT
TAYO, ANNA
Denied
CEBU
Denied
NEGROS
ORIENTAL
Denied
MANILA
Denied
CEBU
Denied
MANILA
Denied
MANILA
Denied
MANILA
Denied
Cebu City
Denied
Bacoor Cavite
MUNTINLUPA
CITY
Denied
Denied
Manila
Denied
SAN CARLOS
CITY, NEGROS
OCCIDENTAL
Denied
QUEZON CITY
Denied
Cavite City
Denied
MUNTINLUPA
CITY
Professional AMORSOLO STREET LEGASPI VILLAGE
Professional CIVIC DRIVE, FILINVEST CORPORATE
MERCURY DRUG I, CONSUJI STREET,
Institutional STO. ROSARIO, SAN FERNANDO,
JUICO AVENUE, (PERIMETER ROAD,
HOSPITAL, SOLIS STREET, BRGY. TAPProfessional OC, MOLO, ILOILO CITY
PASIG CITY
Denied
Status and Workflow
Owner - KD
No Activity
11/19/2008 Hold (>2yr)
WPS Provider
2/14/2006 File Updated 02/14/2006
No Activity
11/8/2005 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
5/25/2010
07/14/2008
11/3/2008
12/03/2008
4/20/2009
updated provider
ADDED DENIED DATE
ON WPS
1/29/2007
11/24/2010
Cardiology
11/16/2009
ADDED DENIED DATE
ON WPS
12/30/2010
5/25/2009
WPS Provider
6/9/2011
11/3/2010
7/6/2009
No Activity
5/7/2004 Hold (>2yr)
Status and Workflow
Owner - KD
9/4/2006
Status and Workflow
Owner - KD
1/30/2006
MAKATI CITY
Denied
No Activity
8/16/2005 Hold (>2yr)
PASIG CITY
Denied
WPS Provider
3/23/2009 File Updated 03/23/2009
9/25/2006
Status and Workflow
Owner - KD
12/12/2005
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
2/2/2009
WPS Provider
11/29/2007 File Updated 11/29/2007
WPS Provider
4/13/2009
2/4/2008
Pasig City
Denied
MUNTINLUPA
CITY
Denied
PAMPANGA
Denied
WPS Provider
5/30/2006 File Updated 05/30/2006
IntlSOS
Update
none
4/18/2011 Complete
WPS Provider
3/26/2008 File Updated 03/26/2008
4/7/2008
WPS Provider
4/3/2008 File Updated 04/03/2008
6/16/2008
BATANGAS
Denied
MANILA
Denied
QUEZON CITY
Denied
TARLAC
Denied
TARLAC
Denied
PAMPANGA
Denied
Pampanga
Denied
PASIG CITY
Denied
Status and Workflow
Owner - KD
No Activity
11/28/2005 Hold (>2yr)
WPS Provider
No Activity
2/14/2006 Hold (>2yr)
Status and Workflow
Owner - KD
WPS Provider
3/28/2007 File Updated 03/28/2007
WPS Provider
WPS Provider
WPS Provider
ADDED DENIED DATE
ADDED DENIED DATE
TO PDS
ADDED DENIED DATE
ON WPS
9/4/2006
7/4/2011
6/2/2006
10/29/2010
4/21/2008
10/22/2007
5/14/2007
5/27/2011
10/25/2009
5/27/2013
Status and Workflow
Owner - KD
11/26/2007
PAMPANGA
Denied
No Activity
7/11/2005 Hold (>2yr)
PAMPANGA
Denied
WPS Provider
ILOILO
Denied
WPS Provider
9/29/2008 File Updated 09/29/2008
Page 101
10/30/2009
10/23/2009
3/23/2009
TAYZON, FE MD
Professional
TAYZON, MARIA FE MD
Professional
TAYZON, MARIA FE MD
Professional
TE, VICENTE D., MD
Professional
TEASIANO, TERESA MD
TECSON, BAYANI B., MD
TECSON, MA. PAMELA V., MD
TEE, CHERICA A., MD
TENGCO, GREGORIO S., MD
TEOSORO, ANITA LOURDES M.,
MD
TFC LRT ULTRASOUND &
SPECIALTY CLINIC
THE ABLE CENTER
THE CLINIC OF THE HOLY SPIRIT
INC
ILOILO DOCTORS HOSPITAL, WEST
AVENUE, MOLO, ILOILO CITY
UNIT 203 CONDO, NO. 130-B PANAY
Professional AVENUE
Professional N2 B7 SLU HOSPITAL, ASSUMPTION ROAD
CLINICA ADRIATICO SUITE 17, 2F
Professional MIDLAND PLAZA, ADRIATICO STREET,
NO. 22 CALLE ROSA, ERIBERTA COURT,
Professional BRGY. MOONWALK
Institutional
Institutional
2ND FLOOR LRT NORTHMALL BUILDING
RIZAL AVENUE
RIZAL
Denied
PASIG CITY
Denied
ILOILO
Denied
QUEZON CITY
Denied
BAGUIO CITY
Denied
2/25/2008
WPS Provider
4/16/2008 File Updated 04/16/2008
6/16/2008
WPS Provider
6/9/2008 File Updated 06/09/2008
Status and Workflow
Owner - KD
No Activity
7/7/2005 Hold (>2yr)
WPS Provider
6/23/2008
Anesthesiolog
7/22/2010 y
2/12/2007
2/22/2010 Surgery
MANILA
Denied
WPS Provider
4/13/2009 File Updated 04/13/2009
PAMPANGA
Denied
WPS Provider
5/7/2010
Denied
Status and Workflow
Owner - KD
7/23/2007
PARANAQUE
CITY
CALOOCAN
CITY
9055 BANUYO, SAN ANTONIO VILLAGE
WPS Provider
12/17/2007 File Updated 12/17/2007
MAKATI CITY
Denied
Denied
No Activity
10/16/2006 Hold (>2yr)
No Activity
5/2/2005 Hold (>2yr)
No Activity
8/17/2006 Hold (>2yr)
4/16/2011
5/18/2009
Status and Workflow
Owner - KD
10/31/2005
Status and Workflow
Owner - KD
4/2/2007
Status and Workflow
Owner - KD
2/21/2005
QUEZON CITY
Denied
THE DERMATOSURGICAL CLINIC
4 LOS ANGELES ST, CUBAO
Professional CENTER, J. LLORENTE STREET, CEBU
CEBU
Denied
The Family Drugstore
Professional M H Del Pilar St
Tacloban City
Denied
No Activity
12/16/2002 Hold (>2yr)
WPS Provider
WPS Provider
4/6/2009 File Updated provider already denied
Denied
Status and Workflow
Owner - KD
4/24/2006
Status and Workflow
Owner - KD
8/21/2006
Institutional
THE GATEWAY BUSINESS CENTER
INC
Institutional
4 P PANGANIBAN ST PLAZA MABINI,
BATANGAS CITY
BATANGAS
THE HOLY FACE CLINIC
Institutional
NO.57 STO. ENTIERRO STREET, ANGELES
CITY
PAMPANGA
Denied
THE KIDZ & LYING IN CLINIC
Institutional
A. MABINI STREET, BAYBAY
Denied
LEYTE
THE LAPID DENTAL CENTER CORP Institutional
NO. S 637-368 L2 ROBINSON'S PLACE
ADRIATICO STREET, ERMITA
MANILA
Denied
The Lord's Hospital
Meycauayan Calvario
Bulacan
Denied
THE MEDICAL SHOP, INC.
THE PEAK SKIN CARE &
TREATMENT CLINIC
Institutional
Institutional
AX1 158 & 159 SM CITY BARANGAY SAN
JOSE, CITY OF SAN FERNANDO
PAMPANGA
LAGUNA
Professional REGIDOR STREET, SAN PABLO CITY
UNIT 620 2301 CIVIC PLACE 2301 CIVIC DR ALABANG
THE REDOAK MEDICAL SERVICES Professional FILINVEST CORP
MUNTINLUPA
Denied
Denied
Denied
No Activity
4/11/2006 Hold (>2yr)
No Activity
9/20/2004 Hold (>2yr)
WPS Provider
7/11/2006 File Updated 07/11/2006
Status and Workflow
Owner - KD
No Activity
12/22/2005 Hold (>2yr)
WPS Provider
4/20/2009 File Updated provider already updated
No Activity
Status and Workflow
Owner - KD
1/24/2005 Hold (>2yr)
TIAMBENG, MARIA LUISA A., MD
SAN JUAN
Denied
TIAMSON SUALOG,CELIA,MD
Professional 323 E DELA PAZ BAGUMBAYAN ANGONO
RIZAL
Denied
No Activity
Status and Workflow
Owner - KD
8/29/2005 Hold (>2yr)
Denied
Status and Workflow
Owner - KD
TIAMSON, EDEL MARLA S., MD
NO. 490-A CLARKVIEW, DON JUICO
PAMPANGA
Professional AVENUE, ANGELES CITY
PAMPANGA
DISTRICT 15 LOT 16 BLK 47 PANDACAQUI
PAMPANGA
Professional RESIDENTIAL AREA, MEXICO
Page 102
Denied
Denied
No Activity
6/29/2006 Hold (>2yr)
5/20/2010
10/5/2009
7/17/2006
7/10/2006
10/9/2009
1/29/2007
3/16/2011
2/19/2007
7/15/2010
4/23/2007
WPS Provider
No Activity
8/20/2008 Hold (>2yr)
Status and Workflow
Owner - KD
9/15/2008
TIANGCO, LUCIA B., MD
TIBAYANSESE,MELENCIA,MD
Tica,Porfirio,P
Ticsay,Daniel
TIGLAO, CARINA S., MD
TIGLAO, JOEY BENEDICT D., MD
TIGLAO, VICTOR II D., MD
Tiglao,Victor
TIMBOL, EDGARDO S., MD
TIMOTEO-OLIVA, MARIA
CONCEPCION MD
Ting,Iben
TINGCUNGCO, ANGELITO G.,MD
TINGCUNGCO,ANGELITO,G,MD
TINIO, LAWRENCE S., MD
TIONGSAN HARRISON
TIONGSON, ANTONIO MD
TIONGSON, EDMUND H., MD
TIPONES-BORROMEO, ROSA
MARIA A., MD
TIRANTE, JOSE KARLO I., MD
TIROL, CELSA PT
Tirona,Alex,B,BMD
TLC TOTAL LIFE CARE MEDICAL
CENTER
Professional SR. AVENUE
ORTIGAS AVENUE PASIG CITY RM 1106
Professional MATI BLDG THE MEDICA
ALEXANDER ST VILLA GLORIA ANGESLES
Professional CITY
AMERIPHIL MEDICAL CLINIC, 2ND FLOOR
ROOM 8, LOT 9 & 10 GREENWOODS PARK
CENTRAL BUSINESS DISTRICT, SUBIC
Professional BAY FREEPORT ZONE
Professional Rm 202 Cecilio Borromeo Bldg Gove M Roa
UST HOSPITAL, A.H.LACSON STREET,
Professional SAMPALOC
QUEZON CITY Denied
METRO MANILA
1605
Denied
Mandaluyong
City
Denied
Denied
WPS Provider
5/27/2011
PAMPANGA
Denied
WPS Provider
5/27/2011
PAMPANGA
Denied
Pampanga
Denied
PAMPANGA
Denied
ZAMBALES
Denied
Cebu City
Denied
MANILA
Denied
QUEZON CITY
Denied
TOLENTINO, ROMMEL P., MD
TOLENTINO, RUTH M., MD
TOLENTINO, VY R.
Tolentino,Rommel,P,MD
3/28/2005
WPS Provider
4/28/2008 File Updated 04/28/2008
CAMARINES
SUR
Denied
Status and Workflow
Owner - KD
WPS Provider
12/10/2007 File Updated 12/10/2007
4/11/2011
10/2/2006
4/20/2009
6/9/2008
3/19/2007
1/24/2011
2/11/2008
Status and Workflow
Owner - KD
No Activity
Hold (>2yr)
9/26/2005
WPS Provider
File Updated
11/16/2009
WPS Provider
File Updated no updates need
7/2/2007
WPS Provider
File Updated
12/30/2009
WPS Provider
WPS Provider
File Updated
7/13/2009
ZAMBALES
Denied
8/29/2005
Cavite City
Denied
9/24/2009
ZAMBALES
Novaliches
Quezon
Denied
12/13/2004
Denied
12/14/2009
PASIG CITY
Denied
5/11/2010
Marikina City
Denied
4/27/2009
Denied
No Activity
12/18/2006 Hold (>2yr)
Status and Workflow
Owner - KD
8/31/2009
MANILA
Denied
PASIG CITY
Denied
WPS Provider
8/13/2008 File Updated 08/13/2008
NEGROS
OCCIDENTAL
Denied
WPS Provider
PASIG CITY
Denied
WPS Provider
9/22/2008 File Updated 08/13/2008
2/2/2009
CAMARINES
SUR
Denied
WPS Provider
2/13/2008 File Updated 02/13/2008
4/21/2008
QUEZON CITY
Denied
Manila
Denied
QUEZON CITY
Denied
QUEZON CITY
Denied
TOMAS, JHOEL N., MD
Tomas,Jhoel Norman,Q
TOMACRUZ, YVETTE T., MD
01/04/2005
ADDED DENIED DATE
ON WPS
ST. LUKE'S MEDICAL CENTER, 279 E.
CAPITOL MEDICAL CENTER, SCT.
Professional MAGBANUA STREET CORNER PANAY
TOMACRUZ, RAFAEL S., MD
7/10/2011
Status and Workflow
Owner - KD
No Activity
5/24/2006 Hold (>2yr)
4/24/2006
None
Denied
Denied
Anesthesiolog
10/5/2009 y
6/30/2008
BAGUIO CITY
TARLAC
5/27/2011
03/05/2007
Professional 1 HARRISON ROAD,
TOLEDO-DOCTORA JANE L., MD
WPS Provider
IntlSOS
Update
7/22/2009 Complete
WPS Provider
WPS Provider
No Activity
9/14/2006 Hold (>2yr)
WPS Provider
2/23/2009 File Updated 02/23/2009
To,Richard,G,MD
TOLEDO, SANDRO STRIX MD
WPS Provider
WPS Provider
WPS Provider
12/7/2005 File Updated 12/07/2005
Denied
MEDICAL CENTER MANILA, NO. 1122 GEN.
Professional LUINA STREET, ERMITA
CLINIC, SUITE 104 G/F VELASCO
12/30/2009
PAMPANGA
CALOOCAN
CITY
NO.10 MERCURIO STREET, MABAYUAN
6/13/2011
9/7/2009
NO. 149 P. JACINTO STREET, GRACE
Professional PARK
JUAN LUNA STREET, MABINI, TARLAC
Professional CITY
1/15/2007
To,Richard,G,MD
TOBIAS, GLORIA A.,
No Activity
10/1/2005 Hold (>2yr)
WPS Provider
WPS Provider
Denied
Pampanga
Professional 868 Lopez Jaena St
NO. 9 LOWER KALAKLAN, OLONGAPO
Institutional CITY
U 145 Ax Ugf Sm City Fairview Cor Quirino
Professional Hwy Brgy Cente
UNIT 1806 MED ARTS TWR INC SAN
Professional MIGUEL AVE COR LOURDES ST
Unit 18 Marikina E Cent Bld 83 Gil Fernando
TMK Wellness Inc
TO,ANNA MELISSA
FRANCESCA,T,TO MD
Status and Workflow
Owner - KD
Page 103
Denied
WPS Provider
2/9/2009 File Updated 02/09/2009
WPS Provider
WPS Provider
1/14/2009 File Updated 01/14/2009
WPS Provider
WPS Provider
12/26/2007 File Updated 12/26/2007
1/15/2007
9/1/2008
4/26/2010
3/16/2009
5/25/2009
4/13/2009
3/6/2010
2/18/2008
7/13/2009
PAMPANGA MEDICAL SPECIALIST
HOSPITAL, OLONGAPO GAPAN ROAD,
DOLORES, CITY OF SAN FERNANDO
HIGHWAY, TARLAC CITY
2nd Flr Dorm Bldg Hwa Liong Foundation Med
Ctr Annex Henso
Jepson's Med Ctr Tarlac City Mc Arthur Hwy
San Nicolas
MARY JOHNSON HOSPITAL, NO. 1121
NOLASCO STREET, TONDO
EXTENSION
TOMBO AZCUETA, DEMETRIA B.,
MD
Professional
TONGOL, MARY ROSE T., MD
Professional
Tongol,Eugene
Professional
Tongol,Mary Rose,T,MD
Professional
TONGSON, LUINIO S., MD
Professional
TOORES,ARTHUR MAKAISA,MD
Professional
Toquillo,Catalina Guia,B,MD
Baguio City
Professional 5D Sto Nino Rd Marcos Highway
PANGASINAN
PANGASINAN
TORIO, CHRISTOPHER MD
TORIO, LOURDES ROWENA MD
TORRALBA MANGUBAT, LUISA V.,
MD
TORRALBA, RENATO V., MD
TORRALBA, TITO P., MD
TORREFIEL, GERALDINE M., MD
Torreno,Olimpio,O,Jr,MD
TORRES, ARTHUR M., MD
TORRES, AUGUST CESAR S., MD
TORRES, AURORA MD
TORRES, DANILO PHILIP R., M.D.
TORRES, EPIFANIA RUTH MD
TORRES, JAMES ALEXANDER L.,
MD
TORRES, LUZVIMINDA HECKER,
MD
TORRES, RAYNALD EDLIN MD
TORRES, RAYNALD MD
TORRES, VICTORIA P., MD
Torres,Joyce Ruth,S
TORRES,RENATO,V
Torres,Ricky
TORRES-BORROMEO, ESTRELLA
D., MD
TORRES-DOLOR, MA.
CONSOLACION V., MD
ROOM 337, MEDICAL CENTER MANILA,
NO. 1122 GENERAL LUNA STREET,
Professional ERMITA
MEDICAL CENTER MANILA, 1122 GEN.
Professional LUNA STREET, PACO
Professional UST HOSPITAL ESPANA
Denied
TARLAC
Denied
Pampanga
Denied
Tarlac
Denied
MANILA
Denied
PASIG CITY
Denied
SUBIC TOWN MEDICAL SPECIALIST &
DIAGNOSTIC CENTER, 015 NATIONAL
Professional HIGHWAY, CALAPANDAYAN, SUBIC
Professional 146 KISAD ROAD
STO. ARA MEDICAL CLINIC, 1023 HAPPY
Professional VALLEY, DINALUPIHAN
NEPO MART STO.ROSARIO, ANGELES
Professional CITY,
MARY CHILES HOSPITAL, NO. 667
Professional GASTAMBIDE STREET, SAMPALOC
Professional 1825 Taft Ave Metro Bank Bldg
LOS BANOS DOCTORS HOSPITAL LOPEZ
Professional AVE BATONG MALKE
2nd Flr Palawan Medical City I Esm Bldg
Professional Malvar St PPC
MEDICAL AND SKIN CLINIC, NO. 61
Professional SILIMAN AVENUE, DUMAGUETE CITY
updated on 6-15-09
Endocrinology
4/19/2010
ADDED DENIED DATE
6/17/2011
already updated
10/5/2009
6/16/2008
Denied
Denied
ILOILO
Denied
Cavite
Denied
RIZAL
Denied
QUEZON CITY
Denied
ZAMBALES
Denied
BAGUIO CITY
Denied
RIZAL
Denied
BATAAN
Denied
PAMPANGA
Denied
Status and Workflow
Owner - KD
No Activity
10/11/2005 Hold (>2yr)
WPS Provider
5/18/2007 File Updated 05/18/2007
No Activity
8/29/2005 Hold (>2yr)
2/18/2008
Status and Workflow
Owner - KD
11/14/2005
Status and Workflow
Owner - KD
No Activity
8/10/2005 Hold (>2yr)
WPS Provider
WPS Provider
3/3/2008 File Updated 03/03/2008
No Activity
6/8/2005 Hold (>2yr)
6/12/2006
Status and Workflow
Owner - KD
WPS Provider
5/28/2007 File Updated 05/28/2007
WPS Provider
WPS Provider
4/9/2008 File Updated 04/09/2008
WPS Pending
7/7/2008 Review/Action
1/9/2006
10/12/2009
6/16/2008
2/12/2007
9/10/2007
5/11/2010
4/28/2008
11/10/2009
1/31/2011
WPS Provider
1/2/2008 File Updated 01/02/2008
2/18/2008
PASIG CITY
WPS Provider
9/4/2008 File Updated 09/04/2008
9/15/2008
Denied
MANILA
Denied
12/9/2005
Manila
LOS BANOS
LAGUNA
Denied
8/3/2009
Denied
3/22/2011
Palawan
Denied
5/6/2009
Denied
Denied
Denied
ZAMBALES
SUBIC BAY
GATEWAY PARK 2 BRAVEHEART STREET FREEPORT
Denied
WEST DIRITA, NATIONAL HIGHWAY, SAN
ANTONIO
Professional UB BUILDING, GEN. LUNA ROAD
Internal
2/19/2011 Medicine
Denied
ZAMBALES
TRADERLAND MARKETING
3/23/2010
WPS Provider
5/21/2008 File Updated 05/21/2008
Denied
Institutional
UPDATED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
10/6/2008
MANDALUYON
G CITY
TOTALMED
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
8/18/2008
WPS Provider
6/9/2008 File Updated 06/09/2008
MANILA
QUEZON CITY
978 CASTRA STREET, BARANGAY
NAMAYAN
NO. 9 NATIONAL HIGHWAY, LOWER
KALAKLAN, OLONGAPO CITY
No Activity
6/23/2008 Hold (>2yr)
Denied
Denied
NEGROS
ORIENTAL
ROOM 623-A MEDICAL ARTS BUILDING,
Professional AVENUE
Denied
MANILA
MANILA
ROOM 124-B ST. ELIZABETH CENTRE,
Professional VALERIA STREET, ILOILO CITY
Gen Emilio Aguinaldo Mem Hosp Trece
Professional Martires City
TOTAL DISTRIBUTION
SPECIALISTS, INC.
Institutional
TOTAL LIFE CARE MEDICAL
CENTER, INC.
Institutional
TOTAL REMEDIES CORPORATIONMT. CARMEL MEDICAL CLINIC &
EMERGENCY CENTER
Institutional
PAMPANGA
Status and Workflow
Owner - KD
BAGUIO CITY
Page 104
Denied
Denied
No Activity
Status and Workflow
Hold (>2yr)
Owner - KD
7/17/2006
File Updated TO PDS
10/25/2009
WPS Provider
6/13/2011
WPS Provider
File Updated
11/9/2009
No Activity
2/17/2006 Hold (>2yr)
Status and Workflow
Owner - KD
7/7/2008
No Activity
12/21/2006 Hold (>2yr)
Status and Workflow
Owner - KD
8/6/2007
Status and Workflow
Owner - KD
8/15/2005
No Activity
3/17/2005 Hold (>2yr)
WPS Provider
4/10/2006 File Updated 04/10/2006
WPS Provider
WPS Provider
WPS Provider
25-04-05
ADDED DENIED DATE
ON WPS
02/23/2009
7/2/2007
5/14/2007
12/10/2010
4/27/2009
TRANI, MARIA ROSAN A., MD
TRANQUILINO V. ELICANO
MEDICAL CENTER
TRANS INTER CORP.
CENTER BUILDING, J. LLORENTE STREET,
CEBU
Professional CAPITOL SITE, CEBU CITY
NO. 43 A E. RODRIGUEZ SR. AVENUE,
QUEZON CITY
Institutional DON MANUEL
PARANAQUE
Institutional PASCOR DRIVE, BRGY. STO. NINO, SUCAT CITY
TRANSCATHETER THERAPEUTICS
ENT., INC.
Institutional
UNIT 104 E PARC CANTEAU
CONDOMINIUM, ONYX ROAD, ORTIGAS
CENTER
Trayfalgar,Michelle,L
Professional No 5 JP Rizal St Brgy Onse San Juan
TRC MT. CARMEL MEDICAL CLINIC
& EMERGENCY CENTER BR 1
Professional BRGY. WEST FERIASAN , SAN FELIPE,
TREMUCHA-GARCIA, MARY JEAN,
MD
SUITE 711 ST. LUKES MEDICAL CENTER
SOUTH TOWER, CATHEDRAL HEIGHTS
BUILDING, 279 E. RODRIGUEZ SR.
TRI STAR MEDICAL SERVICES
Institutional BOULEVARD,
TRI-MEDIX INTERNATIONAL
RESOURCES INC.
Institutional 8 C. BENITEZ STREET, B L NG CRAME
Americare Medical Clinic 710 Ermita Ctr Bldg
Trinidad Palarca,Pia,C,MD
Professional 1350 Roxas Blvd Ermita
TRINIDAD, JEREMIAH SIMEON III
A., MD
Professional MARCOS HIGHWAY, BRGY. MAYAMOT,
TRINIDAD, JEREMIAH SIMEON III
A., MD
BRANCH UNIT, UNIT A10-11 BUILDING
7932 MANILA AVENUE, CENTRAL
BUSINESS DISTRICT, SUBIC BAY
TRINIDAD, TINA MARIE V., MD
Professional FREEPORT ZONE, OLONGAPO CITY
TRINIDAD-BATILARAN, JANELENE
MD
TRINIDAD-PALARCA, PIA C., MD
TRIPLE C HEALTHCARE
SPECIALIST INC.
TRIPLE S MEDICAL AND DENTAL
DISTRIBUTOR
TRIPTORS
ROOM 808, MARIAN MEDICAL ARTS
BUILDING, FEU-NRMF HOSPITAL,
REGALADO STREET CORNER DAHLIA
Professional STREET, WEST FAIRVIEW
Denied
Denied
Denied
No Activity
8/28/2006 Hold (>2yr)
WPS Provider
2/16/2007 File Updated 02/16/2007
WPS Provider
4/16/2007 File Updated 04/16/2007
No Activity
12/21/2006 Hold (>2yr)
1/8/2007
WPS Provider
9/29/2009
WPS Provider
12/17/2008 File Updated 12/17/2008
12/29/2008
Metro Manila
Denied
ZAMBALES
Denied
NEGROS
OCCIDENTAL
Denied
QUEZON CITY
Denied
QUEZON CITY
Denied
Manila
Denied
WPS Provider
WPS Provider
7/27/2007 File Updated 07/27/2007
WPS Provider
RIZAL
Denied
2/19/2011
PAMPANGA
Denied
WPS Provider
9/17/2008 File Updated 09/17/2008
10/6/2008
ZAMBALES
Denied
WPS Provider
ADDED DENIED DATE
WPS Provider ON WPS
Status and Workflow
Owner - KD
QUEZON CITY
Denied
No Activity
8/31/2005 Hold (>2yr)
PASIG CITY
Denied
WPS Provider
5/19/2008 File Updated 04/16/2008
PANGASINAN
Denied
Institutional
1629 BAMBANG STREET, STA.CRUZ
MANILA
Denied
LUCENA CITY
Denied
Status and Workflow
Owner - KD
Denied
PASAY CITY
Denied
BULACAN
Denied
7/30/2008 File Updated OF DENIAL CODE
TUASON, AGAPITO JR. N., MD
Professional CATMON, MALOLOS CITY
Professional MAGBANUA CORNER QUEZON AVENUE
QUEZON CITY
Denied
TUASON,MANUEL FELIPE,Y,MD
Professional NO 10 ARIES ST BEL AIR III
MAKATI CITY
Denied
TUAZON, ADELFO T., MD
TUAZON, ALEXANDER MD
TUAZON, ARLENE M.D.
TUAZON, CECILIA P., MD
TUAZON, JOSEPHINE TORRES,
M.D.
TUAZON, RENERIO T., MD
ROOM 256 MEDICAL CARDINAL SANTOS
MEDICAL CENTER, WILSON STREET,
Professional GREENHILLS
Denied
PAMPANGA
Denied
WPS Provider
9/14/2005 File Updated 09/14/2005
No Activity
4/10/2004 Hold (>2yr)
Status and Workflow
Owner - KD
WPS Provider
4/7/2005
7/11/2011
1/21/2011
6/18/2010
11/17/2008
3/26/2007
5/17/2011
10/9/2006
5/27/2011
9/4/2006
Denied
Page 105
2/2/2009
Status and Workflow
Owner - KD
PAMPANGA
Denied
7/31/2006
5/19/2008
No Activity
7/6/2004 Hold (>2yr)
PAMPANGA
10/23/2010
No Activity
4/7/2008 Hold (>2yr)
Denied
Denied
6/10/2011
Status and Workflow
Owner - KD
MUNTINLUPA
CITY
MUNTINLUPA
CITY
8/20/2007
2/20/2006
MAKATI CITY
PAMPANGA
1/28/2010
12/9/2005
Denied
Professional 2009 PLARIDEL STREET, ANGELES CITY
5/27/2011
No Activity
4/22/2005 Hold (>2yr)
WPS Provider
8/29/2005 File Updated 08/29/2005
IntlSOS
Update
Caters to pre employment
and insdustrial patients.
5/6/2011 Complete
BATANGAS
TUAZON, ADELFO T., MD
6/11/2007
Status and Workflow
Owner - KD
No Activity
Status and Workflow
Owner - KD
12/7/2005 Hold (>2yr)
TRUECARE MEDICAL CLINIC ST.
VINCENTS POLYCLINIC
5/7/2007
Denied
Institutional
TROMRY'S TRADING MASAGANA
OXYGEN & ACETYLENE
Institutional BARRIO DACANLAO, CALACA
TROPICAL DISEASE FOUNDATION
INC
Professional 2 AMORSOLO ST
UNIT 909 MATI BLDG THE MEDICAL CITY
TRUCARE MEDICAL GROUP
Professional ORTIGAS AVE UGONG
10/2/2006
PASIG CITY
2ND FLOOR, DIALYSIS ROOM,TAPUAC
DISTRICT, DAGUPAN CITY
CAPISTRANO SUBD GULANG GULANG
Professional DONA AURORA BLDG COR
Status and Workflow
Owner - KD
No Activity
4/12/2004 Hold (>2yr)
Status and Workflow
Owner - KD
5/7/2010
5/8/2006
5/7/2010
TUBERA MEDICAL CLINIC
AFABLE MEDICAL CENTER, NO.4 AFABLE
STREET, EAST BAJAC-BAJAC, OLONGAPO
ZAMBALES
Professional CITY
ZAMBALES
TUGADO, LEO NIEL M., MD
MEDICAL CENTER, ZAPOTE ROAD,
TUBBAN, LLOYD BRYAN , M.D.
MUNTINLUPA
CITY
TUGUEGARAO STROKE AND
EPILEPSY CLINIC
Institutional
TULOD MEDICAL AND DIAGNOSTIC
CLINIC
Institutional
Denied
Denied
Denied
Status and Workflow
Owner - KD
No Activity
7/6/2004 Hold (>2yr)
WPS Provider
3/3/2008 File Updated 03/03/2008
No Activity
6/26/2006 Hold (>2yr)
8/18/2008
Status and Workflow
Owner - KD
4/18/2005
No Activity
3/7/2005 Hold (>2yr)
WPS Provider
2/24/2003 File Updated 02/24/2003
Denied
TULOD, EMMANUEL MD
Tulod,Emmanuel,G
Professional 533 B Macarthur Hi Way Lourdes Sur East
Denied
WPS Provider
2/13/2006 File Updated 02/13/2006
WPS Provider
PAMPANGA
Denied
Status and Workflow
Owner - KD
NEGROS
OCCIDENTAL
Denied
Angeles City
92-1 MOTHER OF PERPETUAL HELP
HOSPITAL SANTO ENTIERO STREET
TULUD, HERNAND MD
Professional SANTO CRISTO,ANGELES CITY
TUMANENG, LEO MANUEL D C, MD Professional SUBDIVISION MANDALAGAN, BACOLOD
ROOM 105 MEDICAL ARTS BUILDING, ST
TUMBOCON, JOSEPH ANTHONY J.,
MD
TUNGUL, GRACIALYN M., MD
TUPAS,CARMEN,L,MD
TUQUERO, JANETTE P., MD
CLINICA MIRANDA, IBANEZ STREET,
Professional ANGONO
RM 408 MEDICAL ARTS BLDG RIVER BS
Professional AQUINO DRIVE
QUEZON CITY
RIZAL
Denied
Denied
Denied
BACOLOD CITY Denied
Professional 46 P SANCHEZ STREET, STA.MESA
MANILA
Denied
TUQUERO, JANETTE P., MD
Professional 7 PINAGLABANAN STREET, SAN JUAN
MANILA
Denied
TURLA, MARIA-VICTORIA Y. ,MD
UNIT 1 SANDYLAND REALTY
Professional MARASBARAS TACLOBAN CITY
CAVITE
Denied
LEYTE
Denied
Professional 97 P BURGOS ST
HEALTH ASSOC INC ASIAN HOSP 2205
Professional CIVIC DR FILINVEST
ANTIPOLO CITY Denied
MUNTINLUPA
CITY
Denied
TZ PHARMACY
UBALDE,ARLENE,A
UDASCO,DANTE MARK,MD
UDUNTU TRADING
UGALDE, JOSEPH DEPERDEE B.,
MD
UGAY, MACY C., MD
Ulep,Erwin
NO. 27 ROSA ALVERO STREET,
XAVIERVILLE SUBDIVISION, LOYOLA
Institutional HEIGHTS
POBLACION MEDICAL AND DIAGNOSTIC
CENTER, 102 EVANGELISTA STREET,
Professional POBLACION, BACOOR
Institutional
ULTRASOUND
ULTRATEK DIAGNOSTIC CENTER
INC.
Professional 10 OTERO AVE MABAYUAN
OYG BUILDING, B. MENDOZA STREET,
Institutional SAN FERNANDO CITY
UMALI, MARIA SHEILA G.,MD
UMBALIN, SHIRLEY D., MD
UMBALIN, SHIRLEY D., MD
Unibro Medical Center
Unibro Medical Clinic
UNICITY NETWORK PHILIPPINES,
INC
G. H. DEL PILAR STREET, CATARMAN
MEDICAL ARTS BUILDING, PHILIPPINE
Professional HEART CENTER, EAST AVENUE
Rm 907 N Twr Cath Hgts 279 E Rodriguez Sr
Professional Blvd
Rm 907 Tower Cathedral Hghts Bldg Cplx St
Professional Lukes Med Ctr 279
W-1208 PHILIPPINES STOCK EXCHANGE
Institutional ROAD ORTIGAS CENTER
WPS Provider
10/29/2008 File Updated 10/29/2008
Status and Workflow
Owner - KD
No Activity
12/10/2007 Hold (>2yr)
WPS Provider
No Activity
6/27/2005 Hold (>2yr)
No Activity
6/27/2005 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
Denied
PAMPANGA
Denied
QUEZON CITY
Denied
Denied
Denied
QUEZON CITY
Denied
Quezon City
Denied
Quezon City
Denied
PASIG CITY
Denied
Page 106
No Activity
10/31/2005 Hold (>2yr)
No Activity
8/8/2005 Hold (>2yr)
No Activity
6/6/2005 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
5/27/2011
11/10/2008
3/10/2008
6/13/2011
denial added
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
10/27/2010
ADDED DENIED DATE
6/23/2011
Status and Workflow
Owner - KD
1/22/2007
SAMAR
OLONGAPO
CITY
8/29/2005
5/12/2005
Denied
Denied
4/12/2010
Status and Workflow
Owner - KD
CAVITE
No Activity
8/16/2007 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
2/18/2008
5/12/2005
Denied
Denied
6/6/2005
Status and Workflow
Owner - KD
QUEZON CITY
SOUTHEAST ASIAN MEDICAL SPECIALIST
INC.UNIT A DE QUIROZ BUILDING
CAVITE
Professional DIVERSION ROAD PALICO IV, IMUS
Professional BUILDING, 146 MINDANAO AVENUE
WPS Provider
No Activity
8/11/2006 Hold (>2yr)
HOLY TRINITY CHILDREN'S CLINIC,
PANGASINAN
Professional POBLACION, WEST CALASIAO
Pangasinan
Professional Hwy Urdaneta City
ULTRA MEDICAL PLAZA
No Activity
8/18/2003 Hold (>2yr)
3/31/2008
Status and Workflow
Owner - KD
AGUINALDO STREET, TUGUEGARAO CITY CAGAYAN
NO.533 ARCAGGE BUILDING MCARTHUR
HIGHWAY, ANGELES CITY
PAMPANGA
PAMPANGA
Denied
7/31/2006
Status and Workflow
Owner - KD
8/31/2010
2/18/2011
8/23/2010
10/1/2007
10/30/2009
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
updated per dup record on
sharepoint
1/21/2011
8/19/2010
5/25/2009
Status and Workflow
Owner - KD
10/29/2007
Status and Workflow
Owner - KD
2/12/2007
Status and Workflow
Owner - KD
6/11/2007
ADDED DENIED DATE
ON WPS
13-03-06
Dermatology;#
4/27/2010 Internal
4/27/2010
3/17/2008
UNITED HILLS DIAGNOSTIC &
POLYCLINIC
2161 B NARRA STREET, UNITED HILLS
Professional VILLAGE,
PARANAQUE
CITY
Denied
UNITED HOSPITAL BUILDERS
INC./PARAÑAQUE DOCTORS
Institutional
175 DONA SOLEDAD AVENUE, BETTER
LIVING,
PARANAQUE
CITY
Denied
UNITED INDUSTRIAL GASES
UNITED MARIKINA DOCTOR'S
CLINIC
Institutional
Institutional
SOCONY BUGALLON
NO. 40 BAYANBAYANAN AVENUE,
CONCEPCION
UNIT 603 MARIAN MEDICAL ARTS
BUILDING, FAR EASTERN UNIVERSITY
HOSPITAL, DAHLIA STREET CORNER
REGALADO AVENUE, FAIRVIEW
6th Floor Physicians Tower 533 U N Ave
Ermita
ROOM 210 DON SANTIAGO BUILDING,
UNIT 303 3F SOUND OPTIONS BLD
MCARTHUR HWY
UNITED MEDCARE MGT. CLINIC
United Nations Avew Chiropractic
Center Inc
UNITED SCAN AND MEDICAL
GROUP
UNIVERSAL HEALTHY OPTIONS
SERVICES CO
Professional
UNIVERSITY OF PHILIPPINES
Untalan,Melissa
Professional ALABANG ZAPOTE ROAD
Up Pgh Hospital
Institutional
URDANETA DIAGNOSTIC CLINIC
Professional
Professional
Professional
Pgh Taft Ave
PANGASINAN
Denied
Manila
Denied
3/29/2010
MANILA
Denied
2/28/2008
TARLAC CITY
Denied
5/7/2010
3/9/2009
Pampanga
Denied
3/29/2010
Manila
Denied
12/10/2008
JUNO BUILDING CONSEJO STREET,
POBLACION, URDANETA CITY
Urgel,Cynthia Marissa,M,MD
Professional Perpetual Succour Hospital Gorordo Ave
Denied
URTULA, ISABEL C., MD
USON, ANTONIO M. MD
Uy Yao,Minnie
UY, DIOSDADO C., M.D.
UY, DIOSDADO C., MD
UY, JAMESON T.
UY, MARIO L., MD
UY, ROBERTO N., MD
UY, ROSEMARIE G., MD
UYGONGCO, ELIZABETH A., MD
UY-SANCHES, NUELLE JAN MD
UY-YAO, MARIA MINNIE MD
UY-YAO, MARIA MINNIE MD
V L MAKABALI MEMORIAL
HOSPITAL
Cebu City
667 UNITED NATIONS AVENUE, ERMITA
MANILA
CAMARINES
Institutional
Professional 19-A PUGAD LAWIN DRIVE, PROJECT 8
Professional GUILIG ST. DAGUPAN CITY
PAZ STREET CORNER ELISA ANGELES
Professional STREET, NAGA CITY
ROOM 1406 JOLLIBEE CENTER BUILDING,
Professional SAN MIGUEL AVENUE
ROOM 307, PATRIA DE BAGUIO, SESSION
Professional ROAD
NO. 1238 GOV. FORBES STREET,
QUEZON CITY
VALDEZ, ELISA B.,
Professional
VALDEZ, ELISA B., MD
Professional
VALDEZ, JOAN MD
Professional
VALDEZ,JILL LANDINGIN
Professional
Denied
Denied
Denied
Denied
Pangasinan
Denied
CAMARINES
SUR
Denied
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
7/28/2008
3/10/2008
6/26/2006
10/2/2006
1/28/2010
02/28/2008
4/30/2010
8/4/2008
7/13/2010
03/09/2009
4/27/2009
6/7/2010
6/1/2009
Status and Workflow
Owner - KD
No Activity
9/13/2004 Hold (>2yr)
11/6/2006
WPS Provider
7/8/2010
WPS Provider
10/19/2009
No Activity
7/13/2005 Hold (>2yr)
Status and Workflow
Owner - KD
WPS Provider
3/3/2008 File Updated 03/03/2008
No Activity
6/1/2006 Hold (>2yr)
No Activity
6/9/2003 Hold (>2yr)
WPS Provider
8/29/2005
5/26/2008
Status and Workflow
Owner - KD
7/2/2007
Status and Workflow
Owner - KD
4/7/2005
11/12/2009
1/24/2011
CAMARINES
SUR
Denied
PASIG CITY
Denied
BAGUIO CITY
Denied
No Activity
Status and Workflow
Owner - KD
1/4/2007 Hold (>2yr)
WPS Provider
7/27/2007 File Updated 07/27/2007
Denied
No Activity
11/7/2005 Hold (>2yr)
Status and Workflow
Owner - KD
7/3/2006
No Activity
3/28/2007 Hold (>2yr)
Status and Workflow
Owner - KD
5/14/2007
MANILA
CAVITE
PAMPANGA
Institutional
Denied
PANGASINAN
MCARTHUR HIGHWAY, STO. CRISTO,
TARLAC
Professional TARLAC CITY
Professional MEDICAL CENTER, 279 E. RODRIGUEZ SR. QUEZON CITY
No Activity
5/4/2006 Hold (>2yr)
WPS Provider
8/11/2006 File Updated 08/11/2006
5/19/2008
Urdaneta Sacred H
URSUA, RODOLFO
Status and Workflow
Owner - KD
Denied
Denied
UROLOGY CENTER OF THE
PHILIPPINES, INC.
WPS Provider update due to duplicate
12/3/2007 File Updated provider id on SP
QUEZON CITY
PANGASINAN
Urdaneta City
Professional C O Health Visions Corp San Vicente Central Pang
Institutional
WPS Provider
7/7/2008 File Updated 07/07/2008
PAMPANGA
B MENDOZA ST. SAN FERNANDO
PAMPANGA
13 MANIGO STREET, U P VILLAGE,
DILIMAN
QUEZON CITY
NO. 13 MANIGO STREET, U P VILLAGE,
DILIMAN
QUEZON CITY
QUEZON CITY
LORMA MED CTR CARLATAN CITY OF SAN
FERNANDO
LA UNION
Page 107
Denied
Denied
Denied
Denied
Denied
Denied
Denied
Denied
Denied
Denied
WPS Provider
10/20/2008 File Updated 10/20/2008
No Activity
10/17/2005 Hold (>2yr)
3/5/2007
1/19/2011
9/24/2007
11/24/2008
Status and Workflow
Owner - KD
11/19/2007
WPS Provider
10/23/2009
Status and Workflow
Owner - KD
No Activity
12/25/2006 Hold (>2yr)
WPS Provider
File Updated
WPS Provider
7/21/2008 File Updated changed sub id to 0000
WPS Provider
5/9/2005 File Updated 05/09/2005
22-10-08 EXCLUDED
WPS Provider
2/2/2009
2/21/2005
8/4/2008
2/5/2007
11/24/2008
5/26/2011
VALENCERINA, CATHERINE L., MD Professional Q-3011 MOQ NAVY BASE
VALENCIA ALLEN ARIZALA, MD
Professional
VALENCIA, ALLEN MD
Professional
VALENCIA, OFELIA N., M.D.
Professional
VALENZUELA, HERMINIO R. JR.,
MD
Professional
VALERA, BENJAMIN DANIEL
Valerio,Amiel
VALERIO,ELVIRA,E
VALERIO,MARIA ROWENA,B
VALERO, SHERMAN MD
VALERO, SHERMAN O., MD
VALLAR, RONALD MD
Vallar,Ronald
VALUE LIFE DIAGNOSTIC
LABORATORY
VAPE DISTRIBUTION AND DRUG
STORE
VARGAS,MARIE JEANETTE,R
VARONA, RAIDA G., MD
VASQUEZ, MARCIELO MD
VASQUEZ,LEA GRACE,M
VEGA-VALENZUELA, GERMAN
ENRIQUE MD
VELASCO, AARON I., MD
VELOSO CLINIC
BAGUIO CITY
WELLPOINT MEDICAL CLINIC &
DIAGNOSTIC CENTER, UNIT 31-32 LGF SM
CITY BACOOR, BACOOR,
CITY, ALABANG
Denied
Denied
PASIG CITY
Denied
WPS Provider
7/2/2008 File Updated 07/02/2008
MUNTINLUPA
CITY
Denied
1/6/2011
PAMPANGA
Denied
WPS Provider
5/27/2011
2205 CIVIC DRIVE,FILINVEST CORPORATE MUNTINLUPA
CITY
Pampanga
Denied
Denied
BALANGA CITY Denied
PAMPANGA
Denied
5/23/2006
Professional PALANGINAN IBA
ST LUKES MED CTR E RODRIGUEZ SR
Professional AVE
ZAMBALES
Denied
4/20/2011
QUEZON CITY
Denied
2/22/2011
ROOM 101-B CEBU DOCTOR'S HOSPITAL,
Professional OSMENA BOULEVARD, CEBU CITY
M V SANTIAGO MEDICAL CENTER UPPER
Professional GROUND FLOOR SM CITY, DASMARINAS
OLIVAREZ GEN HOSP DR A SANTOS AVE
Professional SAN DIONISIO
CALLE MARINOS, Y KAYAC S N COL EL
Professional CHAMIZAL
SUITE 19 DOCTOR'S CLINIC,
BROKENSHIRE MEMORIAL HOSPITAl,
Professional MADAPO HILL, DAVAO CITY,
ANGELES CITY Denied
8/31/2010
2/4/2008
MANILA
Denied
4/15/2009
Rizal
Denied
10/5/2009
CEBU
Denied
CAVITE
PARANQUE
CITY
Denied
Denied
DAVAO DEL
SUR
Denied
Vengco Clinic
Professional Moncada
Tarlac
Denied
Vengco,Ernesto,D,MD
Professional Moncada
Tarlac
Denied
Vengco,Soledad,B
Professional Zamora St San Roque
D41 A VILLA REGINA, F. ANTONIO
Professional STREET, BAMBANG,
M V SANTIAGO MEDICAL CENTER UPPER
Professional GROUND FLOOR SM CITY, DASMARINAS
Unit 129 130 Sm Supercenter Pa Frontera
Professional Verde C5 Ugong
SUITE 201 IMCH BUILDING, 13 CAPITOL
Professional HILLS DRIVE, MATANDANG BALARA
Tarlac City
Denied
PASIG CITY
Denied
CAVITE
Denied
Pasig City
Denied
QUEZON CITY
Denied
VERAYO,CARMENCITA,B
VERGARA AND MAIZ VERGARA
MDS
1/24/2011
WPS Provider
11/29/2007 File Updated 11/29/2007
Denied
VERALLA, VICETICE I., MD
5/17/2010
CEBU
CENTER, J. LLORENTE STREET, CEBU
Professional CITY
MAKATI MED CTR NO 2 AMORSOLO ST
Professional MAKATI CITY
CEBU DOCTORS HOSPITAL OSMENA
Professional BLVD
8/14/2006
8/4/2008
VELOSO, MARY GIRLIE Z., MD
VERA GAILE MEDICAL SERVICES
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
10/6/2008
WPS Provider
6/23/2008 File Updated 06/23/2008
SAN JOSE DEL
CABO
Denied
Institutional
Status and Workflow
Owner - KD
12/17/2007
Denied
PASIG CITY
Denied
Venus Drug Testing Center
No Activity
2/8/2004 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
Professional BATOL BLDG LAUREL ST SAN JOSE
TIMOTHY ST SUNSET VALLEY HOMES
Professional CUTCUT
NO. 6065 RIZAL STREET, LOURDES SUR,
LAGUNA
VENTURA, VOLTAIRE MD
30-10-07 CORRECTION
6/3/2006
CAVITE
56 A. MABINI STREET, CABUYAO
VENTCARE MEDICAL
No Activity
1/5/2006 Hold (>2yr)
Status and Workflow
Owner - KD
CEBU
VERGARA, DERRICK Y., MD
Veroy,Irma,A,MD
PAMPANGA
Page 108
04/15/2009
ADDED DENIED DATE
ADDED DENIED DATE
ON WPS
Status and Workflow
Owner - KD
No Activity
12/11/2006 Hold (>2yr)
WPS Provider
12/3/2008 File Updated 12/03/2008
WPS Provider
No Activity
10/16/2006 Hold (>2yr)
Status and Workflow
Owner - KD
No Activity
2/13/2006 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
3/24/2010
6/21/2011
5/16/2011
5/28/2007
12/29/2008
6/6/2011
6/18/2007
12/26/2010
Status and Workflow
Owner - KD
3/10/2008
12/17/2007
7/21/2008
no updated needed
9/14/2009
no updated needed.
8/17/2009
01/12/2008
2/16/2009
12/03/2008
12/29/2008
10/26/2009
1/24/2010
Denied
Denied
No Activity
11/3/2003 Hold (>2yr)
Status and Workflow
Owner - KD
Denied
Denied
5/18/2009
12/8/2009
ADDED DENIED DATE
ON WPS
No Activity
Status and Workflow
Hold
(>2yr)
Owner - KD
9/14/2006
METRO MANILA Denied
CEBU CITY
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
10/2/2006
2/21/2011
5/17/2011
1/9/2006
8/31/2009
VERZOSA-CANTA, CYNTHIA MD
VETHEALTH MEDICAL SERVICES
VICENCIO, CECILIA MD
VICENTE
PASCUAL,BEATRICE,S,MD
VICENTE, BEATRICE S., MD
VICENTE, FREDERICK P., MD
VICENTE-PASCUAL, BEATRICE S.,
MD
VICKI BELO MEDICAL CLINIC
BRANCH 1
QUEZON CITY
UNIT 102 P & R MANSION, NO. 1515 STO.
SEPULCRO STREET CORNER QUIRINO
MANILA
Institutional AVENUE, PACO
PASIG CITY
Professional MCARTHUR HWY ANGELES CITY
MEDICAL CENTER, NO. 2009 MCARTHUR
51 CONNECTICUT STREET, NORTHERN
Professional GREENHILLS,
I L THE TERRACES AYALA CTR CEBU
Professional BUSINESS PARK
NO. 305 TOMAS MORATO CORNER
Institutional SCOUT MAFRINAN T S TRIANGLE
VICKY R. HUGO DENTAL CLINIC
Institutional
VICTORIA SUPERMART
VILLA, FELIX RAY P., MD
Professional 26 A. MABINI STREET,
Unit 404 405 Cdc Admin Bldg Kamuning St
Professional Osmena Bldg
2205 CIVIC DRIVE, FILINVEST
VILLA, FELIX RAY P., MD
Professional CITY
Vicuna,Felix,MD
VILELA, GERALD C., MD
BINAKAYAN, KAWIT,
VILLA,FELIX RAY,P,MD
Professional DR 2 SORIANO BLDG W AVE MOLO
VILLACARLOS-BAUTISTA, DESIREE
MD
VILLACIN, LUCIENE LOURDES C.,
MD
Professional HOSPITAL, ERORECO, BACOLOD CITY
VILLACIN, LUCIENE LOURDES C.,
MD
Professional SUBDIVISION, MANDALAGAN, BACOLOD
BACOLOD MED SPEC CLINIC ANESA BLDG
VILLACIN,LUCIENE LOURDES,C
Professional BS AQUINO DR
VILLACORTA, JACQUELINE MD
VILLACORTA, PIO RENATO F., MD
NO. 13 EAST LAWIN STREET, PHILAM
Professional HOMES 1
VILLACORTA-TORDESILLAS, JUAN
NO. 133 MC ARTHUR HIGHWAY,
GREGO MD
Professional SALUYSOY, MEYCAUAYAN
VILLALON, ANTONIO H., MD
Professional TERRACES, NO. 638 TM KALAW, ERMITA
VILLALUZ, ANGELITA A. DMD
VILLAMOR, LEAH A., MD
VILLANO, JESUS EDGAR A., MD
VILLANO, NELSON CARORAN, MD
VILLANUEVA CRISTOBAL,
JOSETTE G., MD
VILLANUEVA SKIN SPECIALTY
CLINIC
VILLANUEVA, DENNIS C., MD
VILLANUEVA, JULIETA A., MD
VILLANUEVA, MARIA VILINDA E.,
MD
Professional AYALA CTR,NO.1 AYALA AVENUE
ROOM A 103 CEBU DOCTORS HOSPITAL,
OSMENA BOULEVARD, CAPITOL SITE
2ND FLOOR PLAZA MILAGROSA
Professional BUILDING, MALVAR STREET, DAVAO CITY
PAMPANGA
PAMPANGA
Denied
Denied
Denied
Denied
Denied
QUEZON CITY
Denied
PAMPANGA
Denied
CEBU CITY
Denied
QUEZON CITY
Denied
No Activity
6/8/2005 Hold (>2yr)
Status and Workflow
Owner - KD
WPS Provider
7/23/2008 File Updated 07/23/2008
WPS Provider
WPS Provider
No Activity
6/8/2005 Hold (>2yr)
WPS Provider
WPS Provider
WPS Provider
WPS Provider
2/12/2007
3/23/2011
8/11/2008
Allergy &
9/20/2010 Immunology
5/27/2011
Status and Workflow
Owner - KD
2/12/2007
Allergy &
4/19/2010 Immunology
02/28/2008
ADDED DENIED DATE
ON WPS
5/12/2008
11/08/2006
7/16/2007
2/7/2011
Status and Workflow
Owner - KD
11/12/2007
No Activity
10/31/2005 Hold (>2yr)
WPS Provider
2/23/2009 File Updated 02/23/2009
WPS Provider
CAVITE
Denied
BAGUIO CITY
Denied
Cebu City
Denied
MUNTINLUPA
CITY
Denied
WPS Provider
6/14/2007 File Updated 06/14/2007
9/17/2007
Denied
Internal
1/17/2011 Medicine
ILOILO
ILOILO
Denied
ILOILO CITY
Denied
PAMPANGA
NEGROS
OCCIDENTAL
Denied
NEGROS
OCCIDENTAL
Denied
Denied
BACOLOD CITY Denied
PAMPANGA
QUEZON CITY
Denied
Denied
BULACAN
Denied
MANILA
Denied
MAKATI CITY
Denied
CEBU
RIZAL
DAVAO DEL
SUR
Denied
Denied
Denied
NO. 615 6TH FLOOR, MEDICAL ARTS
BUILDING, PHILIPPINE HEART CENTER,
QUEZON CITY Denied
B1 TU SQ BLDG COR NORTH DR LACSON
BACOLOD CITY Denied
Professional ST BRGY 5
QUEZON CITY
Professional 888 ROAD 1, PAG-ASA
OUR LADY OF PENAFRANCIA OB-GYN
CLINIC, MK LINA STREET CORNER
BATANGAS
Professional GUADALUPE SUBDIVISION, LIPA CITY
CAVITE MEDICAL CENTER, MANILA
Professional CAVITE ROAD, DALAHICAN, CAVITE CITY CAVITE
Page 109
Denied
Denied
Denied
Status and Workflow
Owner - KD
No Activity
9/26/2005 Hold (>2yr)
WPS Provider
WPS Provider
7/3/2005 File Updated 07/03/2005
WPS Provider
WPS Provider
WPS Provider
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
3/23/2009
9/21/2009
9/17/2007
6/7/2010
4/9/2007
4/26/2010
10/4/2010
10/4/2010
No Activity
Hold (>2yr)
Status and Workflow
Owner - KD
2/28/2005
No Activity
2/14/2006 Hold (>2yr)
Status and Workflow
Owner - KD
5/7/2007
No Activity
5/3/2007 Hold (>2yr)
Status and Workflow
Owner - KD
5/14/2007
WPS Provider updated denied date on
3/10/2008 File Updated wps
WPS Provider
1/13/2003 File Updated 01/13/2003
No Activity
1/12/2006 Hold (>2yr)
Status and Workflow
Owner - KD
WPS Provider
1/19/2009 File Updated 01/19/2009
No Activity
Status and Workflow
Owner - KD
10/16/2006 Hold (>2yr)
WPS Provider
WPS Provider
5/18/2007 File Updated 05/18/2007
WPS Provider
10/27/2008 File Updated 10/27/2008
2/6/2010
9/26/2005
7/17/2006
2/19/2011
2/9/2009
9/24/2007
4/18/2011
6/11/2010
6/25/2007
12/22/2008
VILLANUEVA,DEBBIE,G,MD
B1 TU SQ BLDG COR NORTH DR LACSON
Professional ST BRGY 5
Villanueva,Francisco,V,Jr,MD
Cavite City
Denied
Villanueva,Renato,A,MD
Professional S 401 Mab Philippine Heart Ctr East Ave
RM.211 2/FLR.ANGELES UNIVERSITY
FOUNDATION MEDICAL CENTER,2009
Professional McARTHUR HIGHWAY, ANGELES CITY
C/O ACCUCARE MEDICAL ASSOCIATE
INC., 2/F DORMITORY BUILDING, DEE
HWA LIONG FOUNDATION MEDICAL
Med Ctr Malabinas Rm No 4 Opd Divine
Professional Shepherd
Professional ST LOURDES SUR
,2/F DORMITORY BUILDING, DEE HWA
2772 2774 ROXAS BLVD SAN JUAN DE
Professional DIOS HOSPITAL
Quezon City
Denied
PAMPANGA
Denied
3/15/2011
PAMPANGA
Denied
2/19/2011
PAMPANGA
Denied
Angeles City
Denied
PAMPANGA
Denied
PAMPANGA
Denied
PAMPANGA
Denied
PAMPANGA
Denied
PASAY CITY
Denied
Cebu City
Denied
VILLANUEVA, TITA LINA O., M.D.
VILLANUEVA, WALTER L., MD
VILLARAZA, AURELIA L., MD
VILLARAZA, AURELIA L., MD
VILLARIN, FRANCEL, V., MD
Villarin,Francel,V
VILLARRUZ,MA VIVIAN,V,MD
VILLARUZ, MA. VIVIAN V., MD
VILLARUZ, VIVIAN N., MD
VILLARUZ, VIVIAN V., MD
VILLASENOR,JOSE,A,MD
Villegas,Ellie May,MD
Villespin,Ivan,N
Professional Rm 5002 Espana 479 Sampaloc
VIOLA,JOHN REYNALDO,G,MD
VIRATA, CORA J., MD
VIZCAYNO, JAIME S., MD
Vrp Medical Staff Organization
VW MEDICAL LABORATORY
WANG, BERNARD A.,MD
WATSONS - OLONGAPO
WATSONS YOUR PERSONAL
STORES
WE CARE RENT A VAN
WEE SIT TOLEDO, SOCORRO, MD
WELL BABY CLINIC
Denied
BACOLOD CITY Denied
Professional WEST POBLACION
JL BLDG STE 2C 4 DON AVILA ST CAPITAL
CEBU CITY
Professional SITE
ROOM 408 MEDICAL TOWERS MAKATI,
Professional HERRERA STREET, LEGASPI VILLAGE
HEALTHWAY MEDICAL CLINIC SHANGRILA PLAZA, 5TH LEVEL
Professional SHANGRILA PLAZA, SHAW BOULEVARD
Professional INTERCARE BLDG 8420 KAALAYAAN AVE
LUZON MEDICAL CENTER, TAPUAC
Professional 163 E De Los Santos Ave
FAVIS BUILDING, LAKANDULA STREET
Professional CORNER MAGSAYSAY AVENUE, BAGUIO
Denied
Denied
Denied
Denied
MAKATI CITY
Denied
MANDALUYON
G CITY
Denied
BATAAN
Denied
CAVITE
Denied
PASIG CITY
Denied
PAMPANGA
Denied
RIZAL
Denied
MAKATI CITY
Denied
PANGASINAN
Mandaluyong
City
Denied
BAGUIO
Denied
Denied
SAN JUAN,
METRO MANILA Denied
COMMERCIAL MALL, MAGSAYSAY
ZAMBALES
Institutional AVENUE CORNER GORDON AVENUE,
Denied
2ND FLR MARQUEE MALL FRANC PULUNG
ANGELES CITY Denied
Professional MARAGUL
WBP EMS BRIGADE (WEST BAYAN
PARK EMERGENCY MEDICAL
SERVICE)
Institutional
WDC PLASTIC SURGERY CLINICS
WE CARE DRUG - OLONGAPO
BRANCH
NEGROS
OCCIDENTAL
CEBU
PALAUIG
ZAMBALES
VIRAY, MICHAEL ANGELO S., MD
VIRLEN PHARMACY & DIAGNOSTIC
CLINIC
Professional NATIONAL ROAD, WAKAS, ORION
VISTA MEDICAL CENTER
PHARMACY
Professional 396 SALCEDO ST NOVELETA
VITO CRUZ, ELIZABETH R., MD
VITUG, ARNOLD O., MD
VIVAR, JO ANN MD
VIVERO,JANICE JOY,D,PTRP
Denied
Manila
400 3 DE ABRIL, H.W.MILLER HOSPITAL,
VILLONA, NIKKI ANDREW H., R.P.T. Professional CEBU CITY
VINLUAN,VLADIMIR,S,MD
CAMARINES
SUR
EVANGELISTA STREET, LEONILA HILL,
BAGUIO CITY
Professional STALL 9 MIXMART 2157 ST BALIBAGO
NO. 16 ANONAS STREET, WEST BAJACInstitutional BAJAC, OLONGAPO CITY
4014 RICHTHOFEN STREET,
Professional HENSONVILLE, MALABANIAS, ANGELES
NATIONAL HI-WAY, PACITA COMPLEX,
Professional SAN PEDRO
NO. 198 E. DELA PAZ STREET, STA.
Institutional ELENA
BAGUIO
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
WPS Provider
ADDED DENIED DATE
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
4/18/2011
8/3/2009 Cardiology
2/19/2011
2/9/2010
7/5/2010
7/5/2010
5/27/2011
5/31/2010
8/23/2010
updated provider
10/19/2009
already updated
Pulmonary
10/17/2009 Disease
3/20/2006
3/28/2011
2/7/2011
Status and Workflow
Owner - KD
12/18/2006
ADDED DENIED DATE
ON WPS
04/22/2008
ADDED DENIED DATE
ON WPS
WPS Provider
WPS Provider
2/28/2011
7/7/2008
8/2/2010
7/28/2008
5/7/2010
12/7/2009
6/7/2010
Status and Workflow
Owner - KD
10/15/2007
No Activity
10/17/2005 Hold (>2yr)
WPS Provider
9/14/2009
4/11/2011
Status and Workflow
Owner - KD
10/31/2005
No Activity
9/1/2005 Hold (>2yr)
WPS Provider
4/11/2006 File Updated 04/11/2006
WPS Provider
9/23/2010
ZAMBALES
Denied
2/17/2006
PAMPANGA
Denied
3/11/2009
Page 110
ADDED DENIED DATE
ON WPS
WPS Provider
ANGELES CITY Denied
ADDED DENIED DATE
ON WPS
WPS Provider
7/7/2008 File Updated 07/07/2008
9/28/2006
Denied
denied date 8-3-09
No Activity
Status and Workflow
Owner - KD
9/2/2004 Hold (>2yr)
No Activity
11/29/2006 Hold (>2yr)
5/27/2011
Internal
1/7/2010 Medicine
Denied
LAGUNA
ADDED DENIED DATE
ADDED DENIED DATE
ON WPS
1/24/2011
No Activity
Status and Workflow
Hold (>2yr)
Owner - KD
WPS Provider denied provider added at
File Updated wps
WPS Provider
WPS Provider
Status and Workflow
Owner - KD
No Activity
12/18/2006 Hold (>2yr)
WPS Provider
2/13/2007 File Updated 02/13/2007
6/26/2006
6/13/2011
6/4/2007
11/5/2010
1/15/2007
4/13/2009
1/8/2007
5/28/2007
WELL CARE PHARMACY
WEST VISAYAS STATE
UNIVERSITY MEDICAL CENTER
WESTERN PACIFIC MEDICAL
SERVICES
KAMPUTHAW
CEBU CITY
Professional 242 J GORORDO AVE
Institutional
Institutional
E. LOPEZ STREET, JARO, ILOILO CITY
ILOILO
RM.20 NAZARETH GENERAL
HOSPITAL,203 PEREZ BLVD,DAGUPAN
CITY
WI, ZENAIDA T., MD
WILHELMINA MANIQUIS MEDICAL
CENTER
GROUND FLOOR, DOOR 5-6, MMCN
BUILDING, PANGANIBAN DRIVE,NAGA
CITY
CIRCLE C BUILDING, CONGRESSIONAL
AVENUE, BAHAY TORO I
DAGUPAN DOCTORS VILLAFLOR
MEMORIAL HOSPITAL, MAYOMBO
31 EVANGELISTA STREET, MABOLO
Institutional BACOOR
WILWAYCO, LUIS V., MD
WILWAYCO, MARISSA R., MD
PANGASINAN
WESTERN PACIFIC MEDICAL
SERVICES INCORPORATED
Institutional
WESTLIFE MEDICAL LABORATORY
DIAGNOSTIC CENTER
Professional
Denied
Denied
Denied
CAMARINES
SUR
Denied
QUEZON CITY
Denied
No Activity
8/7/2006 Hold (>2yr)
No Activity
10/20/2003 Hold (>2yr)
No Activity
1/19/2004 Hold (>2yr)
WPS Provider
9/17/2007 File Updated 09/17/2007
Denied
8/30/2004
CAVITE
Denied
3/22/2004
CAVITE
Denied
3/9/2006
CAVITE
Denied
3/9/2006
WOMEN'S HEALTH CLINIC
ROOM 206 2F DONA PEPITA BUILDING,
Institutional RIZAL STREET, LEGAZPI CITY
ALBAY
Denied
3/28/2007
WOMEN'S HOSPITAL
Institutional
BATAAN
Denied
2/28/2005
WONDER DRUG STORE
Professional F.R. CASTRO AVENUE, LAOAG CITY
ILOCOS NORTE Denied
3/21/2005
YABES, YABES II , G., MD
NO. 580 RIZAL AVENUE EAST TAPINAC,
OLONGAPO CITY
ZAMBALES
NO. 111 PASEO DE ROXAS BLDG., PASEO
DE ROXAS CORNER LEGASPI STREET,
MAKATI CITY
Yabes,Velentin,G,MD
Y B C SUPERMARKET
YAMAN LAHI FOUNDATION, INC.
Yambao Rivera,Nilo
Institutional
Institutional
Cavite
GONZALES STREET, ERMITA
YAO, CHRISTY S., MD
Yao,Christy,S,MD
YANGCO, RUBY MD
YAO, CHRISTY MD
YAP, GIOVANNI M., MD
Yap,Matthew,G
HOLY CHILD CLINIC, NO. 252 STO.
ROSARIO STREET, SAN JOSE, ANGELES
CITY
NO 206 NOTRE DAME DE CHARTRES
DIAGNOSTIC CTR GEN LUNA RD
ROOM 316 ASIAN HOSPITAL & MEDICAL
CENTER, NO. 2205 CIVIC DRIVE FILINVEST
CORPORATE CITY, ALABANG
YAP-ANGELES, LEA MARIE MD
Professional
YARANAON,AGATON,MD
Professional
YASON, JAY MICHAEL V., MD
Professional
YASON, JOSE JR. V., MD
Professional
YASON,AIDA,V,MD
Professional MPI MCM 38 NATIONAL RD PUTATAN
4 C NORTHBRIDGE PLAZA 12
Professional CONGRESSIONAL AVE BAHAY TORO
YASON,JOSE,V,III,MD
YATCO, MARIO MARIANO M., MD
YATCO'S MEDICAL CLINIC
YBAY-CASTRO, RUTH MD
NO. 1302 P. CONCEPCION STREET,
NO. 1302 P. CONCEPCION STREET,
Institutional SAMPALOC
Professional JUICO STREET, ANGELES CITY
MC ARTHUR HIGHWAY CORNER FIELDS
Professional A, NO. 3 2/F NG BUILDING, ANGELES CITY
1/14/2008
08/30/2004
ADDED CERTIFIED
DATE ON WPS
10/18/2004
denial added
10/27/2010
denial added at wps
10/27/2010
9/14/2010
03/28/2007
ADDED DENIED DATE
ON WPS
ADDED DENIED DATE
ON WPS
1/10/2011
Status and Workflow
Owner - KD
6/12/2006
Denied
No Activity
1/18/2006 Hold (>2yr)
Denied
WPS Provider
3/27/2006 File Updated 03/27/2006
Denied
8/29/2005
6/4/2007
5/4/2010
5/29/2006
9/7/2009
Denied
No Activity
2/7/2006 Hold (>2yr)
Status and Workflow
Owner - KD
7/24/2006
Pampanga
Denied
5/4/2010
CAMARINES
SUR
Denied
WPS Provider
12/17/2008 File Updated 12/17/2008
4/20/2009
PASIG CITY
Denied
WPS Provider
7/23/2008 File Updated 07/23/2008
8/11/2008
4/16/2011
Pasig City
6/22/2009
MANILA
Professional No 31 F Mutuc St Poblacion Arayat
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
WPS Provider
File Updated
2/26/2007
Status and Workflow
Owner - KD
10/24/2005
Status and Workflow
Owner - KD
PANGASINAN
ST. JOSEPHS SUBDIVISION, BALANGA
Status and Workflow
Owner - KD
3/14/2011
Denied
PAMPANGA
Denied
Cebu City
Denied
PAMPANGA
Denied
BAGUIO CITY
Denied
QUEZON CITY
Denied
MUNTINLUPA
CITY
Denied
MUNTINLUPA
CITY
Denied
QUEZON CITY
Denied
MANILA
Denied
MANILA
Denied
PAMPANGA
Denied
PAMPANGA
Denied
PAMPANGA
PAMPANGA
Page 111
Status and Workflow
Owner - KD
No Activity
9/18/2006 Hold (>2yr)
WPS Provider
2/2/2009
3/11/2010
No Activity
Status and Workflow
Owner - KD
7/11/2006 Hold (>2yr)
2/19/2007
2/28/2011
22-10-08 EXCLUDED
11/24/2008
WPS Provider
Request
Certification/R
WPS Provider
04/09/2007
ADDED DENIED DATE
ON WPS
Status and Workflow
Owner - KD
No Activity
3/27/2006 Hold (>2yr)
WPS Provider
3/27/2006 File Updated 03/27/2006
WPS Provider
5/7/2007
7/12/2010
3/24/2011
7/10/2006
7/10/2006
10/23/2009
Denied
WPS Provider
5/11/2010
Denied
WPS Provider
5/27/2011
5/7/2010
Professional
YBC SUPERMARKET
Professional
YEE KAW, PIERETTE, MD
Professional
YENKO, KRISTINE ANNE V., RMT
Professional
YEPIZ-ALVAREZ, JUNA CARLOS
MD
YGEIA MEDICAL CLINIC MANILA
INC.
Professional AVENIDA HIDALGO S N COL CENTRO
Institutional
YOINGCO, MONIQUE M., MD
Professional
YOUNG, JEFFERSON VINCENT K.,
MD
Professional
YOUNG, LEON-JAMES JR., M., MD
Professional
YU, CAROLYN R., MD
YU, CHUNITO G., MD
YU, CRISCEL Q., PTRP
YU, CRISCEL Q., PTRP
YU, JOSEPH S., MD
YU, SAMUEL MD
YU, WILLY T., MD
OLONGAPO CITY
Professional
1888 J. ZAMORA STREET, PANDACAN
PHASE 3 BLOCK 3 LOT 8, HELENA
STREET, NORTH OLYMPUS
CEBU DOCTORS HOSPITAL STE 204
OSMENA BOULEVARD, CEBU CITY
IAL BUILDING, RIZAL STREET, ORMOC
Professional CITY
YUHICO, MANUEL JR., M.D.
YUSAY, RICARDO PAULO J., MD
Zabala,Maria Lisa,MD
MANAHAN STREET, TENEJERO, BALANGA
Professional CITY
Sacred Heart Med Ctr No 667 San Francisco
Professional Mabalacat
ANGELES UNIVERSITY FOUNDATION MED
Professional CTR SALAPUNGAN
Poblacion Roguza Bldg Paterno St Balanga
Professional City
QUEZON CITY
Denied
CABO SAN
LUCAS
Denied
MANILA
Denied
QUEZON CITY
ZABARTE ROAD, BARANGAY
KALIGAYAHAN, NOVALICHES
AGYU TAMU BUILDING, VIRGEN DELOS
REMEDIOS, MCARTHUR HIGHWAY,
UNIT A10-11 BUILDING 7932 MANILA
Professional SUBIC BAY FREEPORT ZONE, OLONGAPO
Denied
CEBU
NEGROS
OCCIDENTAL
WPS Provider
WPS Provider
8/25/2008 File Updated 08/25/2008
WPS Provider
7/24/2006 File Updated 06/05/2006
22-10-08 EXCLUDED
Status and Workflow
Owner - KD
No Activity
10/16/2006 Hold (>2yr)
WPS Provider
4/28/2008 File Updated 04/28/2008
No Activity
2/7/2006 Hold (>2yr)
Status and Workflow
Owner - KD
Denied
WPS Provider
1/24/2006 File Updated 01/24/2006
Denied
WPS Provider
Denied
Denied
Denied
CEBU
Denied
CEBU
Denied
NEGROS
OCCIDENTAL
Denied
Denied
Denied
BATAAN
Denied
Pampanga
Denied
ANGELES CITY Denied
NEGROS
OCCIDENTAL
Denied
10/23/2009
9/1/2008
8/18/2008
11/24/2008
6/18/2007
5/12/2008
5/28/2007
4/16/2011
5/29/2006
5/27/2011
No Activity
6/2/2008 Hold (>2yr)
Status and Workflow
Owner - KD
7/14/2008
No Activity
9/7/2005 Hold (>2yr)
Status and Workflow
Owner - KD
9/26/2005
No Activity
11/14/2005 Hold (>2yr)
No Activity
3/13/2006 Hold (>2yr)
Status and Workflow
Owner - KD
11/26/2007
Status and Workflow
Owner - KD
WPS Provider
12/17/2007 File Updated 08/28/2008
WPS Provider
5/1/2006
9/29/2008
5/27/2011
No Activity
10/26/2005 Hold (>2yr)
Status and Workflow
Owner - KD
6/2/2006
No Activity
4/12/2004 Hold (>2yr)
Status and Workflow
Owner - KD
5/8/2006
No Activity
Status and Workflow
Owner - KD
3/19/2007 Hold (>2yr)
WPS Provider
4/9/2007
Cardiology;#In
5/16/2011 ternal
4/1/2011
5/27/2011
Denied
added Balanga City to
address,changed city to
Bataan,updated
certification status to
denied,and updated denial
WPS Provider date to match spreadsheet
11/26/2008 File Updated received.
8/10/2009
QUEZON CITY
Denied
Status and Workflow
Owner - KD
2/5/2007
PASAY CITY
Balanga City
ZABAT, JOHNSON MD
ZAMBALES DOCTORS' CLINICS SBMA BRANCH
Denied
MUNTINLUPA
CITY
Institutional
ZALAMEA, NORMELITA, M.D.
MUNTINLUPA
CITY
QUEZON
ZABARTE POLYCLINIC
ZAFRA'S OXYGEN-ACETYLENE
Denied
Pampanga
Professional 101-B RAMON ABOITIZ CAMPUTHAW
YUMUL,NORBERTO,P,MD
ZAMBALES
NO.1635 SAN PABLO STREET CM RECTO,
PAMPANGA
Professional ANGELES CITY,
MOUNT CARMEL DIOCESIAN GENERAL
Professional HOSPITAL, LUCENA CITY
Yumul,Norberto,P,MD
Denied
LEYTE
Professional No 1635 San Pablo St Cm Recto
YU, ZENON T., MD
YUMOL, CRISTINA A.
PAMPANGA
Denied
No Activity
9/20/2004 Hold (>2yr)
WPS Provider
6/17/2005 File Updated 06/17/2005
11/28/2005
PAMPANGA
Denied
WPS Provider
4/4/2005 File Updated 04/04/2005
5/21/2007
MUNTINLUPA
CITY
Denied
WPS Provider
4/26/2004 File Updated 26-04-04
ZAMBALES
Denied
Page 112
5/8/2006
10/23/2010
ZAMORA, JOHN DAVID V., MD
ZAMORA, KAY G., MD
ZAMORA, KAY G., MD
ASIAN HOSPITAL MEDICAL CENTER, CIVIC
DRIVE, FILINVEST CORPORATE CITY,
MUNTINLUPA
CITY
NEGROS
OCCIDENTAL
NEGROS
OCCIDENTAL
Denied
Denied
Denied
WPS Provider
1/19/2009 File Updated 01/19/2009
WPS Provider
WPS Provider
Professional BRGY SAGPON DARAGA ZAPANTA BLDG ALBAY
ZAPATA, JEANNE ZHERLUCK I., MD Professional MAYAMOT, ANTIPOLO CITY
RIZAL
ZAPATA, JEANNE ZHERLUCK I., MD Professional FOUNDATION, PANTAY DAYA, VIGAN CITY ILOCOS SUR
Denied
No Activity
Status and Workflow
Owner - KD
4/18/2005 Hold (>2yr)
Denied
WPS Provider
5/27/2008 File Updated 05/27/2008
ZARATE, BENITA P.
Denied
ZAPANTA GENERAL HOSPITAL
Institutional
PIODURAN,
ALBAY
ZAPANTA PHARMACY
ZERRUDO EENT CLINIC
ZOLETA, LYRAMAR B. MD
Professional CAPAS PUBLIC MARKET, CAPAS
Institutional
TARLAC
ROOM 103, MEDICAL SPECIALIST GROUP
& ALLIED SERVICES BUILDING, ROSALES
CITY
ILOILO
C/O ROYALE HEALTH CARE AND MEDICAL
CENTER, NATIONAL HIGHWAY,
ZAMBALES
Denied
Denied
Denied
Denied
ZOTOMAYOR, RICARDO C., MD
ROOM 527, MEDICAL ARTS BUILDING, ST.
QUEZON CITY
Denied
ZOTOMAYOR,RICARDO,C,MD
Professional AURORA BLVD UERM MEDICAL CTR
QUEZON CITY
Denied
Zuniga De Guzman,Consuelo,C,MD
Professional 1845 San Pascual St
Malate Manila
Denied
Page 113
30-07-07 NOT A
WPS Provider MEDICAL
7/30/2007 File Updated PROFESSIONAL
3/2/2009
2/22/2010
5/27/2011
10/7/2022
8/10/2103
6/9/2008
1/17/2011
9/3/2007
No Activity
8/22/2005 Hold (>2yr)
Status and Workflow
Owner - KD
9/24/2007
No Activity
10/2/2006 Hold (>2yr)
Status and Workflow
Owner - KD
7/30/2007
No Activity
Status and Workflow
Owner - KD
4/20/2005 Hold (>2yr)
7/24/2006
12/17/2010
WPS Provider added denied date per phil
10/15/2009 File Updated spreadsheet
11/16/2009

The Denied Provider List, as of August 2010, follows

Transcription

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