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Duquez Children’s Hospital Corp.

#57-A Andres Castro Street, Phone: (077) 6701218/


Barangay 15 San Guillermo, Laoag City 09491261705/ 09437096894
Email: [email protected]
Facebook: Duquez Children’s Hospital

April 1, 2022

The Regional Director


Office of the Regional Director
Bureau of Internal Revenue
Calasiao, Pangasinan

Attention: Chief Collection Revenue

Sir/Madam:

Greetings!

Respectfully submitting the List of Medical Practitioners for the 1st Quarter of 2022.

Thank you.

Respectfully yours,

REYNALDO A. DUQUEZ
Hospital Administrator
LIST OF MEDICAL PRACTITIONERS

NAME OF HOSPITAL OR CLINIC : DUQUEZ CHILDREN’S HOSPITAL CORPORATION 2023


TIN : 005-510-368-000 1st 2nd 3rd 4th Year
ADDRESS : #57-A ANDRES CASTRO ST., BRGY. 15 SAN GUILLERMO,
LAOAG CITY, ILOCOS NORTE
INDICATE IF :
HOSPITAL
CLINIC
GENERAL PROFESSIONAL PARTNERSHIP

Rate of Tax Withheld Total Amount


SEQ. NAME CLASSIFICATIO
T.I.N. 5% 10% Withheld
NO. (SURNAME, FIRST NAME, M.I.) N CODE
(A) (B) (A+B)

1 Arellano, Junelyn Q. B 242-625-024-0000 0.00 0.00


2 Arquillo, Vida Salve G. B 445-542-785-0000 0.00 0.00
3 Callangan, Ederlina G. B 115-801-954-0000 0.00 0.00
4 Wapan, Marsha Lou A. B 922-571-402-0000 0.00 0.00

CERTIFIED CORRECT:

REYNALDO A. DUQUEZ
Hospital Administrator

Classification Codes:
A – Medical practitioners whose professional fees are being paid to hospitals or clinics by patients.
B – Medical practitioners whose professional fees are being paid directly to the medical practitioner by patients and the 10% withholding was given by such practitioner to hospital or clinics for
remittance.
C – Medical practitioners whose professional fees are being paid directly to the medical practitioner by patients and the 10% withholding was not given by such practitioner to hospitals or clinics.
D – Services are rendered free of charge.

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