diagnostico y tratamiento s.a. listado de servicios a...

Instituto Argentino de Diagnostico y Tratamiento S.A. LISTADO DE SERVICIOS A FACTURAR - EMERGENCIAS 24/05/2016

Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 1_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________20-01-16 925700 1102628MOSQUERA, ROMINA 370 14479126000

280031 -ECO. TRANSVAGINAL 1 282,91 282,91 ANALISIS CLINICOS, R100 282.91

449000 -CONSULTA MEDICO INTERNO G 1 167,71 167,71 ANALISIS CLINICOS, R100 167.71 __________ 450,62 450.62_____________________________________________________________________________________________________________________________________25-01-16 926910 852972 SCHENBERGER, CINTIA (G) 370 1414674 6 000

B-13 GD00 -B-13 GUIA p/adm. sol macr 2 16,50 33,00 MEDICAMENTOS 100 33.00

BUSCAPA00 -BUSCAPINA 1 ml. x 1 amp. 1 7,51 7,51 MEDICAMENTOS 100 7.51

CONNECD00 -CONNECTA llave 3vias prol 1 24,08 24,08 MEDICAMENTOS 100 24.08

FISIOLZ00 -FISIOLOGICA ecoflac x 100 1 13,00 13,00 MEDICAMENTOS 100 13.00

SOLUCIZ60 -SOLUCION Fisiologica x 50 1 12,10 12,10 MEDICAMENTOS 100 12.10

TEGADED00 -TEGADERM transp. 10x12cm 1 15,92 15,92 MEDICAMENTOS 100 15.92

VENOPUD15 -VENOPUNCION 20G x 32mm (6 1 9,70 9,70 MEDICAMENTOS 100 9.70

5475 -HEMOGRAMA 1 30,89 30,89 ANALISIS CLINICOS, R100 30.89

5022 -AMILASEMIA 1 25,77 25,77 ANALISIS CLINICOS, R100 25.77

5192 -CREATININA EN SANGRE 1 19,46 19,46 ANALISIS CLINICOS, R100 19.46

5481 -HEPATOGRAMA 1 88,83 88,83 ANALISIS CLINICOS, R100 88.83

5711 -ORINA COMPLETA 1 30,11 30,11 ANALISIS CLINICOS, R100 30.11

5902 -UREMIA 1 19,28 19,28 ANALISIS CLINICOS, R100 19.28

5105 -UROCULTIVO 1 64,43 64,43 ANALISIS CLINICOS, R100 64.43

280007 -ECO ABDOMINAL 1 181,96 181,96 ANALISIS CLINICOS, R100 181.96

449000 -CONSULTA MEDICO INTERNO G 1 167,71 167,71 ANALISIS CLINICOS, R100 167.71 __________ 743,76 743.75 78,09 821,85 _____________________________________________________________________________________________________________________________________

Emitido el dia: 24-05-16 a las 61945


Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 2_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________26-01-16 926918 1103438FERRO, MARIA VERONIC (G) 370 09176450002


CEFTRIA15 -CEFTRIAXONA BIOL 1g famp 3 82,24 246,73 MEDICAMENTOS 100 246.73


DEXTROZ40 -DEXTROSA 5% en agua ecofl 2 13,00 26,01 MEDICAMENTOS 100 26.01

DEXTROZ55 -DEXTROSA 5% EN AGUA FIDEX 2 13,47 26,93 MEDICAMENTOS 100 26.93

GUANTED18 -GUANTES internación desca 1 6,40 6,40 MEDICAMENTOS 100 6.40

JERINGD15 -JERINGA descart. x10ml 2 3,32 6,64 MEDICAMENTOS 100 6.64

METOCLA05 -METOCLOPRAMIDA FADA 10mg 3 6,74 20,23 MEDICAMENTOS 100 20.23

METRONA05 -METRONIDAZOL 500 MG SOLU 3 94,30 282,90 MEDICAMENTOS 100 282.90



TAURALA00 -TAURAL 50mg amp x1 3 6,82 20,47 MEDICAMENTOS 100 20.47




5171 -COAGULOGRAMA 1 49,57 49,57 ANALISIS CLINICOS, R100 49.57



5412 -GLUCOSA EN SANGRE 1 19,28 19,28 ANALISIS CLINICOS, R100 19.28


5546 -IONOGRAMA PLASMATICO 1 45,06 45,06 ANALISIS CLINICOS, R100 45.06



Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 3_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________5711 -ORINA COMPLETA 1 30,11 30,11 ANALISIS CLINICOS, R100 30.11


6433 -SUB UNIDAD BETA CUANTITAT 1 128,93 128,93 ANALISIS CLINICOS, R100 128.93

5613 -LIPASA EN SANGRE 1 33,53 33,53 ANALISIS CLINICOS, R100 33.53

340301 -TORAX RX O TELERADIOGRAFI 1 94,10 94,10 ANALISIS CLINICOS, R100 94.10

340421 -ABDOMEN 1 90,92 90,92 ANALISIS CLINICOS, R100 90.92



449000 -CONSULTA MEDICO INTERNO G 1 167,71 167,71 ANALISIS CLINICOS, R100 167.71

560011 -RM/ABDOMEN 1 2.038,87 2.038,87 RESONANCIA MAGNETICA100 2038.87

660007 -TC COMPLETA DE ABDOMEN 1 2.921,21 2.921,21 TOMOGRAFIA AXIAL COM100 2921.21 __________ 7.123,00 7123.01 747,92 7.870,92 _____________________________________________________________________________________________________________________________________27-01-16 927357 749258 NARDONE, GEORGINA LU 370 1510208.2.000



449000 -CONSULTA MEDICO INTERNO G 1 167,71 167,71 ANALISIS CLINICOS, R100 167.71 __________ 262,25 262.25_____________________________________________________________________________________________________________________________________28-01-16 927646 2030640GARCIA SAIZ, JOAQUIN (G) 370 12312604001



DIPIROA00 -DIPIRONA SIMPLE 1g amp x2 1 14,78 14,78 MEDICAMENTOS 100 14.78




Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 4_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________LORMINA15 -LORMINE 4 mg/ml amp x 2 m 1 31,73 31,73 MEDICAMENTOS 100 31.73











6688 -FAUCES TEST RAPIDO. ESTRE 1 140,20 140,20 ANALISIS CLINICOS, R100 140.20


449000 -CONSULTA MEDICO INTERNO G 1 167,71 167,71 ANALISIS CLINICOS, R100 167.71 __________ 829,76 829.79 87,13 916,89 _____________________________________________________________________________________________________________________________________29-01-16 927963 626010 DE OLAZABAL, YAMILA 370 11178355003


280010 -ECO.RENAL BILATERAL 1 149,78 149,78 ANALISIS CLINICOS, R100 149.78

449000 -CONSULTA MEDICO INTERNO G 1 167,71 167,71 ANALISIS CLINICOS, R100 167.71 __________ 499,45 499.45_____________________________________________________________________________________________________________________________________01-02-16 928449 2042078VALLEJO, MARIA DE LO (G) 370 14109552000




Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 5_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________5105 -UROCULTIVO 1 70,23 70,23 ANALISIS CLINICOS, R100 70.23

280001 -ECO.TOCOGINECOLOGICA 1 157,01 157,01 ANALISIS CLINICOS, R100 157.01


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 641,20 641.20 67,33 708,53 _____________________________________________________________________________________________________________________________________01-02-16 928455 448109 MORENO, PAOLA VANESA (G) 370 10147681003

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________01-02-16 928478 937672 LACOURTOIS, GUADALUP (G) 370 10886416000

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________01-02-16 928482 991972 CHUEKE, EDITH ORITH (G) 370 1509486 9 001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________01-02-16 928495 2035699FLORES, PATRICA BEAT (G) 370 1226119-9-004

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________01-02-16 928504 951824 ROSSINI, ZULMA CHIAR (G) 370 09652202012


340201 -RX.SENOS PARANASALES 1 102,57 102,57 ANALISIS CLINICOS, R100 102.57




Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 6_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________01-02-16 928508 686130 TALADRIZ, IGNACIO (G) 370 0934051-0-001

340213 -RODILLA 1era EXPOSICION 2 119,96 239,93 ANALISIS CLINICOS, R100 239.93

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 422,74 422.74 44,39 467,13 _____________________________________________________________________________________________________________________________________01-02-16 928525 1049798GODOY, MARIA ESTELA (G) 370 14502464000


660015 -TC TORACICA_ 1 2.247,67 2.247,67 TOMOGRAFIA AXIAL COM100 2247.67 __________ 2.430,49 2430.48 255,20 2.685,69 _____________________________________________________________________________________________________________________________________01-02-16 928538 604002 BUREC, VICTOR EDUARD (G) 370 10977707003

310009 -E.C.G. 1 103,45 103,45 GS.A CARGO DEL PACIE100 103.45

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 408,05 408.05 42,84 450,89 _____________________________________________________________________________________________________________________________________01-02-16 928589 609592 SAPAG, SILVINA ANDRE (G) 370 11481135005

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________01-02-16 928603 1088571KANTOR, MARTA SILVIA (G) 370 14739521000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________01-02-16 928627 1104601CARRIZO, SERGIO (G) 370 13022974001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________01-02-16 928638 419838 MOBILIA, MARIA DEL C (G) 370 09961374002



Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 7_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________B-13 GD00 -B-13 GUIA p/adm. sol macr 1 16,50 16,50 MEDICAMENTOS 100 16.50















5035 -ANTIBIOGRAMA 1 45,55 45,55 ANALISIS CLINICOS, R100 45.55

5468 -HEMOCULTIVO AEROBIO Y ANA 2 84,24 168,49 ANALISIS CLINICOS, R100 168.49


660015 -TC TORACICA_ 1 2.247,67 2.247,67 TOMOGRAFIA AXIAL COM100 2247.67 __________ 3.168,76 3168.74 332,72 3.501,48 _____________________________________________________________________________________________________________________________________01-02-16 928645 1070941ECKART GARCIA, ESTEF 370 14965489000




Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 8_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 323,34 323.34_____________________________________________________________________________________________________________________________________01-02-16 928651 1096858DE VIDO, MARIA (G) 370 15205253000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________01-02-16 928660 1104629FIGUEROA, PAULA KARI 370 15015300000


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 323,34 323.34_____________________________________________________________________________________________________________________________________01-02-16 928664 596768 PADIAL, MARIA GIMENA (G) 370 10080238002

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________01-02-16 928667 718922 PATIÑO, ALEJANDRA MA (G) 370 10318906001


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 323,35 323.34 33,95 357,30 _____________________________________________________________________________________________________________________________________01-02-16 928685 773291 BARRENA GUZMAN, EDUA (G) 370 13366873003

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________01-02-16 928763 752369 MALEH, DEBORAH (G) 370 12005573001




Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 9_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________01-02-16 928787 430816 BIANCALANA, ANDREA (G) 370 08216100004



449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 357,02 357.01 37,49 394,51 _____________________________________________________________________________________________________________________________________02-02-16 928806 462353 VILA, MIRTA SUSANA (G) 370 10229513002

CORTERA30 -CORTEROID RETARD 2ml amp 1 130,89 130,89 MEDICAMENTOS 100 130.89

ZERODOA00 -ZERODOL 30mg amp x1 1 23,59 23,59 MEDICAMENTOS 100 23.59

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 337,29 337.29 35,42 372,71 _____________________________________________________________________________________________________________________________________02-02-16 928821 950983 DIAZ, LORENA SOLEDAD (G) 370 1371725.6.002


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 313,70 313.70 32,94 346,64 _____________________________________________________________________________________________________________________________________02-02-16 928824 1080685VILLAR, HECTOR HUGO (G) 370 1229087-0-003



5594 -LACTICO DEHIDROGENASA 1 38,91 38,91 ANALISIS CLINICOS, R100 38.91




660001 -TC CEREBRAL 1 1.919,86 1.919,86 TOMOGRAFIA AXIAL COM100 1919.86 __________ 2.623,23 2623.21 275,44 2.898,67 _____________________________________________________________________________________________________________________________________



Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 10_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________02-02-16 928848 102000 BACCIADONNE, ADRIANA (G) 370 0662772 5 009

BISTURD35 -BISTURI HOJAS N.11 x unid 1 1,32 1,32 MEDICAMENTOS 100 1.32


PLATSUE05 -PLATSUL A crema x30g 1 54,19 54,19 MEDICAMENTOS 100 54.19

ZERODOC05 -ZERODOL 10mg SUBLINGUAL c 2 11,88 23,76 MEDICAMENTOS 100 23.76

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 268,49 268.48 28,19 296,68 _____________________________________________________________________________________________________________________________________02-02-16 928856 1104785GUTIERREZ, VILMA MYR 370 14626590000

340213 -RODILLA 1era EXPOSICION 6 119,96 719,76 ANALISIS CLINICOS, R100 719.76

340213 -MUNECA 1era EXPOSICION 2 119,96 239,92 ANALISIS CLINICOS, R100 239.92

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 1.142,49 1142.49_____________________________________________________________________________________________________________________________________02-02-16 928879 1104812SALDIVAR, NATALIA (G) 370 08367565006












Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 11_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________5192 -CREATININA EN SANGRE 1 21,21 21,21 ANALISIS CLINICOS, R100 21.21






449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 610,71 610.68 64,12 674,83 _____________________________________________________________________________________________________________________________________02-02-16 928881 1104816PRIETO, NOEMI LILIAN 370 14162999001

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 182,81 182.81_____________________________________________________________________________________________________________________________________02-02-16 928882 1032913REGO, SUSANA IRMA (G) 370 12410663001

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 304,60 304.60 31,98 336,58 _____________________________________________________________________________________________________________________________________02-02-16 928885 789458 SZEVAJCZUK, DANIEL (G) 370 10346620002

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________02-02-16 928899 2052686TELESCA, MARIA XIMEN (G) 370 10028994003


459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 408,05 408.05 42,84 450,89 _____________________________________________________________________________________________________________________________________02-02-16 928930 1104863FERREYRA, VALERIA (G) 370 13701247000



Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 12_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________280031 -ECO. TRANSVAGINAL 1 308,37 308,37 ANALISIS CLINICOS, R100 308.37

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 491,19 491.18 51,57 542,76 _____________________________________________________________________________________________________________________________________02-02-16 928941 423723 LISTUR DEL PINO, MAR (G) 370 10893568000

VENDASD10 -VENDAS ENYESADAS x15cm(fr 3 25,42 76,26 MEDICAMENTOS 100 76.26

120202 -SANGRE RH NEGATIVO 1 C.C. 1 813,24 813,24 SUERO, SANGRE, PLASM100 813.24

121916 -SANGRE RH NEGATIVO 1 C.C. 1 813,24 813,24 SUERO, SANGRE, PLASM100 813.24

340213 -MANO 1era EXPOSICION 2 119,96 239,93 ANALISIS CLINICOS, R100 239.93

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 2.125,48 2125.48 223,18 2.348,66 _____________________________________________________________________________________________________________________________________02-02-16 928958 930812 MILITE, MARIA ROXANA (G) 370 10383192003

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________02-02-16 929040 768374 BREWER, EILEEN (G) 370 07281996005

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________02-02-16 929079 938163 ARIAS, KARINA VERONI (G) 370 1226156-8-003


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 339,83 339.82 35,68 375,51 _____________________________________________________________________________________________________________________________________02-02-16 929082 746963 AGUIRRE, SOLEDAD (G) 370 1198720.3.002




Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 13_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________03-02-16 929106 868923 GIMENEZ, ISABEL (G) 370 12295799000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________03-02-16 929110 2054636EGUREN, MARCELA LORE (G) 370 08538958004



449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 387,95 387.95 40,74 428,69 _____________________________________________________________________________________________________________________________________03-02-16 929117 1089430LABUNIA, CARLOS MIGU (G) 370 12295784000

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________03-02-16 929132 938163 ARIAS, KARINA VERONI 370 1226156-8-003





MEPERIA00 -MEPERIDINA x 1 ampolla 1 35,90 35,90 MEDICAMENTOS 100 35.90

SOLUCIA05 -SOLUCION FISIOLOGICA x 10 1 6,10 6,10 MEDICAMENTOS 100 6.10







Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 14_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________5475 -HEMOGRAMA 1 33,67 33,67 ANALISIS CLINICOS, R100 33.67



449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 584,28 584.28_____________________________________________________________________________________________________________________________________03-02-16 929134 1105013SELLA, NICETO (G) 370 0885600-9-003

SET P/D20 -SET P/BOMBA LIFECARE XL 1 1 198,78 198,78 MEDICAMENTOS 100 198.78

SOLUCIA15 -SOLUCION Hiper. Cl Na. 20 2 43,24 86,48 MEDICAMENTOS 100 86.48






5110 -BILIRRUBINEMIA 1 21,00 21,00 ANALISIS CLINICOS, R100 21.00

5190 -CPK [CREATINFOSFOQUINASA] 1 45,45 45,45 ANALISIS CLINICOS, R100 45.45




5873 -TRANSAMINASA GLUT. OXALAC 1 38,89 38,89 ANALISIS CLINICOS, R100 38.89

5874 -TRANSAMINASA GLUT. PIRUVI 1 38,89 38,89 ANALISIS CLINICOS, R100 38.89


6301 -CPK - MB (MASA) 1 70,76 70,76 ANALISIS CLINICOS, R100 70.76



Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 15_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________6727 -TROPONINA I 1 185,77 185,77 ANALISIS CLINICOS, R100 185.77


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 1.291,10 1291.09 135,57 1.426,67 _____________________________________________________________________________________________________________________________________03-02-16 929194 570113 OLANO, MARCELO ANTON (G) 370 11096418001


459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 408,05 408.05 42,84 450,89 _____________________________________________________________________________________________________________________________________03-02-16 929203 455805 LEWKOWICZ, LAURA AND (G) 370 09931228001

DIOXAFA00 -DIOXAFLEX 75mg amp x3ml 1 20,98 20,98 MEDICAMENTOS 100 20.98

LORMINA15 -LORMINE 4 mg/ml amp x 2 m 1 33,32 33,32 MEDICAMENTOS 100 33.32

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 237,11 237.11 24,90 262,01 _____________________________________________________________________________________________________________________________________03-02-16 929210 1085811DE STEFANO, SILVINA (G) 370 14614716002











Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 16_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________340302 -TORAX EXPOS. SUBSIGUIENTE 2 78,25 156,51 ANALISIS CLINICOS, R100 156.51



449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 966,07 966.06 101,44 1.067,51 _____________________________________________________________________________________________________________________________________03-02-16 929215 534733 SCARPELLI, REYNALDO (G) 370 10819493002


02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 313,70 313.70 32,94 346,64 _____________________________________________________________________________________________________________________________________03-02-16 929216 1070941ECKART GARCIA, ESTEF (G) 370 14965489000


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 323,35 323.34 33,95 357,30 _____________________________________________________________________________________________________________________________________03-02-16 929221 836647 GARCIA, GABRIELA CEC (G) 370 12939463001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________03-02-16 929227 878073 CONDRA, MAXIMO (G) 370 15223839000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________03-02-16 929245 822338 BERTOLINI, MARCOS IS (G) 370 09497814003

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 304,60 304.60 31,98 336,58 _____________________________________________________________________________________________________________________________________



Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 17_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________03-02-16 929259 998073 LUDUEÑA, MERCEDES IS (G) 370 10594819002

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 304,60 304.60 31,98 336,58 _____________________________________________________________________________________________________________________________________03-02-16 929260 1091160SIMLIK, SERGIO MARTI 370 10465357003


459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 408,05 408.05_____________________________________________________________________________________________________________________________________03-02-16 929293 581484 GANTUS, MARIA CECILI (G) 370 10672576002



449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 285,86 285.86 30,02 315,88 _____________________________________________________________________________________________________________________________________03-02-16 929316 699086 OCAMPO, MARIA MAGDAL (G) 370 14969654000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________03-02-16 929328 2050959PALAVECINO, ALDANA (G) 370 1485353-1-001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________03-02-16 929350 1105188MULLER, JAQUELINE (G) 370 15190960000

CARDIOC00 -CARDIOREX 5mg comp x1 2 5,51 11,02 MEDICAMENTOS 100 11.02

GLIOTEC15 -GLIOTEN 10mg comp x1 1 3,25 3,25 MEDICAMENTOS 100 3.25

NEURYLC05 -NEURYL FLASH 0,5mg comp d 1 2,06 2,06 MEDICAMENTOS 100 2.06



Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 18_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 199,15 199.14 20,91 220,06 _____________________________________________________________________________________________________________________________________03-02-16 929369 918521 PEÑA, IVAN (G) 370 12334071002

















5173 -COCAINA EN ORINA 1 196,75 196,75 ANALISIS CLINICOS, R100 196.75

6352 -CANABINOIDES EN ORINA 1 160,77 160,77 ANALISIS CLINICOS, R100 160.77

5173 -BARBITURATOS EN ORINA 1 196,75 196,75 ANALISIS CLINICOS, R100 196.75



Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 19_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________6352 -OPIACEOS EN ORINA 1 160,77 160,77 ANALISIS CLINICOS, R100 160.77

5005 -ESTADO ACIDO BASE 1 74,39 74,39 ANALISIS CLINICOS, R100 74.39

181168 -ALCOHOLEMIA 1 12,13 12,13 100 12.13


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 1.758,40 1758.38 184,63 1.943,03 _____________________________________________________________________________________________________________________________________04-02-16 929413 1017479SCHIPELHUT, SABRINA 370 1187952 0 001

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 304,60 304.60_____________________________________________________________________________________________________________________________________04-02-16 929436 723485 TSAI, CHIAO TSU (G) 370 11714737002










449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 706,12 706.10 74,14 780,26 _____________________________________________________________________________________________________________________________________04-02-16 929472 515487 BARRIOS, ADRIAN GUST 370 1082716 8 002





5904 -URICEMIA 1 32,18 32,18 ANALISIS CLINICOS, R100 32.18

340213 -TOBILLO 1era EXPOSICION 2 119,96 239,92 ANALISIS CLINICOS, R100 239.92

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 509,59 509.59_____________________________________________________________________________________________________________________________________04-02-16 929474 363799 CHAMA, JOSEFINA (G) 370 07990252011




IBUPROA00 -IBUPROFENO 400 mg amp x 1 1 47,28 47,28 MEDICAMENTOS 100 47.28











449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 1.207,96 1207.96 126,84 1.334,80 _____________________________________________________________________________________________________________________________________



Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 21_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________04-02-16 929499 419501 CHAUL, CLARA (G) 370 07996389007

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________04-02-16 929504 623010 ALVAREZ, ALICIA ESTE (G) 370 10679742005










449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 556,81 556.79 58,47 615,28 _____________________________________________________________________________________________________________________________________04-02-16 929539 2008493SERRANO IGLESIAS, GE (G) 370 14468298000






5669 -MONONUCLEOSIS -(MONOTEST) 1 42,15 42,15 ANALISIS CLINICOS, R100 42.15



Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 22_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________5902 -UREMIA 1 21,01 21,01 ANALISIS CLINICOS, R100 21.01



449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 777,66 777.62 81,65 859,31 _____________________________________________________________________________________________________________________________________04-02-16 929556 1105378D AQUINO, FERNANDO (G) 370 14126202000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________04-02-16 929579 739597 JAIAT, DEBORA (G) 370 10249471004

90001 -MONIT.FETAL ANTE-PARTO AM 1 219,99 219,99 ANALISIS CLINICOS, R100 219.99

281059 -DOPPLER OBSTETRICO-COLOR 1 1.532,79 1.532,79 100 1532.79

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 1.935,59 1935.59 203,24 2.138,83 _____________________________________________________________________________________________________________________________________04-02-16 929613 746156 CAVALIERE, MARINA (G) 370 07022378004


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 215,64 215.63 22,64 238,28 _____________________________________________________________________________________________________________________________________04-02-16 929619 1030343GAVIOLI, DANIELA (G) 370 13867906000






Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 23_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________04-02-16 929627 1085396DE STEFANO, JUAN SEB (G) 370 1106178 0 002

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________04-02-16 929633 862695 DEMARCO, MARIA MAGEL (G) 370 0991744002

340213 -PIERNA 1era EXPOSICION 1 119,96 119,96 ANALISIS CLINICOS, R100 119.96

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 302,78 302.77 31,79 334,57 _____________________________________________________________________________________________________________________________________05-02-16 929694 734017 LIAO, CHIEN YI (G) 370 12216487003

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________05-02-16 929725 636784 DOZO, ALFREDO EDUARD (G) 370 0799356 5 007

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 304,60 304.60 31,98 336,58 _____________________________________________________________________________________________________________________________________05-02-16 929730 941016 ESPECHE GILARDONI, X (G) 370 1140817.8.001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________05-02-16 929735 1080685VILLAR, HECTOR HUGO (G) 370 1229087-0-003







Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 24_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________05-02-16 929767 615623 MEMMA, MELINA MARIAN (G) 370 1010358 9 001



449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 285,86 285.86 30,02 315,88 _____________________________________________________________________________________________________________________________________05-02-16 929773 630235 MARTINEZ, PATRICIA M 370 11487940001


459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 408,05 408.05_____________________________________________________________________________________________________________________________________05-02-16 929799 822625 ZAMBRANA, FLORENCIA 370 08391437004


459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 408,05 408.05_____________________________________________________________________________________________________________________________________05-02-16 929800 1078368VELAZQUEZ GONZALEZ, 370 09449330000

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 304,60 304.60_____________________________________________________________________________________________________________________________________05-02-16 929804 1102161LOSIGGIO, DANIELA (G) 370 14114837000



449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 631,72 631.71 66,33 698,05 _____________________________________________________________________________________________________________________________________05-02-16 929812 672398 CORREA LEVERATTO, CA (G) 370 09254294007



Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 25_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________280014 -ECO.PARTES BLANDAS SUPERF 1 203,50 203,50 ANALISIS CLINICOS, R100 203.50


660013 -TC OTROS ORG. O REGION 1 1.592,06 1.592,06 TOMOGRAFIA AXIAL COM100 1592.06 __________ 1.978,38 1978.37 207,73 2.186,11 _____________________________________________________________________________________________________________________________________05-02-16 929829 499433 FARIAS, JIMENA (G) 370 09657428003

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________05-02-16 929832 492444 HANONO, ANTONELLA (G) 370 09848306003

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________05-02-16 929836 1105587DARHANPE, MARIA (G) 370 11119421001



449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 298,59 298.59 31,35 329,94 _____________________________________________________________________________________________________________________________________05-02-16 929840 932145 KARPILOVSKY, IVAN 370 1384794 2 000

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 304,60 304.60_____________________________________________________________________________________________________________________________________05-02-16 929851 658066 MENDELEWICZ, SILVIA (G) 370 10673982001

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 304,60 304.60 31,98 336,58 _____________________________________________________________________________________________________________________________________05-02-16 929882 321317 BRITEZ, BLANCA LILIA (G) 370 1087468 7 000



Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 26_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________340209 -COLUMNA FRENTE 1 119,96 119,96 ANALISIS CLINICOS, R100 119.96

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 302,78 302.77 31,79 334,57 _____________________________________________________________________________________________________________________________________05-02-16 929886 573149 BUSTOS EBORA, AMALIA 370 09056535000

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 304,60 304.60_____________________________________________________________________________________________________________________________________05-02-16 929951 996868 LEVIN, LUCIANA (G) 370 14221220000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________05-02-16 929953 734017 LIAO, CHIEN YI (G) 370 12216487003



XILOCAN55 -XILOCAINA 1% S/E S/C amp 2 23,19 46,37 MEDICAMENTOS 100 46.37

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 236,90 236.90 24,88 261,78 _____________________________________________________________________________________________________________________________________05-02-16 929959 773291 BARRENA GUZMAN, EDUA 370 13366873003









Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 27_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________5297 -ERITROSEDIMENTACION 2 17,48 34,96 ANALISIS CLINICOS, R100 34.96






5669 -MONONUCLEOSIS -(MONOTEST) 1 42,15 42,15 ANALISIS CLINICOS, R100 42.15








660007 -TC COMPLETA DE ABDOMEN 1 3.184,12 3.184,12 TOMOGRAFIA AXIAL COM100 3184.12

660015 -TC TORACICA_ 1 2.247,67 2.247,67 TOMOGRAFIA AXIAL COM100 2247.67 __________ 6.663,51 6663.51_____________________________________________________________________________________________________________________________________06-02-16 929984 713068 CEA, OLGA BEATRIZ 370 1141832 7 004

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81_____________________________________________________________________________________________________________________________________06-02-16 929995 771518 NUÑEZ, VANESA ALEJAN (G) 370 14664276000




Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 28_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________06-02-16 930002 890389 BEKERMAN DE FLEISHMA (G) 370 07083839005

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________06-02-16 930018 1105714CASTILLO, MARIA BELE (G) 370 12186993001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________06-02-16 930037 448109 MORENO, PAOLA VANESA 370 10147681003

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81_____________________________________________________________________________________________________________________________________06-02-16 930119 461161 GONCALVES DA ROCHA, 370 0912950 8 007


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 335,62 335.62_____________________________________________________________________________________________________________________________________06-02-16 930128 1080685VILLAR, HECTOR HUGO 370 1229087-0-003








660015 -TC TORACICA_ 1 2.247,67 2.247,67 TOMOGRAFIA AXIAL COM100 2247.67 __________ 2.696,13 2696.13_____________________________________________________________________________________________________________________________________



Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 29_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________06-02-16 930140 922525 COLOMBO, GLADYS NADI 370 12562226003







340422 -ABDOMEN EXP. SUBSIGUIENTE 1 74,77 74,77 ANALISIS CLINICOS, R100 74.77


280014 -ECO.PARTES BLANDAS SUPERF 1 203,50 203,50 ANALISIS CLINICOS, R100 203.50

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 909,33 909.33_____________________________________________________________________________________________________________________________________07-02-16 930165 971449 BERNAL, BIBIANA CECI (G) 370 09338438001




ELECTRD00 -ELECTRODOS DESC. ADULTO ( 3 2,66 7,98 MEDICAMENTOS 100 7.98









5297 -ERITROSEDIMENTACION 1 17,48 17,48 ANALISIS CLINICOS, R100 17.48










660015 -TC TORACICA_ 1 2.247,67 2.247,67 TOMOGRAFIA AXIAL COM100 2247.67 __________ 3.037,93 3037.88 318,98 3.356,91 _____________________________________________________________________________________________________________________________________07-02-16 930179 1105751ESTEVEZ, ALEJANDRO M 370 15105361000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81_____________________________________________________________________________________________________________________________________07-02-16 930240 922278 SU, FLORENCIA (G) 370 12522460001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________07-02-16 930252 405706 DE UGARTECHE, MARIAN (G) 370 15191301003




Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 31_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________07-02-16 930255 553776 COLUCCI, MARCELO FRA 370 10475399004

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81_____________________________________________________________________________________________________________________________________07-02-16 930257 934129 KRSTULOVICH, YAMILA 370 13804478001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81_____________________________________________________________________________________________________________________________________07-02-16 930276 1105369RIDO, FERNANDO (G) 370 15255879000













6727 -TROPONINA I 1 185,77 185,77 ANALISIS CLINICOS, R100 185.77





Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 32_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 1.220,51 1220.48 128,15 1.348,66 _____________________________________________________________________________________________________________________________________07-02-16 930277 1105776DO AMARAL KAERCHER, (G) 370 15239222000



449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 373,50 373.49 39,22 412,72 _____________________________________________________________________________________________________________________________________07-02-16 930281 2055533MARTEGANI, ANDREA (G) 370 06139136002









449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 497,19 497.16 52,20 549,39 _____________________________________________________________________________________________________________________________________07-02-16 930301 739401 MACERI, CATALINA (G) 370 10894530001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________08-02-16 930326 603777 ZACCAGNINI, VICTORIA (G) 370 11269020006



Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 33_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________08-02-16 930337 1105789CAMIN, ISABELA (G) 370 11469399001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________08-02-16 930384 971449 BERNAL, BIBIANA CECI (G) 370 09338438001












660006 -TC COMP.ABDOM. C/CTE/ 1 3.980,14 3.980,14 TOMOGRAFIA AXIAL COM100 3980.14

660007 -TC COMPLETA DE ABDOMEN 1 3.184,12 3.184,12 TOMOGRAFIA AXIAL COM100 3184.12 __________ 7.545,19 7545.19 792,24 8.337,43 _____________________________________________________________________________________________________________________________________08-02-16 930398 1096746GITELMAN, FLORENCIA (G) 370 15041782000




Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 34_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________5022 -AMILASEMIA 1 28,09 28,09 ANALISIS CLINICOS, R100 28.09







449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 652,09 652.07 68,47 720,56 _____________________________________________________________________________________________________________________________________08-02-16 930418 1105812RODRIGUEZ, NOELIA ST 370 14631133000


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 491,18 491.18_____________________________________________________________________________________________________________________________________08-02-16 930439 840811 MONTENEGRO, AZUL BEL (G) 370 12532457000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________08-02-16 930447 1105820CAROPRESE, MARIA DE 370 13753589003

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81_____________________________________________________________________________________________________________________________________08-02-16 930459 1004234LOPEZ, MARIA FLORENC (G) 370 12263597001

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________



Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 35_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________08-02-16 930461 1105013SELLA, NICETO (G) 370 0885600-9-003












280009 -ECO.VEJIGA O PROSTATICA 1 130,14 130,14 ANALISIS CLINICOS, R100 130.14


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 1.091,95 1091.94 114,66 1.206,61 _____________________________________________________________________________________________________________________________________08-02-16 930479 179541 RODRIGUEZ, BEATRIZ R (G) 370 14890912002

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________08-02-16 930486 1105835IRRERA, MARIA MILAGR (G) 370 11425313003




Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 36_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________08-02-16 930488 1105836IRRERA, FERNANDO GAB (G) 370 11425262003


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 285,38 285.38 29,97 315,35 _____________________________________________________________________________________________________________________________________08-02-16 930510 907384 COLAMONICO, BERNARDO (G) 370 13636174000




449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 341,08 341.08 35,81 376,89 _____________________________________________________________________________________________________________________________________08-02-16 930523 1070941ECKART GARCIA, ESTEF (G) 370 14965489000


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 323,35 323.34 33,95 357,30 _____________________________________________________________________________________________________________________________________08-02-16 930532 1047198BONILLO, SERGIO (G) 370 14293046000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________08-02-16 930545 560808 SOUZA, VERONICA MARI (G) 370 1085615 2 000

5409 -LEUCOCITOS EN MAT. FECAL 1 21,05 21,05 ANALISIS CLINICOS, R100 21.05

5187 -COPROCULTIVO 1 112,32 112,32 ANALISIS CLINICOS, R100 112.32





Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 37_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________09-02-16 930551 394453 BEER, CATALINA MANUE (G) 370 1344796.0.001


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 491,19 491.18 51,57 542,76 _____________________________________________________________________________________________________________________________________09-02-16 930612 307213 TOCCI, SILVIA (G) 370 10910988001




121801 -LORMINE 4 mg/ml amp x 2 m 1 135,54 135,54 MEDICAMENTOS 100 135.54

02170117 -CONSULTA TRAUMATOLOGICA E 0 182,81

590013 -OTROS PROCEDIMIENTOS 1 352,00 352,00 ANALISIS CLINICOS, R100 352.00 __________ 548,24 548.24 57,56 605,80 _____________________________________________________________________________________________________________________________________09-02-16 930635 838197 GARAY GALARRETA, VIR (G) 370 09725695004


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 491,19 491.18 51,57 542,76 _____________________________________________________________________________________________________________________________________09-02-16 930669 802350 NUÑEZ, DANIEL ALEJAN (G) 370 12640721001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________09-02-16 930676 430816 BIANCALANA, ANDREA (G) 370 08216100004






449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 578,89 578.88 60,78 639,67 _____________________________________________________________________________________________________________________________________09-02-16 930707 1090969SILVA, SIENNA (G) 370 15321414000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________09-02-16 930715 534755 KATZ, MELINA 370 10515047005

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 182,81 182.81_____________________________________________________________________________________________________________________________________09-02-16 930718 675049 LUZZI, FACUNDO EMMAN (G) 370 07167368009

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________09-02-16 930720 1105904LOSKIN, MAGALI (G) 370 11990231002


02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 422,74 422.74 44,39 467,13 _____________________________________________________________________________________________________________________________________09-02-16 930723 957809 LAMBRUSCHINI, ISABEL (G) 370 14083593001


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 386,32 386.31 40,56 426,88 _____________________________________________________________________________________________________________________________________09-02-16 930732 402312 GARCIA SANCHEZ DE LE (G) 370 09311228004




Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 39_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 381,14 381.14 40,02 421,16 _____________________________________________________________________________________________________________________________________09-02-16 930740 990291 CASAIS, DIEGO JAVIER (G) 370 13376062003







TRAMA A00 -TRAMA KLOSIDOL 100mg amp 1 24,97 24,97 MEDICAMENTOS 100 24.97















Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 40_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 1.147,06 1147.04 120,44 1.267,50 _____________________________________________________________________________________________________________________________________10-02-16 930743 490083 COHEN FALAH DE OSTRO (G) 370 09359276004


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 491,19 491.18 51,57 542,76 _____________________________________________________________________________________________________________________________________10-02-16 930748 944615 CRINO, MARIA GRACIEL (G) 370 1231772.5.000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________10-02-16 930763 1080685VILLAR, HECTOR HUGO 370 1229087-0-003







449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 448,46 448.46_____________________________________________________________________________________________________________________________________10-02-16 930773 739001 PRIZMIC KUZMICA, MAR 370 09771686003



449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 438,19 438.19_____________________________________________________________________________________________________________________________________



Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 41_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________10-02-16 930793 773748 JUAREZ, PEDRO RAUL F 370 0970463-1-004

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81_____________________________________________________________________________________________________________________________________10-02-16 930795 284232 DE LAS CARRERAS, ROS 370 1326717 5 004

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81_____________________________________________________________________________________________________________________________________10-02-16 930802 1104812SALDIVAR, NATALIA (G) 370 08367565006


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 381,14 381.14 40,02 421,16 _____________________________________________________________________________________________________________________________________10-02-16 930803 508721 PATRICELLI, SILVINA (G) 370 15197863000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________10-02-16 930805 1058540LEVY, MATILDE GRACIE (G) 370 14925461000

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 304,60 304.60 31,98 336,58 _____________________________________________________________________________________________________________________________________10-02-16 930806 1058541ALBERT, DANIEL (G) 370 14925456000

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 304,60 304.60 31,98 336,58 _____________________________________________________________________________________________________________________________________10-02-16 930807 1105955FUNTICELI, MARIA DE (G) 370 14291451001




Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 42_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________10-02-16 930819 1105963FERNANDEZ, CECILIA A (G) 370 15176822000



449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 689,51 689.51 72,40 761,91 _____________________________________________________________________________________________________________________________________10-02-16 930842 1105982ANDRADA, SILVANA ELI (G) 370 15085304001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________10-02-16 930848 424177 SCARLASSA, MARTHA (G) 370 07801720004


280064 -ECO DOP.COLOR ART/VEN AMB 1 2.293,78 2.293,78 ANALISIS CLINICOS, R100 2293.78

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 2.596,56 2596.55 272,64 2.869,20 _____________________________________________________________________________________________________________________________________10-02-16 930858 576591 VILLAR, MARIA DEL PI 370 10908700000


280002 -ECO.MAMARIA BILATERAL 1 142,57 142,57 ANALISIS CLINICOS, R100 142.57

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 427,95 427.95_____________________________________________________________________________________________________________________________________10-02-16 930859 656738 CEDRUN, FEDERICO DAN 370 10482901005

CARDIOC00 -CARDIOREX 5mg comp x1 2 5,51 11,02 MEDICAMENTOS 100 11.02

GLIOTEC10 -GLIOTEN 5mg comp x1 2 0,98 1,96 MEDICAMENTOS 100 1.96




Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 43_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________ZERODOC05 -ZERODOL 10mg SUBLINGUAL c 1 11,88 11,88 MEDICAMENTOS 100 11.88

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 331,52 331.52_____________________________________________________________________________________________________________________________________10-02-16 930882 1106018MARTINEZ, CIELO CHAR (G) 370 09350240006

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________10-02-16 930893 230233 MENACE DE TRAILMAN, (G) 370 09608942004

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________10-02-16 930899 1106032GONZALEZ MOSS, EMILI (G) 370 14013099000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________10-02-16 930901 998023 CASAL, GISELE (G) 370 14382237000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________10-02-16 930909 791418 FISCINA, MARIA DEL C (G) 370 10885595002


459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 408,05 408.05 42,84 450,89 _____________________________________________________________________________________________________________________________________10-02-16 930944 649166 FALCONE, NICOLAS GER (G) 370 11207024000

340210 -COLUMNA EXPOSIC.SUBSIGUIE 5 92,16 460,81 ANALISIS CLINICOS, R100 460.81




Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 44_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________10-02-16 930977 1093233VAZQUEZ, FLORENCIA A 370 13403464000


459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 408,05 408.05_____________________________________________________________________________________________________________________________________10-02-16 930980 981367 GALIMANY, PAULA NOEL (G) 370 1330010-2-003

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________10-02-16 930989 1106105FOSCHIATTI, YAMILA (G) 370 07124768004




449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________10-02-16 931003 1106125LOPEZ, ROMINA (G) 370 14709383001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________10-02-16 931019 236859 MANESCOTTO, EVANGELI (G) 370 14655155000





Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 45_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________10-02-16 931048 724965 GRECO, JULIETA (G) 370 08426991006

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________10-02-16 931058 415314 ETCHEVERS, MARTIN (G) 370 09364354009


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________11-02-16 931106 2008467CARDILLO, LORENA LAU (G) 370 11152182001






449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 530,58 530.57 55,71 586,29 _____________________________________________________________________________________________________________________________________11-02-16 931108 2050422CAMPAGNA, MARIA FLOR 370 13625599003



6011 -ACIDOS BILIARES 1 231,90 231,90 100 231.90




Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 46_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________11-02-16 931114 1106170PEREZ, MAURO ALEJAND 370 13391985003

280006 -ECO.TESTICULOS 1 74,31 74,31 ANALISIS CLINICOS, R100 74.31

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 257,12 257.12_____________________________________________________________________________________________________________________________________11-02-16 931115 1106155ETCHEVERS, MARTIN AN 370 093643.5.4.009

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 182,81 182.81_____________________________________________________________________________________________________________________________________11-02-16 931126 610098 PESES, SILVINA (G) 370 10086992009

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________11-02-16 931140 610098 PESES, SILVINA (G) 370 10086992009

280036 -ECO DOPPL.BYN ARTERIAL/VE 1 841,07 841,07 ANALISIS CLINICOS, R100 841.07

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 1.023,88 1023.88 107,51 1.131,39 _____________________________________________________________________________________________________________________________________11-02-16 931148 734017 LIAO, CHIEN YI (G) 370 12216487003



449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 631,72 631.71 66,33 698,05 _____________________________________________________________________________________________________________________________________11-02-16 931208 1106249VARGAS, ANALIA GISEL 370 13645795001





Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 47_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 372,64 372.64_____________________________________________________________________________________________________________________________________11-02-16 931212 1091160SIMLIK, SERGIO MARTI 370 10465357003

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 304,60 304.60_____________________________________________________________________________________________________________________________________11-02-16 931214 2016379YANANI, LIDIA NOEMI 370 14569405001




449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 331,41 331.41_____________________________________________________________________________________________________________________________________11-02-16 931216 666550 LAMBRUSCHINI, MARIAN (G) 370 08991180003


459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 408,05 408.05 42,84 450,89 _____________________________________________________________________________________________________________________________________11-02-16 931238 985668 RICKENBACHER, MARIAN 370 0961289.6.001

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 182,81 182.81_____________________________________________________________________________________________________________________________________11-02-16 931294 1058283ARDIZZONE, LILIANA N (G) 370 14082061002

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________11-02-16 931329 674643 SILVA GUENAGA, MARIA (G) 370 13021871002



Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 48_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________280001 -ECO.TOCOGINECOLOGICA 1 157,01 157,01 ANALISIS CLINICOS, R100 157.01

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 339,83 339.82 35,68 375,51 _____________________________________________________________________________________________________________________________________11-02-16 931330 2025740MOLINA COLMAN, NAREL 370 14437371001





449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 719,41 719.41_____________________________________________________________________________________________________________________________________11-02-16 931351 2043968BRITOS SAAVEDRA, MAR (G) 370 13453040001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________11-02-16 931352 508721 PATRICELLI, SILVINA (G) 370 15197863000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________11-02-16 931390 870506 HU, WENG CHANG (G) 370 13191989001


280023 -ECO.PAROTIDAS 1 229,38 229,38 ANALISIS CLINICOS, R100 229.38

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 433,17 433.17 45,48 478,65 _____________________________________________________________________________________________________________________________________11-02-16 931396 2032748GARCIA LAVALLE, MAIT (G) 370 11352466001



Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 49_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________12-02-16 931427 176038 THOROSSIAN, LILIANA 370 1483375 9 002



449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 524,00 524.00_____________________________________________________________________________________________________________________________________12-02-16 931449 457933 MEDINA, MARIEL ANDRE (G) 370 09456757005



449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 285,86 285.86 30,02 315,88 _____________________________________________________________________________________________________________________________________12-02-16 931498 1106442GODOY, ELIANA 370 13665315002

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81_____________________________________________________________________________________________________________________________________12-02-16 931508 2042078VALLEJO, MARIA DE LO 370 14109552000








Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 50_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________12-02-16 931514 1017660DATO MONTERO, MARIA 370 10496249001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81_____________________________________________________________________________________________________________________________________12-02-16 931557 823382 LOGLEN, MARIA CYNTIA (G) 370 13966275001




449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 331,41 331.41 34,80 366,21 _____________________________________________________________________________________________________________________________________12-02-16 931558 573149 BUSTOS EBORA, AMALIA 370 09056535000

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 304,60 304.60_____________________________________________________________________________________________________________________________________12-02-16 931563 709575 PERRINO, EDUARDO LUI (G) 370 1172723 0 003

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 304,60 304.60 31,98 336,58 _____________________________________________________________________________________________________________________________________12-02-16 931583 422317 DI LULLO, NORMA (G) 370 07697066004

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 304,60 304.60 31,98 336,58 _____________________________________________________________________________________________________________________________________12-02-16 931587 191677 IULIANO, AMALIA (G) 370 1089126 6 000


5134 -CALCIO IONICO 1 32,27 32,27 ANALISIS CLINICOS, R100 32.27




Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 51_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________5546 -IONOGRAMA PLASMATICO 1 49,12 49,12 ANALISIS CLINICOS, R100 49.12



660001 -TC CEREBRAL 1 1.919,86 1.919,86 TOMOGRAFIA AXIAL COM100 1919.86 __________ 2.259,97 2259.95 237,30 2.497,27 _____________________________________________________________________________________________________________________________________12-02-16 931597 2039771CHILON VERGARA, JOSE (G) 370 14699717001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________12-02-16 931621 1106547HEREDIA, LILIANA DEL 370 13701050000

340211 -CADERA O PELVIS 1 119,96 119,96 ANALISIS CLINICOS, R100 119.96

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 302,77 302.77_____________________________________________________________________________________________________________________________________12-02-16 931628 766359 GIANNONI, ERNESTO 370 12291675001

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 304,60 304.60_____________________________________________________________________________________________________________________________________12-02-16 931661 2012022FERNANDES PIZAO, MAR (G) 370 14588179000



340302 -TORAX EXPOS. SUBSIGUIENTE 1 78,25 78,25 ANALISIS CLINICOS, R100 78.25

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 364,12 364.11 38,23 402,35 _____________________________________________________________________________________________________________________________________12-02-16 931670 1097032VALLEJOS, SILVANA (G) 370 13725163000



Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 52_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________12-02-16 931684 882598 POLYBLANK, PILAR (G) 370 10418863001















660012 -TC OT. ORGAN. O REG. C/CO 1 1.990,08 1.990,08 TOMOGRAFIA AXIAL COM100 1990.08 __________ 2.931,32 2931.30 307,79 3.239,11 _____________________________________________________________________________________________________________________________________12-02-16 931685 2020405TODARELLI, CAROLINA (G) 370 13670605001




Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 53_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________13-02-16 931732 992381 GALLARDO, JESSICA (G) 370 12501363002

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________13-02-16 931734 871845 GIBELLI, NORBERTO (G) 370 14819106001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________13-02-16 931766 932680 FERNANDEZ KRUGER, LU (G) 370 1064796.4.006

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________13-02-16 931776 960353 DELGADO, GENOVEVA (G) 370 1399253-1-000


CIPROFA00 -CIPROFLOXACINA FADA 200mg 2 50,39 100,78 MEDICAMENTOS 100 100.78













Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 54_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________5412 -GLUCOSA EN SANGRE 1 21,01 21,01 ANALISIS CLINICOS, R100 21.01








449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 1.169,94 1169.92 122,84 1.292,78 _____________________________________________________________________________________________________________________________________13-02-16 931778 875486 BASCHIERA, ANTONELLA (G) 370 1318129-0-001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________13-02-16 931785 831721 SILVERO, SUSANA (G) 370 12942880001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________13-02-16 931803 1103063MIORI PEREIRA GOMEZ, (G) 370 12354333002








Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 55_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________5409 -LEUCOCITOS EN MAT. FECAL 1 21,05 21,05 ANALISIS CLINICOS, R100 21.05


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 495,23 495.22 52,00 547,23 _____________________________________________________________________________________________________________________________________13-02-16 931818 1017660DATO MONTERO, MARIA (G) 370 10496249001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________13-02-16 931822 550204 SEMINO, NESTOR (G) 370 10964557002

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________13-02-16 931851 783063 ORFANO, GERMAN 370 14580860000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81_____________________________________________________________________________________________________________________________________13-02-16 931862 2031708FACCINI EISELE, CHIA (G) 370 13315114001

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________13-02-16 931876 1080685VILLAR, HECTOR HUGO (G) 370 1229087-0-003







Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 56_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________13-02-16 931878 1106661FUENTES, MARIA (G) 370 14621439000




449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 331,41 331.41 34,80 366,21 _____________________________________________________________________________________________________________________________________13-02-16 931894 873282 JRAMOY, SILVIA JUDIT (G) 370 0949355.9.011

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________13-02-16 931897 996868 LEVIN, LUCIANA (G) 370 14221220000















Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 57_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________5546 -IONOGRAMA PLASMATICO 1 49,12 49,12 ANALISIS CLINICOS, R100 49.12






449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 1.435,07 1435.05 150,68 1.585,75 _____________________________________________________________________________________________________________________________________14-02-16 931914 700737 TORRES, MARIA DOLORE 370 07902215007










449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 684,89 684.89_____________________________________________________________________________________________________________________________________14-02-16 931915 706638 DE FRANCHIS, GUSTAVO 370 07898771006




Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 58_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________14-02-16 931932 932354 TORRES, MARIA LAURA (G) 370 09243647003




02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 243,51 243.51 25,57 269,08 _____________________________________________________________________________________________________________________________________14-02-16 931938 508721 PATRICELLI, SILVINA (G) 370 15197863000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________14-02-16 931964 1105835IRRERA, MARIA MILAGR 370 11425313003



5309 -EXUDADO NASOFARINGEO -(CU 1 28,13 28,13 ANALISIS CLINICOS, R100 28.13


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 403,47 403.47_____________________________________________________________________________________________________________________________________14-02-16 931969 1106683ALVAREZ, TADEO (G) 370 11272407003

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________14-02-16 931976 1106686FIDEL DOAT, NATALIA (G) 370 15074289000

130114 -CONSULTA TRAUMATOLOGICA E 1 451,80 451,80 NULO 100 451.80




Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 59_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________14-02-16 932005 1106547HEREDIA, LILIANA DEL 370 13701050000




02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 688,74 688.74_____________________________________________________________________________________________________________________________________14-02-16 932030 988887 BATTIAS, ESTHER JUDI (G) 370 09971026005

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________14-02-16 932050 995201 VEZZULLA, GUSTAVO JO (G) 370 14260832000




02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 243,51 243.51 25,57 269,08 _____________________________________________________________________________________________________________________________________14-02-16 932060 595953 FERRARI MILANO, ANTO (G) 370 10835419003

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________14-02-16 932080 1106717UBERTONE BAUMHAUER, (G) 370 15008263000






Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 60_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________15-02-16 932092 1104762ISLA, GABRIELA 370 1349529 9 001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81_____________________________________________________________________________________________________________________________________15-02-16 932129 1106743ZAPATA, CECILIA LUIS 370 14599921000


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 491,18 491.18_____________________________________________________________________________________________________________________________________15-02-16 932162 2048228HUANG, LI CHUAN (G) 370 14793849001




449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 578,89 578.88 60,78 639,67 _____________________________________________________________________________________________________________________________________15-02-16 932185 1106807CRUZ, TATIANA (G) 370 1496003-5-001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________15-02-16 932199 1106819BUTRYM, GERMAN (G) 370 1372478-2-001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________15-02-16 932203 736988 CHOQUE, SILVIA GRACI 370 13732139000




Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 61_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________15-02-16 932217 1076268OSORIO, MARIA ANA (G) 370 11857042001

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 304,60 304.60 31,98 336,58 _____________________________________________________________________________________________________________________________________15-02-16 932226 862695 DEMARCO, MARIA MAGEL (G) 370 09917440003


02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 422,74 422.74 44,39 467,13 _____________________________________________________________________________________________________________________________________15-02-16 932237 521028 ALLAMI, ALBERTO (G) 370 10319827003 GONZALEZ VILLA MONTE,Gabriel Al

451000 -CONSULTA CUERPO MEDICO 1 188,87 188,87 100 188.87 __________ 188,87 188.87 19,83 208,70 _____________________________________________________________________________________________________________________________________15-02-16 932249 610098 PESES, SILVINA (G) 370 10086992009


121801 -CORTEROID RETARD 2ml amp 1 135,54 135,54 MEDICAMENTOS 100 135.54

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 449,24 449.24 47,17 496,41 _____________________________________________________________________________________________________________________________________15-02-16 932250 2024628DEL PEDRO, MARIA CEC (G) 370 10643173003


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 381,14 381.14 40,02 421,16 _____________________________________________________________________________________________________________________________________15-02-16 932261 538464 BACIGALUPE, GRACIELA (G) 370 13604770001




Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 62_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________15-02-16 932267 430816 BIANCALANA, ANDREA (G) 370 08216100004

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________15-02-16 932277 933638 GONZALEZ, MAGALI FLO (G) 370 12409457000


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 325,38 325.38 34,17 359,55 _____________________________________________________________________________________________________________________________________15-02-16 932288 117683 LUSARDI, MONICA (G) 370 06455415007


660001 -TC CEREBRAL 1 1.919,86 1.919,86 TOMOGRAFIA AXIAL COM100 1919.86 __________ 2.102,68 2102.67 220,78 2.323,46 _____________________________________________________________________________________________________________________________________15-02-16 932298 588477 ARREDONDO, MARIA CAR 370 1 121912 6 000

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 304,60 304.60_____________________________________________________________________________________________________________________________________15-02-16 932299 197452 HERNANDEZ PEREZ, LUZ (G) 370 09586211008

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________15-02-16 932350 970791 CORVALAN, JACQUELINE (G) 370 1394396.7.002



GUANTED20 -GUANTES de latex p/examen 1 2,00 2,00 MEDICAMENTOS 100 2.00




Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 63_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________RISPERC25 -RISPERIN 0,5mg comp x1 1 3,50 3,50 MEDICAMENTOS 100 3.50










449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 514,87 514.85 54,06 568,93 _____________________________________________________________________________________________________________________________________15-02-16 932356 1106951PETRICEK GOMEZ, CYNT (G) 370 15268721000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________15-02-16 932368 496451 ROISMAN, DINA MARCEL (G) 370 09302073003

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________15-02-16 932370 991847 TORRES ALBUERNES, KE (G) 370 14274094000







449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 734,77 734.76 77,15 811,92 _____________________________________________________________________________________________________________________________________15-02-16 932375 941577 LUCAS, PAULA (G) 370 1217577-2-000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________15-02-16 932398 1058283ARDIZZONE, LILIANA N 370 14082061002

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81_____________________________________________________________________________________________________________________________________15-02-16 932417 1106989LUQUE, ALEJANDRO 370 10586679004

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 182,81 182.81_____________________________________________________________________________________________________________________________________15-02-16 932423 1106661FUENTES, MARIA (G) 370 14621439000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________15-02-16 932435 2012832FRATALOCCHI, CLAUDIA (G) 370 10929190002









Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 65_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________5594 -LACTICO DEHIDROGENASA 1 38,91 38,91 ANALISIS CLINICOS, R100 38.91







449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 1.123,78 1123.76 118,00 1.241,78 _____________________________________________________________________________________________________________________________________16-02-16 932458 937672 LACOURTOIS, GUADALUP (G) 370 10886416000


02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 422,74 422.74 44,39 467,13 _____________________________________________________________________________________________________________________________________16-02-16 932463 1093637VERON, MARIA CAROLIN 370 14650923000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81_____________________________________________________________________________________________________________________________________16-02-16 932470 941538 GONZALEZ, AGUEDA FLO 370 1489890 3 000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81_____________________________________________________________________________________________________________________________________16-02-16 932477 1096495MARTINEZ, FRANKLIN (G) 370 1399060-8-000





Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 66_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________16-02-16 932496 451229 BASSEDAS, MERCEDES (G) 370 08613417007

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________16-02-16 932507 1105976RAGGIO, PATRICIA SIL (G) 370 15173689000



121801 -DIOXAFLEX 75mg amp x3ml 1 135,54 135,54 MEDICAMENTOS 100 135.54

340209 -COLUMNA FRENTE 1 119,96 119,96 ANALISIS CLINICOS, R100 119.96

590013 -OTROS PROCEDIMIENTOS 1 352,00 352,00 ANALISIS CLINICOS, R100 352.00 __________ 759,37 759.37 79,73 839,10 _____________________________________________________________________________________________________________________________________16-02-16 932519 1107060RIVERO, CLAUDIA ADRI 370 1337133-0-002


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 335,62 335.62_____________________________________________________________________________________________________________________________________16-02-16 932533 621602 MORELLI, SOL NATALI 370 10474514002


02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 422,73 422.73_____________________________________________________________________________________________________________________________________16-02-16 932541 284232 DE LAS CARRERAS, ROS 370 1326717 5 004

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81_____________________________________________________________________________________________________________________________________16-02-16 932551 1107087REINA, JUAN PABLO 370 1503991-3-000



Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 67_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81_____________________________________________________________________________________________________________________________________16-02-16 932553 1082413SOARES TORRES, CHAYE (G) 370 1509630-3-000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________16-02-16 932575 696632 GONZALEZ DEL VALLE, 370 10134017001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81_____________________________________________________________________________________________________________________________________16-02-16 932597 556663 ARNEJO, MARIA LAURA 370 11019822008

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 304,60 304.60_____________________________________________________________________________________________________________________________________16-02-16 932606 460174 ESPERON, GABRIEL LEO (G) 370 07983506006

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 304,60 304.60 31,98 336,58 _____________________________________________________________________________________________________________________________________16-02-16 932626 1104316LANCIANO, CARLOS MAT (G) 370 11320633000

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________16-02-16 932638 871756 LOPEZ, VANESA 370 13372635003 GONZALEZ VILLA MONTE,Gabriel Al

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 304,60 304.60_____________________________________________________________________________________________________________________________________16-02-16 932643 743909 MELIAKINA, IRINA (G) 370 10111274002

449000 -CONSULTA MEDICO INTERNO G 0 182,81



Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 68_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________16-02-16 932644 743909 MELIAKINA, IRINA (G) 370 10111274002

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________16-02-16 932645 761928 ROMANO, ABIGAIL LEIL (G) 370 1241372 0 002

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________16-02-16 932673 836079 LIU, YU YING (G) 370 1307724.2.001

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________16-02-16 932687 585162 CASTRO, ANA MARIA (G) 370 10403402003

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________16-02-16 932701 1106661FUENTES, MARIA (G) 370 14621439000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________16-02-16 932702 337328 ROMERO PEREZ, PABLO (G) 370 10026107004






Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 69_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________16-02-16 932708 1107202RODRIGUEZ, LUIS (G) 370 13370191003



DIFENHA00 -DIFENHIDRAMINA FADA 10mg 2 15,54 31,08 MEDICAMENTOS 100 31.08




ULCOZOA00 -ULCOZOL 40mg famp x1 1 430,60 430,60 MEDICAMENTOS 100 430.60



449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 813,11 813.12 85,38 898,49 _____________________________________________________________________________________________________________________________________16-02-16 932712 973030 DE PAOLA, DIEGO HERN (G) 370 13985545000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________17-02-16 932739 1107212TORRADO, YAMILA (G) 370 1421162-2-000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________17-02-16 932748 125054 ROCCA, MARIA MERCEDE (G) 370 06232603008






Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 70_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________17-02-16 932750 1106249VARGAS, ANALIA GISEL (G) 370 13645795001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________17-02-16 932761 506395 OLIVES, LEONARDO 370 1035666 2 002

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81_____________________________________________________________________________________________________________________________________17-02-16 932784 558776 FERNANDEZ, NORBERTO (G) 370 08180274004

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 304,60 304.60 31,98 336,58 _____________________________________________________________________________________________________________________________________17-02-16 932800 1070816FERNANDEZ OSORIO, PA (G) 370 1447302-3-002

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________17-02-16 932814 1080951NEVAREZ ANDRADE, MAR (G) 370 14935478004

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________17-02-16 932824 993058 YECHUA, DANIELA PAUL 370 13658889002

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81_____________________________________________________________________________________________________________________________________17-02-16 932845 791418 FISCINA, MARIA DEL C (G) 370 10885595002

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________17-02-16 932859 856888 RAJOY, ANA BEATRIZ 370 11200676002



Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 71_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________310009 -E.C.G. 1 103,45 103,45 GS.A CARGO DEL PACIE100 103.45

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 408,05 408.05_____________________________________________________________________________________________________________________________________17-02-16 932886 1104816PRIETO, NOEMI LILIAN (G) 370 14162999001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________17-02-16 932902 369511 DORMAL, ISABEL (G) 370 09492262003

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________17-02-16 932908 483394 SITT, JACOBO HORACIO (G) 370 09493543003

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________17-02-16 932940 1107402LLORENTE, LUIS MARIA (G) 370 06005931006

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________17-02-16 932947 776200 CABRERA SAMANEZ, CAR (G) 370 12391845004

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________17-02-16 932951 1098628WUNDES, CAROLINA (G) 370 1464944-4-000





Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 72_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________17-02-16 932989 728444 DIAZ, CECILIA SOLEDA (G) 370 11500160001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________18-02-16 933021 749804 PORREZ, CAROLINA JIM (G) 370 1480753-9-000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________18-02-16 933052 1107454BANDIERI, MONICA CRI (G) 370 1354221-1-001


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 491,19 491.18 51,57 542,76 _____________________________________________________________________________________________________________________________________18-02-16 933053 190370 MONTAÑA, SANTIAGO CA 370 08655623005

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 304,60 304.60_____________________________________________________________________________________________________________________________________18-02-16 933099 1106686FIDEL DOAT, NATALIA 370 15074289000



PLATSUE05 -PLATSUL A crema x30g 1 54,19 54,19 MEDICAMENTOS 100 54.19


130105 -XILOCAINA 1% S/E S/C amp 1 192,02 192,02 MEDICAMENTOS 100 192.02

590013 -OTROS PROCEDIMIENTOS 1 352,00 352,00 ANALISIS CLINICOS, R100 352.00 __________ 628,89 628.89_____________________________________________________________________________________________________________________________________18-02-16 933134 1107550MERCADO, ROCIO (G) 370 1093693004



Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 73_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________18-02-16 933137 1107558VILLAGRA, NORMA IREN (G) 370 10124388001


261023 -CADERA O PELVIS EXP.SUBSI 2 92,16 184,33 ANALISIS CLINICOS, R100 184.33

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 551,47 551.47 57,90 609,37 _____________________________________________________________________________________________________________________________________18-02-16 933143 394843 YACTAYO CORTEZ, JULI 370 12651215000

261117 -HOMBRO EXPOS. SUBSIG. 2 92,16 184,32 ANALISIS CLINICOS, R100 184.32

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 367,13 367.13_____________________________________________________________________________________________________________________________________18-02-16 933157 588169 SABATELLA, ANTONIO (G) 370 11360737002


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 285,38 285.38 29,97 315,35 _____________________________________________________________________________________________________________________________________18-02-16 933160 1018245KARINA, DE MARCO (G) 370 13561990001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________18-02-16 933173 1107580VELASQUEZ BARRETO, P (G) 370 15109829000







449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 719,42 719.41 75,54 794,96 _____________________________________________________________________________________________________________________________________18-02-16 933174 1107581ESTRABOU, CAROLINA (G) 370 1460740000








449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 620,87 620.85 65,19 686,06 _____________________________________________________________________________________________________________________________________18-02-16 933248 257027 RUIZ, MARIA LUISA (G) 370 10907243004

280064 -ECO DOP.COLOR ART/VEN AMB 1 2.293,78 2.293,78 ANALISIS CLINICOS, R100 2293.78

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 2.476,60 2476.59 260,04 2.736,64 _____________________________________________________________________________________________________________________________________19-02-16 933287 497233 GRANILLO FERNANDEZ, (G) 370 11647928001







Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 75_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________5902 -UREMIA 1 21,01 21,01 ANALISIS CLINICOS, R100 21.01



660006 -TC COMP.ABDOM. C/CTE/ 1 3.980,14 3.980,14 TOMOGRAFIA AXIAL COM100 3980.14 __________ 4.540,33 4540.32 476,73 5.017,06 _____________________________________________________________________________________________________________________________________19-02-16 933291 1107685RUIZ DIAZ, SILVIA (G) 370 1022781-7-002




449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 665,39 665.38 69,87 735,26 _____________________________________________________________________________________________________________________________________19-02-16 933306 1017660DATO MONTERO, MARIA 370 10496249001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81_____________________________________________________________________________________________________________________________________19-02-16 933321 1107713MATTO QUIROZ, GERONI (G) 370 1454207-3-000



449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 631,72 631.71 66,33 698,05 _____________________________________________________________________________________________________________________________________19-02-16 933348 607379 CADELAGO, GUILLERMO (G) 370 0955229-2-005




Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 76_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________19-02-16 933364 993058 YECHUA, DANIELA PAUL (G) 370 13658889002

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________19-02-16 933371 1105751ESTEVEZ, ALEJANDRO M 370 15105361000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81_____________________________________________________________________________________________________________________________________19-02-16 933387 2043724PLACHETKO, PAOLA GAB (G) 370 14675604000

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 304,60 304.60 31,98 336,58 _____________________________________________________________________________________________________________________________________19-02-16 933406 1099497RUIZ CAMEJO, JAIME 370 15021213000

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 304,60 304.60_____________________________________________________________________________________________________________________________________19-02-16 933433 976655 HARRIS, ESTELLA CYNT (G) 370 13235428001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________19-02-16 933439 935505 CABALLER, AILEN (G) 370 07126524008

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________19-02-16 933449 932680 FERNANDEZ KRUGER, LU (G) 370 1064796.4.006

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________19-02-16 933453 1067117DAVALOS, GLORIA ESTE (G) 370 14906813000



Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 77_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________19-02-16 933467 529382 POLI, GASTON (G) 370 10689911002

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________19-02-16 933480 851107 CRUZ BARON, MARIAN M (G) 370 13243224000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________19-02-16 933482 524838 SANTANA, RAQUEL NOEM 370 10663399002

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 304,60 304.60_____________________________________________________________________________________________________________________________________19-02-16 933489 826603 CASTILLO, ALFREDO EN (G) 370 12967061001


121917 -VENDAS ENYESADAS x15cm(fr 1 395,32 395,32 MEDICAMENTOS 100 395.32

340213 -ANTEBRAZO 1era EXPOSICION 1 119,96 119,96 ANALISIS CLINICOS, R100 119.96

340213 -BRAZO 1era.EXPOSICION 1 119,96 119,96 ANALISIS CLINICOS, R100 119.96

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 919,75 919.73 96,57 1.016,32 _____________________________________________________________________________________________________________________________________19-02-16 933491 983261 VALENCIA, BEATRIZ (G) 370 14291693001





Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 78_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________19-02-16 933498 166020 SUAREZ WITEK DE, ADE (G) 370 06498689004

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________19-02-16 933512 204240 EUGENIO, MONICA GRAC (G) 370 09007316005

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________19-02-16 933513 565280 LOURES, MARIA CONSUE (G) 370 10719910003

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________19-02-16 933515 749804 PORREZ, CAROLINA JIM (G) 370 1480753-9-000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________19-02-16 933521 1105776DO AMARAL KAERCHER, (G) 370 15239222000




LLAVE D05 -LLAVE DE 3 VIAS E-151 1 15,12 15,12 MEDICAMENTOS 100 15.12




5466 -HEMATOCRITO 1 14,04 14,04 ANALISIS CLINICOS, R100 14.04




Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 79_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________6433 -SUB UNIDAD BETA CUANTITAT 1 140,53 140,53 ANALISIS CLINICOS, R100 140.53



449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 1.244,40 1244.39 130,66 1.375,06 _____________________________________________________________________________________________________________________________________19-02-16 933523 1107872BADR, CHEHADE (G) 370 11185427006

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________19-02-16 933530 1094866VIGLIECCA, KARINA AN (G) 370 15120057001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________19-02-16 933536 790558 MESTORINO, LETICIA (G) 370 10829657002




449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 665,39 665.38 69,87 735,26 _____________________________________________________________________________________________________________________________________19-02-16 933549 925459 GURBANOV, JORGE ADRI (G) 370 13779545003

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________20-02-16 933573 429758 LESZNIK, JACQUELINE (G) 370 07915452002




Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 80_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________5171 -COAGULOGRAMA 1 54,03 54,03 ANALISIS CLINICOS, R100 54.03


280031 -ECO. TRANSVAGINAL 1 308,37 308,37 ANALISIS CLINICOS, R100 308.37 __________ 536,61 536.60 56,34 592,95 _____________________________________________________________________________________________________________________________________20-02-16 933588 658844 ESPOSITO, LUCIA DEL (G) 370 11583425002


E41450D00 -E41450 ETHILON 4/0 14502T 1 39,06 39,06 MEDICAMENTOS 100 39.06


STERI D45 -STERI STRIP R1541 6x75mm 1 25,54 25,54 MEDICAMENTOS 100 25.54


120404 -XILOCAINA 2% S/E S/C amp 1 1.377,99 1.377,99 MEDICAMENTOS 100 1377.99

340213 -DEDOS FRENTE Y PERFIL 4 119,96 479,86 ANALISIS CLINICOS, R100 479.86

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 2.172,71 2172.72 228,14 2.400,85 _____________________________________________________________________________________________________________________________________20-02-16 933589 138834 ALBANESE, MARIA NELI (G) 370 08305080011


340209 -COLUMNA FRENTE 1 119,96 119,96 ANALISIS CLINICOS, R100 119.96


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 498,86 498.85 52,38 551,24 _____________________________________________________________________________________________________________________________________20-02-16 933591 973030 DE PAOLA, DIEGO HERN (G) 370 13985545000




Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 81_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________5171 -COAGULOGRAMA 1 54,03 54,03 ANALISIS CLINICOS, R100 54.03








449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 675,78 675.76 70,96 746,74 _____________________________________________________________________________________________________________________________________20-02-16 933595 840811 MONTENEGRO, AZUL BEL (G) 370 12532457000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________20-02-16 933623 990861 CORREA, MARIANO JOSE (G) 370 14286232001

340211 -CADERA O PELVIS 2 119,96 239,93 ANALISIS CLINICOS, R100 239.93

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 422,74 422.74 44,39 467,13 _____________________________________________________________________________________________________________________________________20-02-16 933666 1107927BONELLI, SOFIA CARME (G) 370 10060734003

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________20-02-16 933709 807561 DECHEIM, KARINA (G) 370 13550739001




Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 82_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________660001 -TC CEREBRAL 1 1.919,86 1.919,86 TOMOGRAFIA AXIAL COM100 1919.86 __________ 2.102,68 2102.67 220,78 2.323,46 _____________________________________________________________________________________________________________________________________20-02-16 933718 743812 CERNADAS, MARIANO (G) 370 1050401.3.002


02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 339,32 339.32 35,63 374,95 _____________________________________________________________________________________________________________________________________20-02-16 933752 1107950GOMEZ, VERONICA MARI (G) 370 10888758001









449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 860,52 860.50 90,35 950,87 _____________________________________________________________________________________________________________________________________21-02-16 933779 1107956FAN, YING (G) 370 13997470001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________21-02-16 933803 878678 DI MAGGIO, VERONICA (G) 370 13173601005






449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 426,40 426.39 44,77 471,17 _____________________________________________________________________________________________________________________________________21-02-16 933855 1099791ZUMPANO, ELIDA LUJAN (G) 370 10804289000


CIPROFA00 -CIPROFLOXACINA FADA 200mg 2 50,39 100,78 MEDICAMENTOS 100 100.78



LLAVE D05 -LLAVE DE 3 VIAS E-151 1 15,12 15,12 MEDICAMENTOS 100 15.12

LOPERAC05 -LOPERAMIDA RICHET 2mg com 4 5,52 22,08 MEDICAMENTOS 100 22.08

PANAL V60 -PANAL ADULTO G (110-140cm 8 13,14 105,12 VARIOS NO CUBIERTOS - FARMACIA100 105.12













Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 84_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________5409 -LEUCOCITOS EN MAT. FECAL 1 21,05 21,05 ANALISIS CLINICOS, R100 21.05


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 936,96 936.94 98,38 1.035,34 _____________________________________________________________________________________________________________________________________21-02-16 933862 279826 GARCIA, ADRIANA DELI (G) 370 08433794010

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________21-02-16 933864 790651 JUAREZ, NELIDA EDITH (G) 370 1299532 1 001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________21-02-16 933865 2035568FREITAS DE CARVALHO, (G) 370 14746557000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________21-02-16 933868 488049 BIDEGAIN, SILVIA YOL (G) 370 09183811004


02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 302,78 302.77 31,79 334,57 _____________________________________________________________________________________________________________________________________21-02-16 933897 643774 DUER, ROMINA SOLANGE (G) 370 1167313 3 004

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________21-02-16 933903 1108001CHANGAZZO, JOAQUIN E (G) 370 15262178000

AMPI-BA00 -AMPI-BIS PLUS 1.5 Amp x 1 1 58,28 58,28 MEDICAMENTOS 100 58.28



Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 85_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________B-13 GD00 -B-13 GUIA p/adm. sol macr 2 21,06 42,12 MEDICAMENTOS 100 42.12






SEPTICC05 -SEPTICIDE 500mg comp x1 1 17,68 17,68 MEDICAMENTOS 100 17.68


















Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 86_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________6688 -FAUCES TEST RAPIDO. ESTRE 1 152,81 152,81 ANALISIS CLINICOS, R100 152.81



660015 -TC TORACICA_ 1 2.247,67 2.247,67 TOMOGRAFIA AXIAL COM100 2247.67 __________ 3.638,88 3638.86 382,08 4.020,96 _____________________________________________________________________________________________________________________________________21-02-16 933926 934300 FEUERMANN, MARIANA (G) 370 10885393002




449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 292,61 292.60 30,72 323,33 _____________________________________________________________________________________________________________________________________21-02-16 933937 832430 MONACO, ADRIANA NORM (G) 370 13174299002



449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 387,95 387.95 40,74 428,69 _____________________________________________________________________________________________________________________________________22-02-16 933955 1108027REITER, CAROLINA (G) 370 14053299000








Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 87_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________TEGADED00 -TEGADERM transp. 10x12cm 1 15,92 15,92 MEDICAMENTOS 100 15.92

TRAMA A00 -TRAMA KLOSIDOL 100mg amp 1 24,97 24,97 MEDICAMENTOS 100 24.97





449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 645,03 645.03 67,73 712,76 _____________________________________________________________________________________________________________________________________22-02-16 934004 597652 GAMARRA, KARINA SOLE (G) 370 10749012007
















Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 88_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________5711 -ORINA COMPLETA 1 32,82 32,82 ANALISIS CLINICOS, R100 32.82






449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 1.179,66 1179.64 123,86 1.303,52 _____________________________________________________________________________________________________________________________________22-02-16 934031 1075886CHACON MENDOZA, ANDR 370 15096065000


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 323,34 323.34_____________________________________________________________________________________________________________________________________22-02-16 934045 506395 OLIVES, LEONARDO 370 1035666 2 002

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81_____________________________________________________________________________________________________________________________________22-02-16 934079 1108139GARCIA, LEPOLDO SIMO (G) 370 0645136-0-007









Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 89_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________5412 -GLUCOSA EN SANGRE 1 21,01 21,01 ANALISIS CLINICOS, R100 21.01






449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 1.114,88 1114.86 117,06 1.231,94 _____________________________________________________________________________________________________________________________________22-02-16 934175 1106951PETRICEK GOMEZ, CYNT (G) 370 15268721000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________23-02-16 934303 960498 PAPAGNO, FLORENCIA M (G) 370 12609291001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________23-02-16 934317 403429 MARINE, MARIA CLARA 370 0646813-5-009

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81_____________________________________________________________________________________________________________________________________23-02-16 934324 115409 JUSID, SAMUEL (G) 370 10213539002

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________23-02-16 934335 538464 BACIGALUPE, GRACIELA (G) 370 13604770001




Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 90_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________23-02-16 934336 901198 CICERO, MARISSA (G) 370 12091604001



02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 422,74 422.73 44,39 467,13 _____________________________________________________________________________________________________________________________________23-02-16 934338 601675 SIERRA, ANALIA (G) 370 14803208000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________23-02-16 934341 1107554GUERRERO, MIGUEL ANG 370 1072265 5 003




RELIVEC05 -RELIVERAN Sub Lingual cpr 2 7,41 14,82 MEDICAMENTOS 100 14.82















660007 -TC COMPLETA DE ABDOMEN 1 3.184,12 3.184,12 TOMOGRAFIA AXIAL COM100 3184.12 __________ 4.078,64 4078.64_____________________________________________________________________________________________________________________________________23-02-16 934349 816635 SALMUN, FABIANA R. S (G) 370 0984828-7-005

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________23-02-16 934360 816635 SALMUN, FABIANA R. S (G) 370 0984828-7-005

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________23-02-16 934392 996868 LEVIN, LUCIANA 370 14221220000


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 491,18 491.18_____________________________________________________________________________________________________________________________________23-02-16 934424 916209 KRAMER, PAOLA (G) 370 13725234003



449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 631,72 631.71 66,33 698,05 _____________________________________________________________________________________________________________________________________23-02-16 934425 1108001CHANGAZZO, JOAQUIN E (G) 370 15262178000




Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 92_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________23-02-16 934442 1108433SANTOS, YESICA 370 15138979000


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 491,18 491.18_____________________________________________________________________________________________________________________________________23-02-16 934463 532365 LOGRIEGO, SILVIA (G) 370 10796900002

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________23-02-16 934464 523684 SOSA, PAOLA BETRIZ (G) 370 10330424004


459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 408,05 408.05 42,84 450,89 _____________________________________________________________________________________________________________________________________23-02-16 934527 1080951NEVAREZ ANDRADE, MAR (G) 370 14935478004


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 216,49 216.48 22,73 239,22 _____________________________________________________________________________________________________________________________________23-02-16 934541 1103952IBARRA, RAMONA MALVI (G) 370 15210174000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________23-02-16 934548 1098585CASELLA, JULIO DIEGO (G) 370 14338360000






Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 93_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________GUANTED18 -GUANTES internación desca 1 6,40 6,40 MEDICAMENTOS 100 6.40











5761 -PROTEINA C REACTIVA 1 39,26 39,26 ANALISIS CLINICOS, R100 39.26







660055 -TC 3D TORACICA 1 4.468,82 4.468,82 100 4468.82 __________ 5.671,96 5671.95 595,56 6.267,52 _____________________________________________________________________________________________________________________________________23-02-16 934559 1108558RAGUSA, JIMENA (G) 370 13813706003




Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 94_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 386,32 386.31 40,56 426,88 _____________________________________________________________________________________________________________________________________23-02-16 934570 619366 MELLA, VALENTINA (G) 370 11449335002



449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 363,76 363.75 38,19 401,95 _____________________________________________________________________________________________________________________________________23-02-16 934571 716528 MELLA, ARISTIDES (G) 370 11449315001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________23-02-16 934578 803797 FRANCESCHELLI, CLAUD (G) 370 08386036004











660007 -TC COMPLETA DE ABDOMEN 1 3.184,12 3.184,12 TOMOGRAFIA AXIAL COM100 3184.12 __________ 3.715,59 3715.58 390,14 4.105,73 _____________________________________________________________________________________________________________________________________



Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 95_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________23-02-16 934586 1108570BRACAMONTE, DANIELA (G) 370 0798392.6.007

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________24-02-16 934610 485925 VELASQUEZ, AGUSTIN L (G) 370 1037432 4 000


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 335,63 335.62 35,24 370,87 _____________________________________________________________________________________________________________________________________24-02-16 934651 1075886CHACON MENDOZA, ANDR (G) 370 15096065000


459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 304,60 304.60 31,98 336,58 _____________________________________________________________________________________________________________________________________24-02-16 934683 871845 GIBELLI, NORBERTO (G) 370 14819106001


02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 274,98 274.97 28,87 303,85 _____________________________________________________________________________________________________________________________________24-02-16 934702 1108674PALAVECINO MARTINEZ, (G) 370 14826132000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________24-02-16 934734 2048228HUANG, LI CHUAN (G) 370 14793849001




Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 96_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________24-02-16 934740 603178 NUÑEZ, EINAR JUSTO (G) 370 10146402003


459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 408,05 408.05 42,84 450,89 _____________________________________________________________________________________________________________________________________24-02-16 934815 1088578ORDOÑEZ MANRIQUE, KE (G) 370 1359273.1.001




02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________25-02-16 934884 1037641MAGNERES, MARIA CLAR 370 14652952001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81_____________________________________________________________________________________________________________________________________25-02-16 934897 840042 SANSIÑENA, MARIA FER 370 11052265004


CONECTD48 -CONECTOR VADSITE USO S/AG 1 27,38 27,38 MEDICAMENTOS 100 27.38




MYLANTJ00 -MYLANTA II x 150 ml. 1 123,77 123,77 MEDICAMENTOS 100 123.77



Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 97_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________SOLUCIZ60 -SOLUCION Fisiologica x 50 2 12,10 24,20 MEDICAMENTOS 100 24.20


ULCOZOA00 -ULCOZOL 40mg famp x1 1 430,60 430,60 MEDICAMENTOS 100 430.60









449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 1.190,60 1190.60_____________________________________________________________________________________________________________________________________25-02-16 934922 629878 MAFFONGELLI, MARIELA 370 14415535000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81_____________________________________________________________________________________________________________________________________25-02-16 934964 597652 GAMARRA, KARINA SOLE (G) 370 10749012007

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________25-02-16 934965 1092161CASTELO, AMANDA (G) 370 15163147000





Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 98_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________6433 -SUB UNIDAD BETA CUANTITAT 1 140,53 140,53 ANALISIS CLINICOS, R100 140.53


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 719,42 719.41 75,54 794,96 _____________________________________________________________________________________________________________________________________25-02-16 935036 652098 SERVERA, MARIA JOSE (G) 370 11727083000





449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 575,59 575.58 60,44 636,03 _____________________________________________________________________________________________________________________________________25-02-16 935042 991820 FERNANDEZ, PATRICIA (G) 370 14037495000



449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 285,86 285.86 30,02 315,88 _____________________________________________________________________________________________________________________________________25-02-16 935082 369511 DORMAL, ISABEL (G) 370 09492262003

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________25-02-16 935089 458826 BILLINGHURST, AGUSTI (G) 370 11402550004

ZERODOC05 -ZERODOL 10mg SUBLINGUAL c 4 11,88 47,53 MEDICAMENTOS 100 47.53




Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA: 99_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________5297 -ERITROSEDIMENTACION 1 17,48 17,48 ANALISIS CLINICOS, R100 17.48







449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 966,49 966.48 101,48 1.067,97 _____________________________________________________________________________________________________________________________________25-02-16 935095 950983 DIAZ, LORENA SOLEDAD (G) 370 1371725.6.002

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________26-02-16 935134 510261 ARAMENDI, LUIS ANIBA (G) 370 10488009001


CONECTD06 -CONECTOR Recto p/T-63. 1 26,52 26,52 MEDICAMENTOS 100 26.52

FORLAND00 -FORLANO bolsa colectora o 1 46,64 46,64 MEDICAMENTOS 100 46.64









Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA:100_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________5481 -HEPATOGRAMA 1 96,82 96,82 ANALISIS CLINICOS, R100 96.82





449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 761,53 761.51 79,96 841,49 _____________________________________________________________________________________________________________________________________26-02-16 935147 541240 WAISMAN, MARCELO FAB 370 06576138009

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 304,60 304.60_____________________________________________________________________________________________________________________________________26-02-16 935149 1106482FELDMAN, PATRICIA MA 370 06576144008

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 304,60 304.60_____________________________________________________________________________________________________________________________________26-02-16 935168 675118 SALEH, LORENA ALEJAN 370 14140451000

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 304,60 304.60_____________________________________________________________________________________________________________________________________26-02-16 935182 1062475PICCIRILLI, NATALIA 370 13952715003







Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA:101_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________26-02-16 935189 840811 MONTENEGRO, AZUL BEL (G) 370 12532457000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________26-02-16 935195 597652 GAMARRA, KARINA SOLE (G) 370 10749012007




449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 367,34 367.33 38,57 405,91 _____________________________________________________________________________________________________________________________________26-02-16 935203 2046610CLARK, LUCAS (G) 370 14069293000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________26-02-16 935206 967648 CASTELLANO, MONICA H 370 0720569-9-005

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81_____________________________________________________________________________________________________________________________________26-02-16 935213 1072278SILVA, CRISTIAN ARIE 370 1377783 4 000

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 304,60 304.60_____________________________________________________________________________________________________________________________________26-02-16 935257 1107685RUIZ DIAZ, SILVIA (G) 370 1022781-7-002






Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA:102_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 331,41 331.41 34,80 366,21 _____________________________________________________________________________________________________________________________________26-02-16 935259 826603 CASTILLO, ALFREDO EN (G) 370 12967061001

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 304,60 304.60 31,98 336,58 _____________________________________________________________________________________________________________________________________26-02-16 935261 1109102PRADO, MARIA (G) 370 15021162001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________26-02-16 935272 1100408MASSA, MATIAS (G) 370 13405655001
















Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA:103_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________5481 -HEPATOGRAMA 1 96,82 96,82 ANALISIS CLINICOS, R100 96.82






660006 -TC COMP.ABDOM. C/CTE/ 1 3.980,14 3.980,14 TOMOGRAFIA AXIAL COM100 3980.14 __________ 4.712,20 4712.18 494,78 5.206,98 _____________________________________________________________________________________________________________________________________26-02-16 935280 1017791TOKER, LUCIA (G) 370 06895554009

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________26-02-16 935292 608705 FALCHI, HECTOR EDUAR (G) 370 10911425004

121932 -CONSULTA TRAUMATOLOGICA E 1 395,32 395,32 NULO 100 395.32

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 578,14 578.13 60,70 638,84 _____________________________________________________________________________________________________________________________________26-02-16 935303 1109128LAZARTE ABARCA, ANGE (G) 370 12549701001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________26-02-16 935306 954473 ESPINOLA, JOSEFINA 370 1370575000






Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA:104_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________26-02-16 935308 1107554GUERRERO, MIGUEL ANG (G) 370 1072265 5 003




449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 341,40 341.39 35,85 377,25 _____________________________________________________________________________________________________________________________________26-02-16 935309 1109132GOMEZ, DIEGO (G) 370 14028187000

02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________26-02-16 935402 629878 MAFFONGELLI, MARIELA (G) 370 14415535000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________26-02-16 935406 918521 PEÑA, IVAN (G) 370 12334071002




KALMALC05 -KALMALIN 2,5mg comp x1 1 1,72 1,72 MEDICAMENTOS 100 1.72








Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA:105_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________5192 -CREATININA EN SANGRE 1 21,21 21,21 ANALISIS CLINICOS, R100 21.21







449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 962,43 962.41 101,06 1.063,49 _____________________________________________________________________________________________________________________________________26-02-16 935409 2054246ARZANI, HORACIO (G) 370 11656307002


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 335,63 335.62 35,24 370,87 _____________________________________________________________________________________________________________________________________27-02-16 935425 399108 CERVINI, CONSTANZA 370 07876276006



449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 285,86 285.86_____________________________________________________________________________________________________________________________________27-02-16 935451 597652 GAMARRA, KARINA SOLE (G) 370 10749012007

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________27-02-16 935498 1088578ORDOÑEZ MANRIQUE, KE (G) 370 1359273.1.001



Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA:106_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________27-02-16 935502 1108001CHANGAZZO, JOAQUIN E (G) 370 15262178000



449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 363,64 363.63 38,18 401,82 _____________________________________________________________________________________________________________________________________27-02-16 935506 1109223PONCE DE LEON, MARIA (G) 370 10416930001




449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 542,34 542.33 56,95 599,29 _____________________________________________________________________________________________________________________________________27-02-16 935535 724876 MENUTTI, MARISA MIRE (G) 370 11234958001

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________27-02-16 935571 529382 POLI, GASTON 370 10689911002

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81_____________________________________________________________________________________________________________________________________28-02-16 935626 1103532IGNAZI, LAURA GISELL (G) 370 13568444001





Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA:107_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________28-02-16 935633 597652 GAMARRA, KARINA SOLE (G) 370 10749012007


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 216,49 216.48 22,73 239,22 _____________________________________________________________________________________________________________________________________28-02-16 935645 488957 RODRIGUEZ, DIEGO MAR 370 09829584002


02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 318,35 318.35_____________________________________________________________________________________________________________________________________28-02-16 935722 399108 CERVINI, CONSTANZA (G) 370 07876276006

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________28-02-16 935726 794138 MOLINELLI, FRANCISCO (G) 370 09065354009

FLEXWRD00 -FLEXWRAP VENDA COBAN 5cm 1 50,96 50,96 MEDICAMENTOS 100 50.96



VENDASV33 -VENDAS ELASTICAS 10cm x1 1 76,41 76,41 VARIOS NO CUBIERTOS - FARMACIA100 76.41

121926 -VENDAS ELASTICAS 10cm x1 1 598,63 598,63 VARIOS NO CUBIERTOS - FARMACIA100 598.63


02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 1.164,62 1164.60 122,28 1.286,90 _____________________________________________________________________________________________________________________________________28-02-16 935743 1109287BARBOSA, SANDRA SILV (G) 370 1509461.2.000




Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA:108_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________28-02-16 935752 1070502SOTO SAENZ, OMAR (G) 370 1433290.4.002

5409 -LEUCOCITOS EN MAT. FECAL 1 21,05 21,05 ANALISIS CLINICOS, R100 21.05


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 316,18 316.18 33,20 349,38 _____________________________________________________________________________________________________________________________________28-02-16 935755 497347 DOBAL, PATRICIA MARI (G) 370 10787016002


E3 163D00 -E3 163 ETHILON 3/0 163T ( 1 39,06 39,06 MEDICAMENTOS 100 39.06



STERI D45 -STERI STRIP R1541 6x75mm 2 25,54 51,08 MEDICAMENTOS 100 51.08


121402 -XILOCAINA 1% S/E S/C amp 1 1.377,99 1.377,99 MEDICAMENTOS 100 1377.99

130110 -XILOCAINA 1% S/E S/C amp 1 451,80 451,80 MEDICAMENTOS 100 451.80


02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 2.349,38 2349.38 246,69 2.596,07 _____________________________________________________________________________________________________________________________________28-02-16 935758 745113 BALLESTEROS, VIRGINI (G) 370 10873817000


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 285,38 285.38 29,97 315,35 _____________________________________________________________________________________________________________________________________29-02-16 935793 482418 LOMORO, CARMEN (G) 370 10473299004



Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA:109_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________02170117 -CONSULTA TRAUMATOLOGICA E 1 182,81 182,81 100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________29-02-16 935800 193924 FARIÑAS, GUSTAVO 370 10233326002


121921 -VENDAS ENYESADAS x15cm(fr 1 192,02 192,02 MEDICAMENTOS 100 192.02

340213 -BRAZO 1era.EXPOSICION 1 119,96 119,96 ANALISIS CLINICOS, R100 119.96

660020 -TC DE ARTICULACIONES 1 2.111,95 2.111,95 TOMOGRAFIA AXIAL COM100 2111.95

671921 -VALVA LARGA DE MIEMBRO SU 1 173,40 173,40 DERECHOS OPERATORIOS100 173.40 __________ 2.673,59 2673.59_____________________________________________________________________________________________________________________________________29-02-16 935804 1063496PETIT, JORGE ROBERTO (G) 370 13539834000

459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 304,60 304.60 31,98 336,58 _____________________________________________________________________________________________________________________________________29-02-16 935808 931337 LEVY, DANIEL MOISES (G) 370 1008438.7.006

340213 -DEDOS FRENTE Y PERFIL 1 119,96 119,96 ANALISIS CLINICOS, R100 119.96 __________ 119,96 119.96 12,60 132,56 _____________________________________________________________________________________________________________________________________29-02-16 935812 1109319BIANCHI, MARIA CECIL (G) 370 0616536-9-005

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________29-02-16 935815 1109322COCIFFI, GOERGINA VA 370 1125300-6-003






Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA:110_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________280031 -ECO. TRANSVAGINAL 1 308,37 308,37 ANALISIS CLINICOS, R100 308.37

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 719,41 719.41_____________________________________________________________________________________________________________________________________29-02-16 935827 1109334RIQUELME, VALERA MAR (G) 370 15162004000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________29-02-16 935886 436855 PEREZ, MAGALI FLOREN (G) 370 08522680007

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________29-02-16 935925 1109434ELORZA, LIDIA (G) 370 1349019-8-000


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 286,26 286.26 30,06 316,32 _____________________________________________________________________________________________________________________________________29-02-16 935967 424721 MEISSINGER, ELIDA EL (G) 370 0785987 8 005


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 325,38 325.38 34,17 359,55 _____________________________________________________________________________________________________________________________________29-02-16 935982 1109502GUERRERO, MARIA JOSE (G) 370 13127987000


449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 491,19 491.18 51,57 542,76 _____________________________________________________________________________________________________________________________________29-02-16 936002 390374 ROMANO, MARGARITA DE (G) 370 09712505003



Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA:111_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 304,60 304.60 31,98 336,58 _____________________________________________________________________________________________________________________________________29-02-16 936004 2051053MANZONI, CRISTHIAN O (G) 370 14766253000



459000 -CONSULTA ESPECIALISTA GUA 1 304,60 304,60 HONORARIOS MEDICOS 100 304.60 __________ 408,05 408.05 42,84 450,89 _____________________________________________________________________________________________________________________________________29-02-16 936015 1047098CORTES, ANAHI (G) 370 15029971002

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________29-02-16 936023 1092161CASTELO, AMANDA (G) 370 15163147000



449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________29-02-16 936063 934080 BONDANZA, RUBEN (G) 370 1088381.9.001





Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA:112_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________DEXTROZ40 -DEXTROSA 5% en agua ecofl 1 13,00 13,00 MEDICAMENTOS 100 13.00




















449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 1.340,95 1340.93 140,80 1.481,75 _____________________________________________________________________________________________________________________________________



Comprobante: A003600000220 Entidad: 370 - MEDICUS PLAN CORPORATE HOJA:113_____________________________________________________________________________________________________________________________________FECHA NSF REGISTRO NOMBRE ENT AFILIADO EDAD MATRICULA PROFESIONAL COBERTURA % IMPORTE_____________________________________________________________________________________________________________________________________29-02-16 936077 2028816VALERO URIA, ROCIO (G) 370 1444297-4-000

449000 -CONSULTA MEDICO INTERNO G 1 182,81 182,81 ANALISIS CLINICOS, R100 182.81 __________ 182,81 182.81 19,20 202,01 _____________________________________________________________________________________________________________________________________S U B T O T A L 242.942,20

SUBTOTAL VENTAS GRAVADAS 10.5% : 193.119,22 SUBTOTAL VENTAS EXENTAS: 49.820,88 IVA VENTAS GRAVADAS 10.5% : 20.277,74

_____________________________________________________________________________________________________________________________________T O T A L G E N E R A L 263.217,84 242940.10_____________________________________________________________________________________________________________________________________�

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