régimen estatal de protección social en salud informe del ... · 184 atenciÓn del parto y...

Entidad Federativa: CHIAPAS Mes: JUNIO 2017

CODIGO DESCRIPCION NOMBRE RFCFECHA DE

ATENCIONCURP POLIZA DE AFILIACION NO. FECHA C.U. TOTAL

184 ATENCIÓN DEL PARTO Y PUERPERIO FISIOLÓGICO_(2016)REGIMEN DE PROTECCION SOCIAL EN SALUD DEL ESTADO DE

GUANAJUATORPS1510077U2 21/12/2016 MORC830226MMCRMR05 7151443472 053 REPSSEG 25/05/2017 5,633.20$ 5,633.20$

36 DIAGNÓSTICO Y TRATAMIENTO DE RINOFARINGITIS_(2016)REGIMEN DE PROTECCION SOCIAL EN SALUD DEL ESTADO DE

GUANAJUATORPS1510077U2 02/10/2016 GOAA160622MCSNNNXX 7129292644 053 REPSSEG 25/05/2017 158.24$ 158.24$

184 ATENCIÓN DEL PARTO Y PUERPERIO FISIOLÓGICO_(2016)REGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD DE

OAXACAREP150907-BB2 06/12/2016 LOGL890128MCSPLZ08 7142822331 IN-174 07/03/2017 7,582.21$ 7,582.21$

88ATENCIÓN POR ALGUNOS SIGNOS SÍNTOMAS Y OTROS FACTORES QUE INFLUYEN EN EL

ESTADO DE SALUD_(2016)

REGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD DE

OAXACAREP150907-BB2 05/04/2016 SASG951030HOCNNR07 7150002821 IN-183 06/06/2017 291.47$ 291.47$

182 DIAGNÓSTICO Y TRATAMIENTO DE AMENAZA DE ABORTO_(2016) REGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD (SINALOA) OPD150213AQ5 12/12/2016 AACL831029MCSLRL05 0710295410-1 008 CHP 13/02/2017 3,630.58$ 3,630.58$

182 DIAGNÓSTICO Y TRATAMIENTO DE AMENAZA DE ABORTO_(2016) REGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD (SINALOA) OPD150213AQ5 26/12/2016 MATB930128MSLRRR00 0715065884-1 008 CHP 13/02/2017 3,898.02$ 3,898.02$

182 DIAGNÓSTICO Y TRATAMIENTO DE AMENAZA DE ABORTO_(2016) REGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD (SINALOA) OPD150213AQ5 29/12/2016 AACL831029MCSLRL05 0710295410-1 008 CHP 13/02/2017 1,681.57$ 1,681.57$

39DIAGNÓSTICO Y TRATAMIENTO DE DENGUE CLÁSICO (Y OTRAS FIEBRES PRODUCIDAS

POR FLAVIVIRUS Y ARBOVIRUS)_(2016)REGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD (SINALOA) OPD150213AQ5 17/11/2016 NASL830804MCSVND07 7088218121 008 CHP 13/02/2017 511.49$ 511.49$

114DIAGNÓSTICO Y TRATAMIENTO DEL ASMA Y SUS EXACERBACIONES EN MENORES DE

18 AÑOS_(2016)REGIMEN DE PROTECCION SOCIAL EN SALUD DE NUEVO LEÓN RPS151221-GF9 28/07/2016 PEBD130611MCSRLRA3 7128635883 00021 19/05/2017 1,435.22$ 1,435.22$

251 HISTERECTOMÍA ABDOMINAL Y VAGINAL_(2016) REGIMEN DE PROTECCION SOCIAL EN SALUD DE NUEVO LEÓN RPS151221-GF9 09/07/2016 PEMM810227MNERRR05 7160193631 00021 19/05/2017 15,781.22$ 15,781.22$

49 DIAGNÓSTICO Y TRATAMIENTO DE CISTITIS_(2016) REGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD (PUEBLA) REP150909-A67 30/12/2016 DOLA960114MHGXPL06 7164316762 11 SCEI 10/04/2017 318.69$ 318.69$

182 DIAGNÓSTICO Y TRATAMIENTO DE AMENAZA DE ABORTO_(2016) REGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD (PUEBLA) REP150909-A67 30/12/2016 DOLA960114MHGXPL06 7164316762 11 SCEI 10/04/2017 1,681.57$ 1,681.57$

221 LAPAROTOMÍA EXPLORADORA_(2016) REGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD (PUEBLA) REP150909-A67 25/12/2016 MAGE770402MCSRNRXX 7042110131 11 SCEI 10/04/2017 14,365.59$ 14,365.59$

246 ATENCIÓN DE CESÁREA Y PUERPERIO QUIRÚRGICO_(2016) REGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD (PUEBLA) REP150909-A67 03/11/2016 CULR980901MCSRPS08 7103484854 11 SCEI 10/04/2017 12,092.62$ 12,092.62$

244 DIAGNÓSTICO Y TRATAMIENTO QUIRÚRGICO DEL EMBARAZO ECTÓPICO_(2016) REGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD (PUEBLA) REP150909-A67 25/11/2016 RAED911219MCSBSL05 7163173261 11 SCEI 10/04/2017 3,898.02$ 3,898.02$

221 LAPAROTOMÍA EXPLORADORA_(2016) REGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD (PUEBLA) REP150909-A67 25/11/2016 RAED911219MCSBSL05 7163173261 11 SCEI 10/04/2017 9,296.90$ 9,296.90$

98DIAGNÓSTICO Y TRATAMIENTO TRASTORNOS BENIGNOS DE LA MAMA

(IZQUIERDO)_(2016)REGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD (PUEBLA) REP150909-A67 03/11/2016 TOGM750801MCSLLR02 7128165541 11 SCEI 10/04/2017 509.09$ 509.09$

163 CURACIÓN Y SUTURAS DE LESIONES TRAUMÁTICAS DE TEJIDOS BLANDOS_(2016) REGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD (PUEBLA) REP150909-A67 18/11/2016 GAGD891016MCSRRL07 7110117081 11 SCEI 10/04/2017 533.42$ 533.42$

188 ATENCIÓN DEL RECIÉN NACIDO_(2016) REGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD (PUEBLA) REP150909-A67 21/10/2016 EIMJ161021HPLSXSXX 7129086934 11 SCEI 10/04/2017 3,351.63$ 3,351.63$

184 ATENCIÓN DEL PARTO Y PUERPERIO FISIOLÓGICO_(2016) REGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD (PUEBLA) REP150909-A67 21/10/2016 EIMD931230MCSSXN02 7129086931 11 SCEI 10/04/2017 7,582.21$ 7,582.21$

DATOS FACTURA

LIDIA DOMINGA NAVARRO SANTIAGO

NOMBRE

DALIA DEL CARMEN GARCIA GORDILLO

JOSE ESPINOSA MUÑOZ

MARTA MIRIAM PERDOMO MARQUEZ

Régimen Estatal de Protección Social en SaludInforme del ejercicio de la Cuota Social y Aportación Solidaria Federal 2016

INFORME SUBROGADOS

PADECIMIENTO DEL CAUSES PRESTADOR

CAROLINA MORENO RAMIREZ

DATOS DEL BENEFICIARIO

ALMACENIT DOÑU LOPEZ

ALMACENIT DOÑU LOPEZ

ERIKA MARTINEZ DE GANTE

ROSALIA CRUZ LOPEZ

DULCE GUADALUPE RABANALES ESTRADA

MARGARITA TOALA GUILLEN

DREYLI HATZIRY PEREZ BALLINAS

DULCE GUADALUPE RABANALES ESTRADA

ANA BELEN GONZALEZ ANGEL

LUZ MARIA LOPEZ GALVEZ

GERARDO SANTIAGO SANTIAGO

LILIANA ALVAREZ CRUZ

BRENDA KARELI MARQUEZ TORRES

LILIANA ALVAREZ CRUZ

DIANA ELIZABETH ESPINOSA MUÑOZ

1 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS

PADECIMIENTO DEL CAUSES PRESTADOR DATOS DEL BENEFICIARIO

142 EXTRACCIÓN DE DIENTES ERUPCIONADOS Y RESTOS RADICULARES_(2016) REGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD (PUEBLA) REP150909-A67 28/11/2016 HEJT580715MCSRMR00 7114515841 11 SCEI 10/04/2017 312.68$ 312.68$

149 DIAGNÓSTICO Y TRATAMIENTO DE ANGINA DE PECHO_(2016) REGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD (PUEBLA) REP150909-A67 16/11/2016 MASM850921HCSZNR05 7103875492 11 SCEI 10/04/2017 2,226.73$ 2,226.73$

111 DIAGNÓSTICO Y TRATAMIENTO DE OTITIS MEDIA SUPURATIVA (IZQUIERDO)_(2016) REGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD (PUEBLA) REP150909-A67 15/11/2016 LUHM530320MCSNRR06 7103278661 11 SCEI 10/04/2017 447.73$ 447.73$

128 DIAGNÓSTICO Y TRATAMIENTO DE ARTRITIS REUMATOIDE_(2016) REGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD (PUEBLA) REP150909-A67 30/08/2016 GULN871214MCSTLY08 7131346332 13 SCEI 10/04/2017 1,235.26$ 1,235.26$

93 ATENCIÓN PRENATAL EN EL EMBARAZO_(2016) REGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD (PUEBLA) REP150909-A67 29/09/2016 ROFM910907MCSBLY02 7101706181 13 SCEI 10/04/2017 622.63$ 622.63$

93 ATENCIÓN PRENATAL EN EL EMBARAZO_(2016) REGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD (PUEBLA) REP150909-A67 19/09/2016 VAHI951222MCSZRS01 7150648421 14 SCEI 10/04/2017 622.63$ 622.63$

147 ESTABILIZACION EN URGENCIAS DEL PACIENTE DIABETICO CON CETOACIDOSIS_(2016) REGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD (PUEBLA) REP150909-A67 04/09/2016 PEJC630225MCSRRN05 7139362211 12 SCEI 10/04/2017 15,569.87$ 15,569.87$

210DIAGNÓSTICO Y TRATAMIENTO DE ENFERMEDAD PULMONAR OBSTRUCTIVA

CRÓNICA_(2016)REGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD (PUEBLA) REP150909-A67 29/08/2016 GOGL390115MCSNMN05 7102913501 14 SCEI 10/04/2017 9,448.43$ 9,448.43$

184 ATENCIÓN DEL PARTO Y PUERPERIO FISIOLÓGICO_(2016) GOBIERNO DE LA CIUDAD DE MEXICO GDF971205-4NA 11/12/2016 LEME941106MCSNNL03 0714228968-1 SSAIA 306 29/03/2017 9,531.22$ 9,531.22$

184 ATENCIÓN DEL PARTO Y PUERPERIO FISIOLÓGICO_(2016) GOBIERNO DE LA CIUDAD DE MEXICO GDF971205-4NA 14/09/2016 GUII930121MCS2NN07 7153261972 SSAIA 306 29/03/2017 9,531.22$ 9,531.22$

184 ATENCIÓN DEL PARTO Y PUERPERIO FISIOLÓGICO_(2016) GOBIERNO DE LA CIUDAD DE MEXICO GDF971205-4NA 18/08/2016 PESA880526MCSRNN00 7141722291 SSAIA 306 29/03/2017 9,531.22$ 9,531.22$

196DIAGNÓSTICO Y TRATAMIENTO DE HEMORRAGIA OBSTÉTRICA PUERPERAL (INCLUYE

CHOQUE HIPOVOLÉMICO)_(2016)GOBIERNO DE LA CIUDAD DE MEXICO GDF971205-4NA 23/08/2016 LEMN990922MCSNRR02 0716317398-2 SSAIA 306 29/03/2017 1,949.01$ 1,949.01$

184 ATENCIÓN DEL PARTO Y PUERPERIO FISIOLÓGICO_(2016) GOBIERNO DE LA CIUDAD DE MEXICO GDF971205-4NA 23/08/2016 LEMN990922MCSNRR02 0716317398-2 SSAIA 306 29/03/2017 5,633.20$ 5,633.20$

184 ATENCIÓN DEL PARTO Y PUERPERIO FISIOLÓGICO_(2016) GOBIERNO DE LA CIUDAD DE MEXICO GDF971205-4NA 07/06/2016 AEEV890528MCSNR11 0712778935-1 SSAIA 306 29/03/2017 7,582.21$ 7,582.21$

221 LAPAROTOMÍA EXPLORADORA_(2016) GOBIERNO DE LA CIUDAD DE MEXICO GDF971205-4NA 15/07/2016 GUPD951210MCSTRR09 7141945751 SSAIA 306 29/03/2017 14,365.59$ 14,365.59$

238 DIAGNÓSTICO Y TRATAMIENTO DE COLECISTITIS Y COLELITIASIS_(2016) GOBIERNO DE LA CIUDAD DE MEXICO GDF971205-4NA 15/07/2016 GUPD951210MCSTRR09 7141945751 SSAIA 306 29/03/2017 10,375.32$ 10,375.32$

246 ATENCIÓN DE CESÁREA Y PUERPERIO QUIRÚRGICO_(2016) GOBIERNO DE LA CIUDAD DE MEXICO GDF971205-4NA 08/07/2016 GOHM971025MCSMRR01 7160073192 SSAIA 306 29/03/2017 12,092.62$ 12,092.62$

245DIAGNÓSTICO Y TRATAMIENTO DEL ABORTO INCOMPLETO (NO INCLUYE

INTERRUPCIÓN LEGAL DEL EMBARAZO)_(2016)GOBIERNO DE LA CIUDAD DE MEXICO GDF971205-4NA 15/07/2016 TOPS930620MCSLZR06 7142364921 SSAIA 306 29/03/2017 8,555.36$ 8,555.36$


INTERRUPCIÓN LEGAL DEL EMBARAZO)_(2016)GOBIERNO DE LA CIUDAD DE MEXICO GDF971205-4NA 31/07/2016 GAAC880613MCSRRL12 7128108301 SSAIA 306 29/03/2017 8,555.36$ 8,555.36$

184 ATENCIÓN DEL PARTO Y PUERPERIO FISIOLÓGICO_(2016) GOBIERNO DE LA CIUDAD DE MEXICO GDF971205-4NA 14/05/2016 ROAK951123MNEMRRXX 7160201152 SSAIA 306 29/03/2017 9,531.22$ 9,531.22$

NERY KARINA DE LEON MARTINEZ

VERONICA ANGEL ESPINOZA

MARIA LUNA HERNANDEZ

NAYELI YADIRA GUTIERREZ LLANDEZ

MAYELI YASMIN ROBLERO FELIPE

ISELA GUADALUPE VAZQUEZ HERNANDEZA

NERY KARINA DE LEON MARTINEZ

DORIS EDITH GUTIERREZ PEREZ

DORIS EDITH GUTIERREZ PEREZ

MARTHA GOMEZ HERNANDEZ

SURAYMA YURITZI TOLEDO DE PAZ

CLAUDIA GARCIA ARRAZATE

KARINA ILIANY ROMERO ARMIJO

CONCEPCION PEREZ JUAREZ

LEONISA GONZALEZ GOMEZ

ELOINA MARISOL DE LEON MENDEZ

INESCIA GUZMAN INTZIN

ANTONIA PEREZ SANTIZ

TERESA HERNANDEZ JIMENEZ

MARIO JHONY MAZARIEGOS SANCHEZ

2 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS


238 DIAGNÓSTICO Y TRATAMIENTO DE COLECISTITIS Y COLELITIASIS_(2016) GOBIERNO DE LA CIUDAD DE MEXICO GDF971205-4NA 02/05/2016 GOTM881208MCSNRY09 7087865291 SSAIA 306 29/03/2017 14,273.34$ 14,273.34$

251 HISTERECTOMÍA ABDOMINAL Y VAGINAL_(2016) GOBIERNO DE LA CIUDAD DE MEXICO GDF971205-4NA 28/04/2016 GUMV770604MCSZRN07 7151538901 SSAIA 306 29/03/2017 18,534.14$ 18,534.14$


INTERRUPCIÓN LEGAL DEL EMBARAZO)_(2016)SERVICIOS ESTATALES DE SALUD (QUINTANA ROO) SES961019-TX9 11/11/2016 SALL961223MCSNPC03 7163000891 SFCONV 47 05/06/2017 1,949.01$ 1,949.01$

222 DIAGNÓSTICO Y TRATAMIENTO DE APENDICITIS_(2016) SERVICIOS ESTATALES DE SALUD (QUINTANA ROO) SES961019-TX9 01/11/2016 PEPA880709HCSRRL05 7090028823 SFCONV 47 05/06/2017 12,213.30$ 12,213.30$

146 ESTABILIZACIÓN EN URGENCIAS POR CRISIS HIPERTENSIVA_(2016) SERVICIOS ESTATALES DE SALUD (QUINTANA ROO) SES961019-TX9 13/10/2016 ZAML550414MCSLRZ01 7104402332 SFCONV 47 05/06/2017 1,540.09$ 1,540.09$

246 ATENCIÓN DE CESÁREA Y PUERPERIO QUIRÚRGICO_(2016) SERVICIOS ESTATALES DE SALUD (QUINTANA ROO) SES961019-TX9 11/10/2016 GOGL991027MCSMZC04 7065926657 SFCONV 47 05/06/2017 15,990.64$ 15,990.64$

193 DIAGNÓSTICO Y TRATAMIENTO DE PREECLAMPSIA LEVE Y MODERADA_(2016) SERVICIOS ESTATALES DE SALUD (QUINTANA ROO) SES961019-TX9 11/10/2016 GOGL991027MCSMZC04 7065926657 SFCONV 47 05/06/2017 2,811.77$ 2,811.77$

146 ESTABILIZACIÓN EN URGENCIAS POR CRISIS HIPERTENSIVA_(2016) SERVICIOS ESTATALES DE SALUD (QUINTANA ROO) SES961019-TX9 02/10/2016 DIML490531MCSZZN09 7101581631 SFCONV 47 05/06/2017 1,540.09$ 1,540.09$

222 DIAGNÓSTICO Y TRATAMIENTO DE APENDICITIS_(2016) SERVICIOS ESTATALES DE SALUD (QUINTANA ROO) SES961019-TX9 04/08/2016 GUGJ790929HCSZRH02 7040240523 SFCONV 47 05/06/2017 12,213.30$ 12,213.30$

163 CURACIÓN Y SUTURAS DE LESIONES TRAUMÁTICAS DE TEJIDOS BLANDOS_(2016) SERVICIOS ESTATALES DE SALUD (QUINTANA ROO) SES961019-TX9 01/08/2016 MOAP990909HCSNRD06 7064908614 SFCONV 47 05/06/2017 274.92$ 274.92$

84 DIAGNÓSTICO Y TRATAMIENTO DE PREDIABETES Y DIABETES MELLITUS TIPO 2 SERVICIOS ESTATALES DE SALUD (QUINTANA ROO) SES961019-TX9 12/01/2016 VAPF721203MCSZLL07 7117380891 SFCONV 48 09/06/2017 1,656.04$ 1,656.04$

164 DIAGNÓSTICO Y TRATAMIENTO DE ESGUINCE CERVICAL SERVICIOS ESTATALES DE SALUD (QUINTANA ROO) SES961019-TX9 10/01/2016 GOBJ500119HCSRTR06 7102057442 SFCONV 48 09/06/2017 706.57$ 706.57$

197 DIAGNÓSTICO Y TRATAMIENTO DE LITIASIS RENAL Y URETERAL SERVICIOS ESTATALES DE SALUD (QUINTANA ROO) SES961019-TX9 07/01/2016 VAPF721203MCSZLL07 7117380891 SFCONV 48 09/06/2017 2,355.62$ 2,355.62$

40 DIAGNÓSTICO Y TRATAMIENTO DE SÍNDROME DIARREICO AGUDO SERVICIOS ESTATALES DE SALUD (QUINTANA ROO) SES961019-TX9 07/01/2016 VAPF721203MCSZLL07 7117380891 SFCONV 48 09/06/2017 1,148.20$ 1,148.20$

224 DIAGNÓSTICO Y TRATAMIENTO DE OBSTRUCCIÓN INTESTINAL SERVICIOS ESTATALES DE SALUD (QUINTANA ROO) SES961019-TX9 04/01/2016 GOCO580602HCSMRS09 7053850972 SFCONV 48 09/06/2017 9,393.01$ 9,393.01$

184 ATENCIÓN DEL PARTO Y PUERPERIO FISIOLÓGICO_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 31/12/2016 MESM880202MCSNLR09 7116150191 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 27/12/2016 GUSG830927MTCTLD07 7163634411 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 28/12/2016 MESJ890822MCSNLS02 7116931251 03-2017P 23/05/2017 5,633.20$ 5,633.20$

219DIAGNÓSTICO Y TRATAMIENTO DE HIPERTENSIÓN INDUCIDA Y/O PREEXISTENTE EN

EL EMBARAZO_(2016)

RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 29/12/2016 AOPM740615MCSCRR08 7053460931 03-2017P 23/05/2017 5,267.36$ 5,267.36$

242MÉTODO DEFINITIVO DE PLANIFICACIÓN FAMILIAR EN LA MUJER (OCLUSIÓN TUBARIA

BILATERAL)_(2016)



MARIA ACOSTA PEREZ

MARIA ACOSTA PEREZ

GUADALUPE DEL CARMEN GUTIERREZ SILIAS

JOSEFINA MENDEZ SILVANO

LUCIA GOMEZ GUZMAN

LEONOR DIAZ MEZA

MAYRA GUADALUPE GONZALEZ DE LA TORRE

VINERVA GUZMAN MORALES

LUCILA SANCHEZ LOPEZ

JOSE ALFREDO PEREZ PEREZ

FLOR ELENA VAZQUEZ PALACIOS

JORGE GORDILLO BETANZOS

JOHN GUZMAN GRANADOS

PEDRO ROMALDO MONTEJO ARCOS

MARIA LUZ ZALASAR MORALEZ

LUCIA GOMEZ GUZMAN



OSCAR GOMEZ CRUZ

MARIA MENDEZ SOLIS

3 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS


246 ATENCIÓN DE CESÁREA Y PUERPERIO QUIRÚRGICO_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE



INTERRUPCIÓN LEGAL DEL EMBARAZO)_(2016)


TABASCOREP1509093H6 13/12/2016 LOVG980608MCSPZL06 7099682165 03-2017P 23/05/2017 8,555.36$ 8,555.36$


TABASCOREP1509093H6 18/12/2016 COLM930810MTCRPR04 7163980231 03-2017P 23/05/2017 9,531.22$ 9,531.22$


TABASCOREP1509093H6 06/12/2016 LOSM911206MCSPNG02 7090909771 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 29/12/2016 PECD900917MTCRRN00 7127704561 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 30/12/2016 LOMA920120MTCPRL09 7128134831 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 30/12/2016 DIGC901017MVZZML06 7088219843 03-2017P 23/05/2017 10,143.61$ 10,143.61$


BILATERAL)_(2016)


TABASCOREP1509093H6 30/12/2016 DIGC901017MVZZML06 7088219843 03-2017P 23/05/2017 4,929.57$ 4,929.57$


BILATERAL)_(2016)


TABASCOREP1509093H6 29/12/2016 DOGP830317MCSMMT06 7163506491 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 29/12/2016 DOGP830317MCSMMT06 7163506491 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 29/12/2016 MELA960714MHGJPR06 7163659271 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 28/12/2016 VALA890226MCSZPR01 7087765722 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 29/12/2016 TOTJ920917MCSRRL07 7127901461 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 29/12/2016 CULM800126MCSRPR02 7089330511 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 29/12/2016 ROAK950714MCSDLR00 7142066891 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 28/12/2016 MAPA960418MCSRRN03 7142295782 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 28/12/2016 SILK920530MCSLRN09 7163453341 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 28/12/2016 SALM860929MCSNPG01 7139054702 03-2017P 23/05/2017 10,143.61$ 10,143.61$


BILATERAL)_(2016)


TABASCOREP1509093H6 28/12/2016 SALM860929MCSNPG01 7139054702 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 28/12/2016 MACL980927MCSRRD00 7164151091 03-2017P 23/05/2017 7,582.21$ 7,582.21$

MARIA ACOSTA PEREZ

GUILLERMINA LOPEZ VAZQUEZ

MARYCARMEN CORDOVA LOPEZ

MAGNOLIA LOPEZ SANCHEZ

DANIELA PEREGRINO CORDOVA

ALICIA LOPEZ MORALES

CLAUDINE DIAZ GOMEZ

CLAUDINE DIAZ GOMEZ

PATRICIA DOMINGUEZ GOMEZ

PATRICIA DOMINGUEZ GOMEZ

ARACELI MEJIA LOPEZ

AURELIANA VAZQUEZ LOPEZ

JULIA TORRES TORRES

MERCEDES DE LA CRUZ LOPEZ

KARINA GUADALUPE RODRIGUEZ ALVAREZ

ANA LAURA MARTINEZ PEREZ

KENYA ESTHER SILVA LARA

MIGUELINA SANCHEZ LOPEZ

MIGUELINA SANCHEZ LOPEZ

LIDIA CRISTER MARTINEZ CRUZ

4 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 27/12/2016 LARY880730MCSNDS09 7089044841 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 27/12/2016 MEFY910209MNENLNXX 7164100861 03-2017P 23/05/2017 7,582.21$ 7,582.21$

195 DIAGNÓSTICO Y TRATAMIENTO DE ECLAMPSIA_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 13/12/2016 MEHD001006MCSNRYA7 7089327793 03-2017P 23/05/2017 21,942.03$ 21,942.03$


TABASCOREP1509093H6 13/12/2016 MEHD001006MCSNRYA7 7089327793 03-2017P 23/05/2017 8,194.60$ 8,194.60$


TABASCOREP1509093H6 27/12/2016 MOSS921012MCSRLL07 7117298292 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 26/12/2016 SAVD800806MCSNLL01 7089327041 03-2017P 23/05/2017 9,531.22$ 9,531.22$


EL EMBARAZO_(2016)


TABASCOREP1509093H6 26/12/2016 SAVD800806MCSNLL01 7089327041 03-2017P 23/05/2017 5,267.36$ 5,267.36$


TABASCOREP1509093H6 26/12/2016 LOLC950601MCSPPL04 7142437581 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 26/12/2016 CUHD961123MCSRRN01 7163635641 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 26/12/2016 MOCS990530MCSRRM02 7065779663 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 26/12/2016 ROAL930826MCSSLY01 7115273471 03-2017P 23/05/2017 7,582.21$ 7,582.21$

199 DIAGNÓSTICO Y TRATAMIENTO DE LITIASIS RENAL Y URETERAL_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 02/12/2016 JIMT620925MCSMRR06 7099684971 03-2017P 23/05/2017 4,304.63$ 4,304.63$

235 DIAGNÓSTICO Y TRATAMIENTO DE HERNIA INGUINAL (IZQUIERDO)_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 16/12/2016 HEPM501120HCSRRN02 7151410771 03-2017P 23/05/2017 7,946.46$ 7,946.46$

157DIAGNÓSTICO Y TRATAMIENTO DEL ENVENENAMIENTO POR MORDEDURA DE

SERPIENTE_(2016)


TABASCOREP1509093H6 24/12/2016 GAGJ010302HCSRMNA6 7103640664 03-2017P 23/05/2017 22,105.48$ 22,105.48$

238 DIAGNÓSTICO Y TRATAMIENTO DE COLECISTITIS Y COLELITIASIS_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 28/12/2016 GODR431025HCSMZF04 7066336492 03-2017P 23/05/2017 16,222.35$ 16,222.35$


TABASCOREP1509093H6 21/12/2016 OOVS681030HCSSDN08 7150409211 03-2017P 23/05/2017 9,895.47$ 9,895.47$

222 DIAGNÓSTICO Y TRATAMIENTO DE APENDICITIS_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 26/12/2016 PEHS940831MTCRRR16 7150340481 03-2017P 23/05/2017 13,008.82$ 13,008.82$


TABASCOREP1509093H6 23/12/2016 VEMS850409HCSLNB01 7116956372 03-2017P 23/05/2017 13,008.82$ 13,008.82$

207DIAGNÓSTICO Y TRATAMIENTO HOSPITALARIO DEL ESTATUS EPILÉPTICO Y CRISIS

CONVULSIVAS DE DIFÍCIL CONTROL_(2016)


TABASCOREP1509093H6 23/12/2016 GAFW890928MCSRLN00 7099965511 03-2017P 23/05/2017 20,720.52$ 20,720.52$

206 DIAGNÓSTICO Y TRATAMIENTO CONSERVADOR DE PANCREATITIS AGUDA_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 22/12/2016 BAMD821116MTCSNN06 7053253261 03-2017P 23/05/2017 10,181.42$ 10,181.42$

YESENIA LANDEROS RODRIGUEZ

YENIFER PAOLA MENDOZA FLORES

DEYSI MENDEZ HERNANDEZ

DEYSI MENDEZ HERNANDEZ

SILVIA MORENO SILVANO

DELIA SAENZ VELAZQUEZ

DELIA SAENZ VELAZQUEZ

CLAUDIA CECILIA LOPEZ LOPEZ

DIANA BEATRIZ DE LA CRUZ HERNANDEZ

SUEMY SHERLIN MORALES CRUZ

LEYDI ROSALES ALTUNAR

TERESA JIMENEZ MARTINEZ

MANUEL HERNANDEZ PEREZ

JUAN MANUEL GARCIA GOMEZ

RAFAEL GOMEZ DIAZ

JOSE DE LOS SANTOS OSORIO VIDAL

SARAI PEREZ HERNANDEZ

SEBASTIAN VELASCO MENESES

WENCESLADA GARCIA FLORES

DIANA BASURTO MENDEZ

5 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 21/12/2016 MEPA840605MCSNRN05 7150091981 03-2017P 23/05/2017 12,130.43$ 12,130.43$




TABASCOREP1509093H6 18/12/2016 DIVF571225MCSZLL02 7090635801 03-2017P 23/05/2017 10,975.47$ 10,975.47$

221 LAPAROTOMÍA EXPLORADORA_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 06/12/2016 GAVT560307HCSRDM04 7064730882 03-2017P 23/05/2017 31,238.93$ 31,238.93$


CRÓNICA_(2016)


TABASCOREP1509093H6 16/12/2016 GALD690629HDFRPV06 7088566412 03-2017P 23/05/2017 5,550.41$ 5,550.41$

287 DIAGNÓSTICO Y TRATAMIENTO QUIRÚRGICO DE CATARATAS (IZQUIERDO)_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 15/12/2016 SARS420725HTCNZN05 7053119261 03-2017P 23/05/2017 4,257.55$ 4,257.55$

147 ESTABILIZACION EN URGENCIAS DEL PACIENTE DIABETICO CON CETOACIDOSIS_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 10/12/2016 SOHJ810819HCSSRR07 7164101061 03-2017P 23/05/2017 155,521.01$ 155,521.01$

204DIAGNÓSTICO Y TRATAMIENTO DE DENGUE HEMORRÁGICO (Y OTRAS

COMPLICACIONES POR FLAVIVIRUS)_(2016)


TABASCOREP1509093H6 09/12/2016 AOLM630411HCSRPG07 7164101351 03-2017P 23/05/2017 7,600.43$ 7,600.43$

205DIAGNÓSTICO Y TRATAMIENTO DE TRAUMATISMO CRANEOENCEFÁLICO

MODERADO_(2016)


TABASCOREP1509093H6 07/12/2016 TITK931129HCSPRV03 7128137282 03-2017P 23/05/2017 7,397.82$ 7,397.82$


TABASCOREP1509093H6 04/12/2016 ZAVE850818MCSVSL00 7053866281 03-2017P 23/05/2017 10,255.15$ 10,255.15$


TABASCOREP1509093H6 25/12/2016 TOAG860927MCSRQB08 7088339191 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 25/12/2016 GOPC851114MTCNRL07 7103095911 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 24/12/2016 VAAB990313MCSSLR09 7160520981 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 25/12/2016 JIAD970904MCSMLN08 7163457421 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 25/12/2016 OIGM940218MCSVNY05 7090351671 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 25/12/2016 CUHM780620MCSRRN02 7088619671 03-2017P 23/05/2017 10,143.61$ 10,143.61$


BILATERAL)_(2016)


TABASCOREP1509093H6 25/12/2016 CUHM780620MCSRRN02 7088619671 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 24/12/2016 TOTM940807MCSRRR06 7141898991 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 23/12/2016 AEAA991011MCSLLN06 7064734665 03-2017P 23/05/2017 7,582.21$ 7,582.21$


BILATERAL)_(2016)


TABASCOREP1509093H6 23/12/2016 HEMA890719MCSRRM02 7102399071 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 23/12/2016 HEMA890719MCSRRM02 7102399071 03-2017P 23/05/2017 15,990.64$ 15,990.64$

ANA MENDEZ PEREZ

FELICITA DIAZ VELAZQUEZ

TOMAS GARCIA VIDAL

JOSE DAVID GARCIA LOPEZ

SANTIAGO SANCHEZ RUIZ

JORGE SOSA HERRERA

MIGUEL ARCOS LOPEZ

KEVIN MITCHELL TIPACAMU TORRES

MARIA ELENA ZAVALA VASCONCELOS

GABRIELA TORRES AQUINO

CELIA DEL CARMEN GONZALEZ PERALTA

BRENDA GUADALUPE VASCONCELOS ALVAREZ

DIANA CRISTHELL JIMENEZ ALANIS

MAYTE DEL CARMEN OVILLA GONZALEZ

MINERVA CRUZ HERNANDEZ

MINERVA CRUZ HERNANDEZ

MARCELA TORRES TORRES

ANDREA DEL ROCIO ALEJO ALVAREZ

AMALIA HERNANDEZ MORALES

AMALIA HERNANDEZ MORALES

6 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 25/12/2016 CUFF990120MTCSLR07 7163457141 03-2017P 23/05/2017 7,582.21$ 7,582.21$




TABASCOREP1509093H6 22/12/2016 JISA840422MCSMNL03 7163815511 03-2017P 23/05/2017 12,453.38$ 12,453.38$


TABASCOREP1509093H6 20/12/2016 JIAB980820MCSMRR09 7088316624 03-2017P 23/05/2017 15,990.64$ 15,990.64$


TABASCOREP1509093H6 06/12/2016 PEPN980727MCSRRMXX 7163928871 03-2017P 23/05/2017 9,531.22$ 9,531.22$


TABASCOREP1509093H6 22/12/2016 PEAG911214MCSRRD00 7102233211 03-2017P 23/05/2017 7,582.21$ 7,582.21$


BILATERAL)_(2016)


TABASCOREP1509093H6 22/12/2016 PAPM880404MCSRRR00 7102656091 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 22/12/2016 PAPM880404MCSRRR00 7102656091 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 22/12/2016 VARJ020624MCSSDNA3 7116812264 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 22/12/2016 LULN900111MTCNPR07 7163455911 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 21/12/2016 MADC911122MCSRZC02 7101581372 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 21/12/2016 OAVD880526MTCCZB03 7139083451 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 21/12/2016 DOGC940702MCSMNR02 7163040002 03-2017P 23/05/2017 5,633.20$ 5,633.20$

194 DIAGNÓSTICO Y TRATAMIENTO DE PREECLAMPSIA SEVERA_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 21/12/2016 HECL920204MCSRRC07 7116165241 03-2017P 23/05/2017 5,346.38$ 5,346.38$


TABASCOREP1509093H6 21/12/2016 HECL920204MCSRRC07 7116165241 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 21/12/2016 HEHE990928MCSRRL01 7090632122 03-2017P 23/05/2017 10,143.61$ 10,143.61$


BILATERAL)_(2016)


TABASCOREP1509093H6 21/12/2016 HEHE990928MCSRRL01 7090632122 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 20/12/2016 VAMM460303MCSZNR08 7053183121 03-2017P 23/05/2017 155,095.07$ 155,095.07$

187 DIAGNÓSTICO Y TRATAMIENTO DE CHOQUE SÉPTICO PUERPERAL_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 20/12/2016 VAMM460303MCSZNR08 7053183121 03-2017P 23/05/2017 8,538.80$ 8,538.80$


TABASCOREP1509093H6 20/12/2016 MIPE890217MCSJLL02 7103590551 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 20/12/2016 ZAHC920710MTCVDR07 7128744151 03-2017P 23/05/2017 5,633.20$ 5,633.20$

MARIA FERNANDA CUSTODIO FLORES

ALEJANDRA PASCUALA JIMENEZ SANCHEZ

BARBARA JIMENEZ ARCOS

NOEMI PEREZ PEREZ

MARIA GUADALUPE PEREZ ARCOS

MARIA PARCERO PEREZ

MARIA PARCERO PEREZ

JUANA VASCONCELOS RODRIGUEZ

NORMA CECILIA LUNA LOPEZ

MARIA CECILIA MARTINEZ DIAZ

DEBORA OCAÑA VAZQUEZ

MARIA DEL CARMEN DOMINGUEZ GONZALEZ

LUCERO HERNANDEZ CRUZ

LUCERO HERNANDEZ CRUZ

ELVAELIZABETH HERNANDEZ HERNANDEZ

ELVAELIZABETH HERNANDEZ HERNANDEZ

MARIA VAZQUEZ MENDOZA

MARIA VAZQUEZ MENDOZA

ELIZABETH MIJANGO PALMA

CAROLINA CRISTELL ZAVALA HIDALGO

7 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 20/12/2016 ROPE871129MTCDRS06 7090690141 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 20/12/2016 CUPE940129MCSRRL02 7090639722 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 20/12/2016 VEGM970720MTCLNR07 7163453481 03-2017P 23/05/2017 9,531.22$ 9,531.22$


TABASCOREP1509093H6 20/12/2016 CUPY890425MCSRRL09 7115943441 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 19/12/2016 OAMV891116MCSLYR09 7139198361 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 19/12/2016 LOPN960110MCSPRY00 7142396461 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 19/12/2016 MODS871216MCSNMR04 7138476252 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 17/12/2016 PECA970219MCSRRR02 7163034881 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 17/12/2016 PEGN990328MCSRNX07 7064777753 03-2017P 23/05/2017 7,582.21$ 7,582.21$


BILATERAL)_(2016)


TABASCOREP1509093H6 17/12/2016 JUGJ811204MCSRRS02 7077386691 03-2017P 23/05/2017 5,522.08$ 5,522.08$


TABASCOREP1509093H6 17/12/2016 JUGJ811204MCSRRS02 7077386691 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 08/12/2016 AOSM851223MCSCNR11 7116069421 03-2017P 23/05/2017 10,143.61$ 10,143.61$


BILATERAL)_(2016)


TABASCOREP1509093H6 08/12/2016 AOSM851223MCSCNR11 7116069421 03-2017P 23/05/2017 4,929.57$ 4,929.57$




TABASCOREP1509093H6 18/12/2016 GOHM901122MCSMRR08 7114364971 03-2017P 23/05/2017 8,555.36$ 8,555.36$


TABASCOREP1509093H6 17/12/2016 PEGM941013MCSRTR03 7131091931 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 17/12/2016 GUDV850701MCSLMR03 7139200302 03-2017P 23/05/2017 5,633.20$ 5,633.20$


BILATERAL)_(2016)


TABASCOREP1509093H6 18/12/2016 PAAV920703MCSRLC02 7110366422 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 18/12/2016 PAAV920703MCSRLC02 7110366422 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 15/12/2016 RAVR860225MCSMLS02 7142043321 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 15/12/2016 MOPD970316MTCRRR00 7053868252 03-2017P 23/05/2017 5,633.20$ 5,633.20$

ESMERALDA RODRIGUEZ PEREZ

ELVI DE LA CRUZ PEREZ

MARGARITA VELAZQUEZ GONZALEZ

YOLANDA CRUZ PEREZ

VERONICA OLAN MAYO

NAYELI LOPEZ PARCERO

SARA MONDRAGON DOMINGUEZ

ARACELI PEREZ CRUZ

NAXIRI PEREZ GONZALEZ

MARIA DE JESUS JUAREZ GARCIA

MARIA DE JESUS JUAREZ GARCIA

MARICELA ACOSTA SANCHEZ

MARICELA ACOSTA SANCHEZ

MARIANA GOMEZ HERRERA

MARLENE PEREZ GUTIERREZ

MARIA VIRGINIA GUILLEN DOMINGUEZ

VICTORIA PARCERO ALVAREZ

VICTORIA PARCERO ALVAREZ

ROSA IMELDA RAMIREZ VELAZQUEZ

DORCA NOEMI MORALES PEREZ

8 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 15/12/2016 PESY940319MCSRNS00 7104256902 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 15/12/2016 BUCC920301MCSRRR09 7116164371 03-2017P 23/05/2017 7,582.21$ 7,582.21$


EL EMBARAZO_(2016)


TABASCOREP1509093H6 15/12/2016 MOJG841011MCSRMD09 7117154961 03-2017P 23/05/2017 5,267.36$ 5,267.36$




BILATERAL)_(2016)



182 DIAGNÓSTICO Y TRATAMIENTO DE AMENAZA DE ABORTO_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 15/12/2016 CAMC950220MTCHGL09 7128746942 03-2017P 23/05/2017 3,630.58$ 3,630.58$


TABASCOREP1509093H6 02/12/2016 RUMA881024MCSDRQ01 7090689191 03-2017P 23/05/2017 7,582.21$ 7,582.21$


BILATERAL)_(2016)


TABASCOREP1509093H6 15/12/2016 BUGP901117MCSSMT00 7102041801 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 15/12/2016 BUGP901117MCSSMT00 7102041801 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 08/12/2016 JIJA480930MCSMMD08 7066337561 03-2017P 23/05/2017 13,008.82$ 13,008.82$


TABASCOREP1509093H6 14/12/2016 MESE871105MCSJNN01 7099965441 03-2017P 23/05/2017 12,092.62$ 12,092.62$


BILATERAL)_(2016)


TABASCOREP1509093H6 14/12/2016 MESE871105MCSJNN01 7099965441 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 14/12/2016 BARJ970405MTCRDS06 7164100491 03-2017P 23/05/2017 8,194.60$ 8,194.60$


TABASCOREP1509093H6 14/12/2016 BARJ970405MTCRDS06 7164100491 03-2017P 23/05/2017 151,200.26$ 151,200.26$

236 DIAGNÓSTICO Y TRATAMIENTO DE HERNIA UMBILICAL_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 28/12/2016 YACA560605MTCGHM07 7053662521 03-2017P 23/05/2017 6,152.31$ 6,152.31$

188 ATENCIÓN DEL RECIÉN NACIDO_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 29/12/2016 MEGJ161227MTCNTZXX 7064537045 03-2017P 23/05/2017 3,898.02$ 3,898.02$


TABASCOREP1509093H6 29/12/2016 MEGG001215MCSNTBA9 7064537043 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 08/12/2016 XX 7100913432 03-2017P 23/05/2017 5,300.64$ 5,300.64$

233 DIAGNÓSTICO Y TRATAMIENTO DE HIPERTROFIA CONGÉNITA DEL PÍLORO_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 05/12/2016 VAMR161107HCSZRCXX 7129249885 03-2017P 23/05/2017 11,629.73$ 11,629.73$


TABASCOREP1509093H6 16/12/2016 DICL161214HTCZRBXX 7139226742 03-2017P 23/05/2017 5,300.64$ 5,300.64$

YESENIA PEREZ SANCHEZ

MARIA DEL CARMEN BURELO CORONEL

GUADALUPE MORALES JIMENEZ



CLAUDIA CHABLE MAGAÑA

AQUILA RUEDAS DE LEON MIRANDA

PETRONA BUSTAMANTE GOMEZ

PETRONA BUSTAMANTE GOMEZ

ADELINA JIMENEZ JIMENEZ

ENA MEJIA SANCHEZ

ENA MEJIA SANCHEZ

MARIA JOSEFINA BARRAGAN RODRIGUEZ

MARIA JOSEFINA BARRAGAN RODRIGUEZ

AMPARO YGNACIO CHABLE

JAZMIN MENDEZ GUTIERREZ

GABRIELA MENDEZ GUTIERREZ

YOEL FRANCISCO HERRERA DIAZ

RECIEN NACIDO VAZQUEZ MORALES

LEOBARDO DIAZ CRUZ

9 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 16/12/2016 CUML000409MCSRNDA0 7102465185 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 14/12/2016 RUMA001011MCSZNNA1 7160520891 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 14/12/2016 VIOS830401MCSDLN15 7103597321 03-2017P 23/05/2017 5,633.20$ 5,633.20$

251 HISTERECTOMÍA ABDOMINAL Y VAGINAL_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 14/12/2016 CUAI690717MCSRLS01 7089322091 03-2017P 23/05/2017 15,781.22$ 15,781.22$

193 DIAGNÓSTICO Y TRATAMIENTO DE PREECLAMPSIA LEVE Y MODERADA_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 14/12/2016 DIGN860615MCSZMR02 7102823242 03-2017P 23/05/2017 2,811.77$ 2,811.77$




BILATERAL)_(2016)




TABASCOREP1509093H6 11/12/2016 DIAL860612MCSZSC05 7099852431 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 13/12/2016 AOGL960904MCSRMT03 7128631892 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 13/12/2016 VEGB930316MCSRNG09 7142235111 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 13/12/2016 HECM980213MTCRRR01 7099268032 03-2017P 23/05/2017 95,119.22$ 95,119.22$


TABASCOREP1509093H6 10/12/2016 GOMS161207HTCMRNXX 7139227733 03-2017P 23/05/2017 5,300.64$ 5,300.64$


TABASCOREP1509093H6 13/12/2016 MOVA951015MCSNDN09 7053964684 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 10/12/2016 MAGL961106MCSRMR06 7139227731 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 08/12/2016 DILR791104MCSZPB09 7100913431 03-2017P 23/05/2017 12,092.62$ 12,092.62$


BILATERAL)_(2016)


TABASCOREP1509093H6 13/12/2016 CUGM900807MCSRNN09 7103591812 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 13/12/2016 CUGM900807MCSRNN09 7103591812 03-2017P 23/05/2017 7,582.21$ 7,582.21$




TABASCOREP1509093H6 13/12/2016 CUSE880602MCSRNR03 7089322371 03-2017P 23/05/2017 8,555.36$ 8,555.36$

258 EXTIRPACIÓN DE TUMOR BENIGNO DE TEJIDOS BLANDOS_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 04/12/2016 TOMM751218HCSRRN09 7053182672 03-2017P 23/05/2017 6,158.79$ 6,158.79$


TABASCOREP1509093H6 12/12/2016 GODA910202MCSNMD04 7163209321 03-2017P 23/05/2017 7,582.21$ 7,582.21$

LIDIA VERONICA CRUZ MENDEZ

ANGELA RUIZ MONTEJO

MARIA SANTO VIDAL OLAN

MARIA ISABEL CRUZ ALVAREZ

NEREYDA DIAZ GOMEZ

NEREYDA DIAZ GOMEZ

NEREYDA DIAZ GOMEZ

LUCIANA DIAZ ASTUDILLO

LETICIA ARCOS GOMEZ

BIGDA BERENICE VERA GONZALEZ

MARIANA HERNANDEZ DE LA CRUZ

SANTO GOMEZ MARTINEZ

ANA MONDRAGON VIDAL

LORENA MARTINEZ GOMEZ

REBECA DIAZ LOPEZ

MANUELA CRUZ GONZALEZ

MANUELA CRUZ GONZALEZ

ERIKA CRUZ SANCHEZ

MANUEL TORRES MORENO

ADRIANA GONZALEZ DOMINGUEZ

10 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 12/12/2016 JIPA951202MCSMRR03 7143166731 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 12/12/2016 HEHA010928MCSRRLA1 7066355192 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 12/12/2016 CUPA811114MCSRBM03 7163034341 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 03/12/2016 VAAP900626MTCZLR02 7104256482 03-2017P 23/05/2017 7,582.21$ 7,582.21$

267 COLOCACIÓN Y RETIRO DE DIVERSOS CATÉTERES _(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 06/12/2016 AOMA151022MCSRNLXX 7139485313 03-2017P 23/05/2017 1,083.53$ 1,083.53$

178 DIAGNÓSTICO Y TRATAMIENTO DE NEUMONÍA EN MENORES DE 18 AÑOS_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 06/12/2016 AOMA151022MCSRNLXX 7139485313 03-2017P 23/05/2017 21,439.11$ 21,439.11$

40 DIAGNÓSTICO Y TRATAMIENTO DE SÍNDROME DIARREICO AGUDO_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 06/12/2016 DOSJ150704HCSMNSXX 7088740006 03-2017P 23/05/2017 1,148.20$ 1,148.20$

213DIAGNÓSTICO Y TRATAMIENTO HOSPITALARIO DE QUEMADURAS DE SEGUNDO

GRADO_(2016)


TABASCOREP1509093H6 12/12/2016 MEPD160415MCSNRLXX 7126964884 03-2017P 23/05/2017 15,814.81$ 15,814.81$

276 REDUCCIÓN QUIRÚRGICA DE FRACTURA DE CÚBITO Y RADIO (IZQUIERDO)_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 10/12/2016 LEJK120518HCSNMVA0 7102038443 03-2017P 23/05/2017 1,228.64$ 1,228.64$


SERPIENTE_(2016)


TABASCOREP1509093H6 17/12/2016 ZEVE030713MTCBZSA5 7104452532 03-2017P 23/05/2017 4,564.39$ 4,564.39$


POR FLAVIVIRUS Y ARBOVIRUS)_(2016)


TABASCOREP1509093H6 12/12/2016 DIAY030131MCSZLNA9 7087765503 03-2017P 23/05/2017 511.49$ 511.49$


TABASCOREP1509093H6 23/12/2016 PEGB160505MCSRNRA1 7090469274 03-2017P 23/05/2017 13,634.26$ 13,634.26$


TABASCOREP1509093H6 24/12/2016 TOSG060209MCSRNSA7 7160518424 03-2017P 23/05/2017 13,008.82$ 13,008.82$


TABASCOREP1509093H6 06/12/2016 NIRM950411MCSVMR02 7163454051 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 09/12/2016 PEFL020723MCSRLZA3 7163453582 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 09/12/2016 LORJ980127MCSPZN03 7066349767 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 11/12/2016 LODM791028MCSPZR08 7065349172 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 11/12/2016 ROMF961012MCSDRR05 7142065681 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 11/12/2016 MAPC900216MCSRRR06 7099105962 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 11/12/2016 MALM870118MCSRPR00 7090516611 03-2017P 23/05/2017 10,143.61$ 10,143.61$

ARACELI JIMENEZ PEREZ

ALICIA HERNANDEZ HERNANDEZ

AMELIA DE LA CRUZ PABLO

PRAXEDES DEL CARMEN VAZQUEZ ALVAREZ

ALONDRA ARCOS MENDEZ

ALONDRA ARCOS MENDEZ

JOSE DOMINGUEZ SANCHEZ

DALIA MENDEZ PEREZ

KEVIN LEON JIMENEZ

ESMERALDA DEL CARMEN ZEBADUA VAZQUEZ

YENI PATRICIA DIAZ ALVARO

BRIGITTE SOLEDAD PEREZ GONZALEZ

GISELL TORRES SANCHEZ

MARTHA NIEVES RAMOS

LIZBETH PEREZ FLORES

JUANA LOPEZ RUIZ

MARTHA ELENA LOPEZ DIAZ

MARIA FERNANDA RODRIGUEZ MORALES

MARIA DEL CARMEN MARTINEZ PEREZ

MARTHA RUFINA MARTINEZ LOPEZ

11 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



BILATERAL)_(2016)




BILATERAL)_(2016)


TABASCOREP1509093H6 11/12/2016 HEHP910122MCSRRT00 7091508101 03-2017P 23/05/2017 4,929.57$ 4,929.57$






TABASCOREP1509093H6 10/12/2016 DIHR820618MCSZRB03 7115229381 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 10/12/2016 DIHR820618MCSZRB03 7115229381 03-2017P 23/05/2017 2,811.77$ 2,811.77$


TABASCOREP1509093H6 10/12/2016 JUCI850505MCSRHR14 7102403491 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 10/12/2016 RAJT990924MCSMML09 7090351453 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 10/12/2016 DILB991108MCSZPR09 7103909536 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 10/12/2016 DILB991108MCSZPR09 7103909536 03-2017P 23/05/2017 2,811.77$ 2,811.77$


BILATERAL)_(2016)


TABASCOREP1509093H6 08/12/2016 PECL800719MVZRRC03 7053963601 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 08/12/2016 PECL800719MVZRRC03 7053963601 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 07/12/2016 VIRV810630MCSLSR00 7064702991 03-2017P 23/05/2017 5,346.38$ 5,346.38$


TABASCOREP1509093H6 07/12/2016 VIRV810630MCSLSR00 7064702991 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 07/12/2016 COMV930911MCSRRC02 7103589522 03-2017P 23/05/2017 5,633.20$ 5,633.20$


BILATERAL)_(2016)


TABASCOREP1509093H6 07/12/2016 JUMM761111MCSRNL02 7088189691 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 07/12/2016 JUMM761111MCSRNL02 7088189691 03-2017P 23/05/2017 10,143.61$ 10,143.61$




TABASCOREP1509093H6 07/12/2016 LOJC820223MCSPMR00 7066359881 03-2017P 23/05/2017 8,555.36$ 8,555.36$


TABASCOREP1509093H6 06/12/2016 FIRZ940404MCSRML03 7128690392 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 06/12/2016 LOPG890720MCSPRL06 7128317751 03-2017P 23/05/2017 10,143.61$ 10,143.61$

MARTHA RUFINA MARTINEZ LOPEZ

PATRICIA HERNANDEZ HERNANDEZ



REBECA DIAZ HERNANDEZ

REBECA DIAZ HERNANDEZ

IRINEA JUAREZ CHAVARRIA

TILA GUADALUPE RAMIREZ JIMENEZ

BARBARA DE JESUS DIAZ LOPEZ

BARBARA DE JESUS DIAZ LOPEZ

LUCERO PEREZ CORTAZAR

LUCERO PEREZ CORTAZAR

VERONICA VILLAMIL DE LA ROSA

VERONICA VILLAMIL DE LA ROSA

VICTORIA CORNELIO MORALES

MELIDA JUAREZ MENDEZ

MELIDA JUAREZ MENDEZ

CARMEN LOPEZ JIMENEZ

ZOILA FRIAS RAMOS

GLORIA LOPEZ PEREZ

12 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 06/12/2016 VICJ910620MCSDHD00 7116164401 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 06/12/2016 HEMJ940526MCSRNN07 7138692791 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 06/12/2016 AIAG940405MCSRCB02 7128344461 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 06/12/2016 LOLY980510MCSPPS06 7141551672 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 02/12/2016 TODL940618MCSRZS01 7163456521 03-2017P 23/05/2017 9,531.22$ 9,531.22$


TABASCOREP1509093H6 05/12/2016 HEMN951116MCSRRN06 7151193641 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 05/12/2016 CAMF950804MCSNNR07 7151190331 03-2017P 23/05/2017 7,582.21$ 7,582.21$


BILATERAL)_(2016)


TABASCOREP1509093H6 05/12/2016 HELR831006MCSRPS08 7099649341 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 05/12/2016 HELR831006MCSRPS08 7099649341 03-2017P 23/05/2017 9,531.22$ 9,531.22$




TABASCOREP1509093H6 04/12/2016 DAZL860510MCSMCN09 7066938431 03-2017P 23/05/2017 4,479.57$ 4,479.57$


TABASCOREP1509093H6 03/12/2016 PEPD020319MCSRRLA4 7127373682 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 04/12/2016 VAJN991017MCSZMY00 7143014192 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 02/12/2016 CUPV970709MCSRRT00 7150095271 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 01/12/2016 HEDY910405MCSRML00 7116056031 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 01/12/2016 HEDY910405MCSRML00 7116056031 03-2017P 23/05/2017 5,346.38$ 5,346.38$


TABASCOREP1509093H6 02/12/2016 AECC970630MCCLLC00 7163034751 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 01/12/2016 GAHB881115MCSRRR01 7163455921 03-2017P 23/05/2017 9,745.05$ 9,745.05$


TABASCOREP1509093H6 01/12/2016 GAHB881115MCSRRR01 7163455921 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 02/12/2016 GOMU950105MCSMNR03 7141093841 03-2017P 23/05/2017 5,633.20$ 5,633.20$




TABASCOREP1509093H6 02/12/2016 ZAJC960112MCSPMR09 7141960481 03-2017P 23/05/2017 6,428.58$ 6,428.58$

JUDITH DEL CARMEN VIDAL CHEGUE

JENNIFER HERNANDEZ MONTEJO

GABRIELA ARIAS ACOSTA

YESICA LOPEZ LOPEZ

MARIA LISBETH TORRES DIAZ

NINIBE HERNANDEZ MORALES

FRANCIS HATZEL CANO MENDEZ

MARIA DEL ROSARIO HERNANDEZ LOPEZ

MARIA DEL ROSARIO HERNANDEZ LOPEZ

LEONOR DAMIAN ZACARIAS

DALIA PEREZ PEREZ

NAYELY VAZQUEZ JIMENEZ

VITELIA CRUZ PEREZ

YOLANDA HERNANDEZ DOMINGUEZ

YOLANDA HERNANDEZ DOMINGUEZ

CECILIA MARILI ALEJO COLLI

BERTHA GARCIA HERNANDEZ

BERTHA GARCIA HERNANDEZ

URSULA GOMEZ MENDOZA

CRISTEL CECILIA ZAPATA JIMENEZ

13 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



EL EMBARAZO_(2016)


TABASCOREP1509093H6 03/12/2016 TOPE991103MCSRRL07 7131895832 03-2017P 23/05/2017 5,267.36$ 5,267.36$


TABASCOREP1509093H6 03/12/2016 TOPE991103MCSRRL07 7131895832 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 02/12/2016 GATR771114MCSRRM02 7151191131 03-2017P 23/05/2017 15,781.22$ 15,781.22$


TABASCOREP1509093H6 01/12/2016 GOON960421MCSMRR05 7117470952 03-2017P 23/05/2017 12,092.62$ 12,092.62$


BILATERAL)_(2016)


TABASCOREP1509093H6 01/12/2016 GOON960421MCSMRR05 7117470952 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 03/12/2016 AARB970509MCSLZR07 7090640012 03-2017P 23/05/2017 7,582.21$ 7,582.21$




TABASCOREP1509093H6 04/12/2016 PEHL930415MCSRRD08 7139198521 03-2017P 23/05/2017 6,606.35$ 6,606.35$


TABASCOREP1509093H6 07/10/2016 VEMJ741108MCSLNS06 7065348681 03-2017P 23/05/2017 12,204.16$ 12,204.16$


TABASCOREP1509093H6 11/10/2016 FOVG161009HTCLLLXX 7163453634 03-2017P 23/05/2017 5,300.64$ 5,300.64$


TABASCOREP1509093H6 11/10/2016 VIAN930303MTCLLY06 7163453631 03-2017P 23/05/2017 12,092.62$ 12,092.62$


BILATERAL)_(2016)


TABASCOREP1509093H6 11/10/2016 VIAN930303MTCLLY06 7163453631 03-2017P 23/05/2017 5,522.08$ 5,522.08$


TABASCOREP1509093H6 24/10/2016 MAPS700922MCSRRY07 7099521961 03-2017P 23/05/2017 15,143.93$ 15,143.93$


TABASCOREP1509093H6 21/10/2016 LOPJ970908HCSPRN03 7163034241 03-2017P 23/05/2017 10,769.83$ 10,769.83$

164 DIAGNÓSTICO Y TRATAMIENTO DEL TRAUMATISMO CRANEOENCEFÁLICO LEVE_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 28/10/2016 MAHJ990424HCSRRH07 7053354383 03-2017P 23/05/2017 826.37$ 826.37$

276 REDUCCIÓN QUIRÚRGICA DE FRACTURA DE CÚBITO Y RADIO (DERECHO)_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 28/10/2016 MAHJ990424HCSRRH07 7053354383 03-2017P 23/05/2017 14,667.85$ 14,667.85$


BILATERAL)_(2016)


TABASCOREP1509093H6 04/10/2016 RULI760111MCSZPL06 7074297062 03-2017P 23/05/2017 4,929.57$ 4,929.57$






TABASCOREP1509093H6 17/10/2016 GOMI610316MOCNRG03 7127706331 03-2017P 23/05/2017 6,152.31$ 6,152.31$


TABASCOREP1509093H6 18/11/2016 MALD991013MCSRPY08 7065355186 03-2017P 23/05/2017 11,249.12$ 11,249.12$

ELISANDRA TORRES PEREZ

ELISANDRA TORRES PEREZ

REMEDIOS GARCIA TORRES

NORA IVETH GOMEZ OROZCO

NORA IVETH GOMEZ OROZCO

BERNARDITA ALVAREZ RUIZ

LIDIA ESTHER PEREZ HERNANDEZ

JOSEFA VELASCO MONTEJO

GAEL FLORES VILLEGAS

NAYELI VILLEGAS ALCAZAR

NAYELI VILLEGAS ALCAZAR

SOYLA MARTINEZ PEREZ

JUAN DANIEL LOPEZ PEREZ

JHOSMAR ADOLFO MARTINEZ HERRERA

JHOSMAR ADOLFO MARTINEZ HERRERA

ILDA GRACIELA RUIZ LOPEZ



IGNACIA GONZALEZ MARTINEZ

DEYSI MARTINEZ LOPEZ

14 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 05/11/2016 LOVC910423MCSPZR03 7099411161 03-2017P 23/05/2017 16,222.35$ 16,222.35$


TABASCOREP1509093H6 26/11/2016 FONE981210MCSLRR08 7160519631 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 25/11/2016 HEBN030927MTCRTTA6 7090351653 03-2017P 23/05/2017 7,582.21$ 7,582.21$




TABASCOREP1509093H6 24/11/2016 PEOE841111MCSRRN03 7114766821 03-2017P 23/05/2017 8,555.36$ 8,555.36$


TABASCOREP1509093H6 22/11/2016 MOLI780617MCSNPS02 7163352571 03-2017P 23/05/2017 12,092.62$ 12,092.62$


BILATERAL)_(2016)


TABASCOREP1509093H6 22/11/2016 MOLI780617MCSNPS02 7163352571 03-2017P 23/05/2017 4,929.57$ 4,929.57$




TABASCOREP1509093H6 26/11/2016 LOSG900901MCSPND04 7110144951 03-2017P 23/05/2017 6,606.35$ 6,606.35$


TABASCOREP1509093H6 26/11/2016 MARJ870923MCSRMS03 7103750901 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 26/11/2016 VACB941107MCSZRR03 7150130181 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 26/11/2016 CAMJ000907MTCNNLA7 7163456001 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 27/11/2016 VATR810122MCSZRM08 7099105891 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 27/11/2016 VATR810122MCSZRM08 7099105891 03-2017P 23/05/2017 8,658.80$ 8,658.80$


BILATERAL)_(2016)


TABASCOREP1509093H6 27/11/2016 LUHE790604MCSNRM09 7053917731 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 27/11/2016 LUHE790604MCSNRM09 7053917731 03-2017P 23/05/2017 12,092.62$ 12,092.62$


BILATERAL)_(2016)


TABASCOREP1509093H6 27/11/2016 PEPY900503MCSRNL06 7102319921 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 27/11/2016 PEPY900503MCSRNL06 7102319921 03-2017P 23/05/2017 14,041.63$ 14,041.63$


BILATERAL)_(2016)


TABASCOREP1509093H6 27/11/2016 HECC830817MCSRSR08 7115972971 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 27/11/2016 HECC830817MCSRSR08 7115972971 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 26/11/2016 SARE991007MCCNML02 7099664688 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 22/11/2016 LODM940303MCSPMR05 7163028151 03-2017P 23/05/2017 12,092.62$ 12,092.62$

CRISTEL GUADALUPE LOPEZ VAZQUEZ

ERIKA FLOREZ NARVAEZ

NATALIA HERNANDEZ BAUTISTA

ENEDINA PEREZ ORTIZ

ISABEL MONTEJO LOPEZ

ISABEL MONTEJO LOPEZ

MARIA GUADALUPE LOPEZ SANTIZ

JESUS JAQUELINE MARTINEZ RAMOS

BRISEIDEE VAZQUEZ DE LA CRUZ

JULIANA CANUL MONDRAGON

ROMUALDA VAZQUEZ TRUJILLO

ROMUALDA VAZQUEZ TRUJILLO

EMMA LUNA HERNANDEZ

EMMA LUNA HERNANDEZ

YOLANDA CAROLINA PEREZ PINTO

YOLANDA CAROLINA PEREZ PINTO

MARIA DEL CARMEN HERNANDEZ CASTELLANOS

MARIA DEL CARMEN HERNANDEZ CASTELLANOS

ELBA SANCHEZ RAMIREZ

MARTHA CRISTHEL LOPEZ DOMINGUEZ

15 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 25/11/2016 GOPM980611MCSMRR06 7163820041 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 17/11/2016 DICZ941119MCSZXR02 7139227391 03-2017P 23/05/2017 15,990.64$ 15,990.64$


BILATERAL)_(2016)


TABASCOREP1509093H6 17/11/2016 MASL771214MCSZLC02 7077385521 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 17/11/2016 MASL771214MCSZLC02 7077385521 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 17/11/2016 RONJ871218MGRDVN01 7129250482 03-2017P 23/05/2017 7,582.21$ 7,582.21$


BILATERAL)_(2016)


TABASCOREP1509093H6 17/11/2016 LOLF770311MCSPPR11 7102466081 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 17/11/2016 LOLF770311MCSPPR11 7102466081 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 17/11/2016 GOMT830804MCSMRR00 7163336361 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 17/11/2016 UIJA910220MCSTMN00 7102277411 03-2017P 23/05/2017 7,351.10$ 7,351.10$


TABASCOREP1509093H6 17/11/2016 UIJA910220MCSTMN00 7102277411 03-2017P 23/05/2017 15,990.64$ 15,990.64$


TABASCOREP1509093H6 13/11/2016 EARW981228MCSSSN05 7163355711 03-2017P 23/05/2017 9,531.22$ 9,531.22$


TABASCOREP1509093H6 14/11/2016 NISY950214MVZTLR08 7131601651 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 16/11/2016 CUBR860214MCSRRB04 7143072021 03-2017P 23/05/2017 7,582.21$ 7,582.21$

208 TRATAMIENTO HOSPITALARIO DE HIPERTENSIÓN ARTERIAL_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 16/11/2016 CUBR860214MCSRRB04 7143072021 03-2017P 23/05/2017 1,903.57$ 1,903.57$

252DIAGNÓSTICO Y TRATAMIENTO DEL PROLAPSO GENITAL FEMENINO

(COLPOPERINEOPLASTÍA)_(2016)


TABASCOREP1509093H6 16/11/2016 MODJ620215MCSNZN07 7099677101 03-2017P 23/05/2017 6,103.32$ 6,103.32$


TABASCOREP1509093H6 16/11/2016 MODJ620215MCSNZN07 7099677101 03-2017P 23/05/2017 15,781.22$ 15,781.22$


TABASCOREP1509093H6 16/11/2016 OAOA960825MCSLLN01 7142063521 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 16/11/2016 MEBE991123MCSNTD09 7053466963 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 16/11/2016 JUMY890806MCSRHR07 7099650511 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 16/11/2016 DIAB880518MCSZRL03 7150113291 03-2017P 23/05/2017 10,143.61$ 10,143.61$

MARY FLOR GOMEZ PEREZ

ZURIELA DEL CARMEN DIAZ CAÑAS

LUCIA MAZARIEGO SILVA

LUCIA MAZARIEGO SILVA

JUANA RODRIGUEZ NAVA

FRANCISCA LOPEZ LOPEZ

FRANCISCA LOPEZ LOPEZ

TERESA GOMEZ MARTINEZ

MARIA ANTONIA UTRILLA JIMENEZ

MARIA ANTONIA UTRILLA JIMENEZ

WENDY CAROLINA ESTRADA DE LA ROSA

YURIDIA SELENA NIETO SOLARZANO

REBECA DE LA CRUZ BARBERIO

REBECA DE LA CRUZ BARBERIO

JUANA MONTEJO DIAZ

JUANA MONTEJO DIAZ

ANA LUISA OLAN OLAN

AMAYRANI MENDOZA BAUTISTA

YARELI JUAREZ MOHA

BLANCA MARI DIAZ ARCOS

16 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 15/11/2016 DORN880914MCSMDM05 7163660491 03-2017P 23/05/2017 10,143.61$ 10,143.61$




TABASCOREP1509093H6 15/11/2016 AAGM950827MCSLMN06 7142961042 03-2017P 23/05/2017 8,555.36$ 8,555.36$


TABASCOREP1509093H6 15/11/2016 HEGR000202MTCRRMA4 7163456942 03-2017P 23/05/2017 9,531.22$ 9,531.22$


TABASCOREP1509093H6 15/11/2016 GAGL980219MTCRRD09 7142064002 03-2017P 23/05/2017 10,143.61$ 10,143.61$


BILATERAL)_(2016)


TABASCOREP1509093H6 15/11/2016 GAGL980219MTCRRD09 7142064002 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 15/11/2016 DIDN940428MCSZZR01 7151261391 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 15/11/2016 HEFR991011MCSRLSXX 7101779805 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 15/11/2016 CUGV871024MCSRNR00 7128748711 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 15/11/2016 PEVA940818MCSRZM00 7142297371 03-2017P 23/05/2017 14,041.63$ 14,041.63$


BILATERAL)_(2016)


TABASCOREP1509093H6 15/11/2016 PEVA940818MCSRZM00 7142297371 03-2017P 23/05/2017 4,929.57$ 4,929.57$




TABASCOREP1509093H6 14/11/2016 ZAMS830111MCSPRL05 7103091621 03-2017P 23/05/2017 6,428.58$ 6,428.58$


TABASCOREP1509093H6 14/11/2016 ZAHM950626MCSPRR09 7151274271 03-2017P 23/05/2017 10,143.61$ 10,143.61$


BILATERAL)_(2016)


TABASCOREP1509093H6 14/11/2016 JIVF900228MTCMZN04 7117472951 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 14/11/2016 JIVF900228MTCMZN04 7117472951 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 14/11/2016 CUGA981017MTCRNL03 7064709305 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 14/11/2016 ROHA970806MCSDRN00 7131638752 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 30/11/2016 SEOJ931127MCSGRN09 7151189581 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 29/11/2016 LOCT990124MCSPRL06 7142000962 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 29/11/2016 HELS961101MCSRPN02 7163241681 03-2017P 23/05/2017 7,351.10$ 7,351.10$


TABASCOREP1509093H6 29/11/2016 HELS961101MCSRPN02 7163241681 03-2017P 23/05/2017 12,092.62$ 12,092.62$

NOEMI DOMINGUEZ RUEDA

MARIA MONICA ALVAREZ GOMEZ

MARIA REMEDIOS HERNANDEZ GARCIA

LEIDY CECILIA GARCIA GARCIA

LEIDY CECILIA GARCIA GARCIA

NORMA DIAZ DIAZ

ROSA HERNANDEZ FLIQUEZ

VERONICA DE LA CRUZ GONZALEZ

AMALIA PEREZ VAZQUEZ

AMALIA PEREZ VAZQUEZ

SILVIA DEL CARMEN ZAPATA MORALES

MARISOL ZAPATA HERNANDEZ

FANY DEL CARMEN JIMENEZ VAZQUEZ

FANY DEL CARMEN JIMENEZ VAZQUEZ

ALMA FELIPA DE LA CRUZ GONZALEZ

MARIA DE LOS ANGELES RODRIGUEZ HERNANDEZ

JENNIFER GUADALUPE SEGURA ORAMAS

MARIA TILA LOPEZ CRUZ

MARIA DE LOS SANTOS HERNANDEZ LOPEZ

MARIA DE LOS SANTOS HERNANDEZ LOPEZ

17 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 31/10/2016 VARG981115MCSZML03 7064770035 03-2017P 23/05/2017 9,531.22$ 9,531.22$


TABASCOREP1509093H6 12/11/2016 MOFG870208MCSRLD05 7091556671 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 13/11/2016 LOSA920426MCSPNR03 7117483581 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 12/11/2016 LOSM860505MCSPNR03 7066331331 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 12/11/2016 JISA970218MCSMBL06 7143028532 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 11/11/2016 HEJL991222MCSRMT00 7053473564 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 11/11/2016 LOLA980627MCSPPN05 7131126452 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 11/11/2016 HEAL810118MCSRLR01 7116428931 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 11/11/2016 ROMR950616MCSJRY10 7142041971 03-2017P 23/05/2017 10,143.61$ 10,143.61$


BILATERAL)_(2016)


TABASCOREP1509093H6 11/11/2016 VIDE801016MCSLZV03 7088339521 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 11/11/2016 VIDE801016MCSLZV03 7088339521 03-2017P 23/05/2017 14,041.63$ 14,041.63$


TABASCOREP1509093H6 08/11/2016 AEAE940606MTCLLL04 7128748111 03-2017P 23/05/2017 10,143.61$ 10,143.61$


BILATERAL)_(2016)


TABASCOREP1509093H6 08/11/2016 AEAE940606MTCLLL04 7128748111 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 08/11/2016 SAAB840426MCSNLL05 7163454921 03-2017P 23/05/2017 10,143.61$ 10,143.61$




TABASCOREP1509093H6 04/11/2016 TOHS941211MCSSRL03 7142066021 03-2017P 23/05/2017 4,479.57$ 4,479.57$


TABASCOREP1509093H6 05/11/2016 GAHM890120MTCRRR06 7163456341 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 05/11/2016 HETT000822MCSRRNA5 7090901205 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 05/11/2016 OAGT860514MCSVRR09 7131236281 03-2017P 23/05/2017 12,092.62$ 12,092.62$


BILATERAL)_(2016)


TABASCOREP1509093H6 05/11/2016 OAGT860514MCSVRR09 7131236281 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 06/11/2016 LOSC860704MCSPNR00 7088312702 03-2017P 23/05/2017 12,092.62$ 12,092.62$

GLADIS VAZQUEZ RAMIREZ

MARIA GUADALUPE MORALES FLORES

ARCELIA LOPEZ SANCHEZ

MARTHA LOPEZ SANCHEZ

ALICIA JIMENEZ SOBERANO

LITZY MIRELLY HERNANDEZ JIMENEZ

ANA CRISTELL LOPEZ LOPEZ

LOURDES HERNANDEZ ALVAREZ

REYNA MAYTE ROJAS MORALES

EVA VILLARREAL DIAZ

EVA VILLARREAL DIAZ

ELIZABETH ALEGRIA ALMEIDA

ELIZABETH ALEGRIA ALMEIDA

BELLALI SANCHEZ ALVAREZ

SELENA TOSCA HERNANDEZ

MARTHA MARIA GARCIA HERNANDEZ

TANIA LISSETH HERNANDEZ TORRES

TRINIDAD OVANDO GARCIA

TRINIDAD OVANDO GARCIA

MARIA DEL CARMEN LOPEZ SANCHEZ

18 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



BILATERAL)_(2016)


TABASCOREP1509093H6 06/11/2016 LOSC860704MCSPNR00 7088312702 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 04/11/2016 EIPI930516MCSNRS04 7117279482 03-2017P 23/05/2017 9,531.22$ 9,531.22$


TABASCOREP1509093H6 10/11/2016 LUHA980111MTCQRR02 7160519051 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 10/11/2016 SACM930519MVZNRR08 7163003502 03-2017P 23/05/2017 14,041.63$ 14,041.63$


TABASCOREP1509093H6 10/11/2016 JIPP951231MCSMNZ08 7160519361 03-2017P 23/05/2017 9,531.22$ 9,531.22$


TABASCOREP1509093H6 09/11/2016 GUML890210MCCZRD04 7163441241 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 10/11/2016 MAJY940615MCSGMS07 7128744982 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 08/11/2016 TOLD941221MCSRPY00 7129051072 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 05/11/2016 LOJO921021MCSPMF08 7117178891 03-2017P 23/05/2017 5,346.38$ 5,346.38$


TABASCOREP1509093H6 05/11/2016 LOJO921021MCSPMF08 7117178891 03-2017P 23/05/2017 9,531.22$ 9,531.22$


BILATERAL)_(2016)


TABASCOREP1509093H6 01/11/2016 AUDB961128MTCRZR05 7150367921 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 01/11/2016 AUDB961128MTCRZR05 7150367921 03-2017P 23/05/2017 12,092.62$ 12,092.62$


BILATERAL)_(2016)


TABASCOREP1509093H6 03/11/2016 MERA880101MCSRZN05 7150407571 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 03/11/2016 MERA880101MCSRZN05 7150407571 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 03/11/2016 RALR971012MCSMPB02 7160520701 03-2017P 23/05/2017 1,949.01$ 1,949.01$


BILATERAL)_(2016)


TABASCOREP1509093H6 03/11/2016 AOGE840626MCSCMD04 7053447591 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 03/11/2016 AOGE840626MCSCMD04 7053447591 03-2017P 23/05/2017 14,041.63$ 14,041.63$


TABASCOREP1509093H6 03/11/2016 HEAM940212MCSRGR06 7126825291 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 02/11/2016 DIMD890402MCSZRM00 7065356072 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 02/11/2016 LOSA980901MCSPNN00 7053785477 03-2017P 23/05/2017 7,582.21$ 7,582.21$

MARIA DEL CARMEN LOPEZ SANCHEZ

ISIDORA ENCINO PEREZ

ARANXA GABRIELA LUQUE HERNANDEZ

MARICELA DE LOS SANTOS DE LA CRUZ

MARIA DE LA PAZ JIMENEZ PINTO

LIDIA GUZMAN MARTINEZ

YASCARA YAZMIN MAGAÑA JIMENEZ

DEYSI TORRES LOPEZ

OFELIA LOPEZ JIMENEZ

OFELIA LOPEZ JIMENEZ

BRENDA VIANEY ARGUELLES DIAZ

BRENDA VIANEY ARGUELLES DIAZ

ANAHI GUADALUPE MERCHAN RUIZ

ANAHI GUADALUPE MERCHAN RUIZ

RUBI ISABEL RAMIREZ LOPEZ

EDITH ACOSTA GOMEZ

EDITH ACOSTA GOMEZ

MARITANIA HERRERA AGUILAR

DOMINGA DIAZ MARTINEZ

ANA LOPEZ SANCHEZ

19 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



CHOQUE HIPOVOLÉMICO)_(2016)


TABASCOREP1509093H6 01/11/2016 GULA831007MCSTPN06 7091027351 03-2017P 23/05/2017 8,344.58$ 8,344.58$


TABASCOREP1509093H6 02/11/2016 AOJD930103MCSCMN02 7116806861 03-2017P 23/05/2017 5,633.20$ 5,633.20$




TABASCOREP1509093H6 01/11/2016 GOGL790407MCSNRC07 7064739611 03-2017P 23/05/2017 12,453.38$ 12,453.38$




TABASCOREP1509093H6 04/11/2016 BAJN841024MOCLRL08 7103596871 03-2017P 23/05/2017 6,606.35$ 6,606.35$


TABASCOREP1509093H6 01/11/2016 HECJ870624MCSRHN03 7141552021 03-2017P 23/05/2017 12,092.62$ 12,092.62$


EL EMBARAZO_(2016)




BILATERAL)_(2016)




TABASCOREP1509093H6 04/11/2016 VEHC881101MCSLRL02 7103199561 03-2017P 23/05/2017 5,633.20$ 5,633.20$




TABASCOREP1509093H6 05/11/2016 GUCX960621MCSTRMXX 7141354682 03-2017P 23/05/2017 6,606.35$ 6,606.35$


TABASCOREP1509093H6 06/11/2016 AATM870101MCSLRR02 7104912541 03-2017P 23/05/2017 5,346.38$ 5,346.38$


BILATERAL)_(2016)






TABASCOREP1509093H6 06/11/2016 CUJC870322MCSRRR09 7128391161 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 06/11/2016 AIRB820821MCSRYT02 7053459131 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 20/10/2016 MELA880225MCSJPD05 7076780561 03-2017P 23/05/2017 12,092.62$ 12,092.62$


BILATERAL)_(2016)






TABASCOREP1509093H6 21/10/2016 VIVC000930MCSLLNA5 7087604723 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 19/10/2016 SUDA980809MCSRZN07 7053457343 03-2017P 23/05/2017 5,346.38$ 5,346.38$


TABASCOREP1509093H6 19/10/2016 SUDA980809MCSRZN07 7053457343 03-2017P 23/05/2017 12,092.62$ 12,092.62$

ANGELA VERONICA GUTIERREZ LOPEZ

DANIELA ACOSTA JIMENEZ

LUCIA GONZALEZ GARCIA

NOELIA BAILON JUAREZ

JUANA IRIS HERNANDEZ CHAVEZ



CELIA VELAZQUEZ HERNANDEZ

XIOMARA GUTIERREZ CARCAMO

MARIA ALVARO TORRES

MARIA ALVARO TORRES

MARIA ALVARO TORRES

MARIA DEL CARMEN DE LA CRUZ JUAREZ

BEATRIZ ARIAS REYES

ADELINA MEJIAS LOPEZ



CINTIA JAZMIN VILLARREAL VELAZCO

ANA CECILIA SURIAN DIAZ

ANA CECILIA SURIAN DIAZ

20 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



EL EMBARAZO_(2016)


TABASCOREP1509093H6 19/10/2016 VIJR811004MCSDMS07 7163791852 03-2017P 23/05/2017 5,267.36$ 5,267.36$


BILATERAL)_(2016)








TABASCOREP1509093H6 15/10/2016 HEGK951110MCSRCT04 7076781993 03-2017P 23/05/2017 8,555.36$ 8,555.36$


TABASCOREP1509093H6 09/10/2016 HECU990303MCSRRR06 7091555326 03-2017P 23/05/2017 5,633.20$ 5,633.20$




TABASCOREP1509093H6 27/10/2016 COGJ950630MCSRRS08 7142102531 03-2017P 23/05/2017 6,606.35$ 6,606.35$


TABASCOREP1509093H6 26/10/2016 DIDS840414MCSZZR01 7099670471 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 30/10/2016 TOMD951015MCSRRN05 7141899102 03-2017P 23/05/2017 15,990.64$ 15,990.64$


TABASCOREP1509093H6 31/10/2016 VASI980927MCSZNS05 7053440265 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 31/10/2016 AOAI910822MCSRRS07 7103911161 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 28/10/2016 CALA980820MCSCPN03 7163453761 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 30/10/2016 RARE980630MCSMMS03 7064927603 03-2017P 23/05/2017 15,990.64$ 15,990.64$


TABASCOREP1509093H6 30/10/2016 GOJA960714MCSMRL07 7163031521 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 29/10/2016 EOJR010801MCSSMQA1 7163453672 03-2017P 23/05/2017 15,990.64$ 15,990.64$




TABASCOREP1509093H6 30/10/2016 GACY991212MCSRRH03 7150408173 03-2017P 23/05/2017 10,504.37$ 10,504.37$

198DIAGNÓSTICO Y TRATAMIENTO DE INFECCIÓN DE EPISIORRAFIA O HERIDA

QUIRÚRGICA OBSTÉTRICA_(2016)


TABASCOREP1509093H6 24/10/2016 GAGG941204MCSRNB09 7160518601 03-2017P 23/05/2017 1,501.97$ 1,501.97$


TABASCOREP1509093H6 24/10/2016 BAJB911011MVZLMR00 7160518221 03-2017P 23/05/2017 9,531.22$ 9,531.22$


TABASCOREP1509093H6 26/10/2016 DICV850625MCSZRR00 7088459951 03-2017P 23/05/2017 15,990.64$ 15,990.64$


BILATERAL)_(2016)


TABASCOREP1509093H6 26/10/2016 DICV850625MCSZRR00 7088459951 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 26/10/2016 HERC920505MCSRML01 7116811011 03-2017P 23/05/2017 14,041.63$ 14,041.63$

ROSARIO VIDAL JIMENEZ



KATIA MISHEL HERNANDEZ GUICHARD

MARIA URSULA HERNANDEZ DE LA CRUZ

JESSICA CORNELIO GARCIA

SARA DIAZ DIAZ

DIANA LAURA TORRES MARTINEZ

MARIA ISABEL VAZQUEZ SANCHEZ

ISABEL ARCOS ARCOS

ANA KAREN CACHO LOPEZ

ESMERALDA RAMIREZ RAMIREZ

ALEJANDRA GOMEZ JUAREZ

RAQUEL ESCOBAR JIMENEZ

YOHANA GARCIA DE LA CRUZ

GABRIELA GARCIA GONZALEZ

BERNARDINA BALLESTEROS JIMENEZ

VIRGINIA ALBERTINA DIAZ CRUZ

VIRGINIA ALBERTINA DIAZ CRUZ

CLARA LUZ HERNANDEZ ROMERO

21 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 26/10/2016 HERC920505MCSRML01 7116811011 03-2017P 23/05/2017 5,346.38$ 5,346.38$


BILATERAL)_(2016)


TABASCOREP1509093H6 26/10/2016 AOCA710902MCSRRN00 7101664481 03-2017P 23/05/2017 4,929.57$ 4,929.57$






TABASCOREP1509093H6 26/10/2016 ZACI770322MCSPRS07 7103092331 03-2017P 23/05/2017 10,143.61$ 10,143.61$


BILATERAL)_(2016)


TABASCOREP1509093H6 26/10/2016 ZACI770322MCSPRS07 7103092331 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 29/10/2016 GOBM931229MCSNRY05 7163453931 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 28/10/2016 MORA800202MCSRJN00 7066988961 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 29/10/2016 GOVV940203MCSMLR06 7139197721 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 27/10/2016 HECJ960827MCSRMR08 7163352081 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 21/10/2016 MEGJ970628MCSNMN04 7150527211 03-2017P 23/05/2017 15,990.64$ 15,990.64$


TABASCOREP1509093H6 19/11/2016 LOHA950829MCSPRN06 7141355671 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 22/11/2016 SAAP900914MCSNLT04 7138389721 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 26/11/2016 PERA951116MCSRMN07 7160132431 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 25/11/2016 RUHA931123MCSZRR02 7128851211 03-2017P 23/05/2017 7,582.21$ 7,582.21$

179 DIAGNÓSTICO Y TRATAMIENTO DE NEUMONÍA EN ADULTOS_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 29/11/2016 CACR300914MCSNBM06 7053783591 03-2017P 23/05/2017 19,650.63$ 19,650.63$


CRÓNICA_(2016)


TABASCOREP1509093H6 26/11/2016 RACE580123MCSMRL03 7088842121 03-2017P 23/05/2017 15,295.46$ 15,295.46$


TABASCOREP1509093H6 25/11/2016 TOCG871212HCSRCD15 7088063512 03-2017P 23/05/2017 19,926.47$ 19,926.47$


TABASCOREP1509093H6 23/11/2016 BAFO730228HCSZNT00 7139197452 03-2017P 23/05/2017 13,008.82$ 13,008.82$




TABASCOREP1509093H6 21/11/2016 RORE010802HCSJJBA6 7139486242 03-2017P 23/05/2017 15,396.47$ 15,396.47$

CLARA LUZ HERNANDEZ ROMERO

ANA ARCOS CRUZ

ANA ARCOS CRUZ

ANA ARCOS CRUZ

MARIA ISABEL ZAPATA CORNELIO

MARIA ISABEL ZAPATA CORNELIO

MAYTE GONZALEZ BRICEÑO

ANA ISABEL MORALES ROJAS

VERONICA GOMEZ VILLEGAS

JARIANETSY HERRERA CAMARA

JANNET GUADALUPE MENDEZ GOMEZ

ANA PATRICIA LOPEZ HERNANDEZ

PATRICIA SANCHEZ ALVARADO

MARIA ANGELICA PEREZ RAMOS

AURORA RUIZ HERRERA

ROMANA CANO CABRERA

ELSA RAMIREZ CRUZ

JOSE GUADALUPE TORRES CACHO

OTILIO BAEZ FUENTES

EBER JAPNIEL ROJAS ROJO

22 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



SERPIENTE_(2016)


TABASCOREP1509093H6 14/11/2016 GOGT930411HCSMML08 7150525111 03-2017P 23/05/2017 32,353.45$ 32,353.45$

280 REDUCCIÓN QUIRÚRGICA DE FRACTURA DE TIBIA Y PERONÉ (IZQUIERDO)_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 24/11/2016 RAJS830922MCSMMM02 7090240121 03-2017P 23/05/2017 16,532.52$ 16,532.52$


TABASCOREP1509093H6 21/11/2016 VAMJ851210MCSZRL07 7128345481 03-2017P 23/05/2017 16,222.35$ 16,222.35$




TABASCOREP1509093H6 15/11/2016 SOGF690203HCSBMR01 7089045201 03-2017P 23/05/2017 5,128.44$ 5,128.44$


TABASCOREP1509093H6 14/11/2016 HEAS320725HTCRBN00 7116950551 03-2017P 23/05/2017 13,008.82$ 13,008.82$


TABASCOREP1509093H6 13/11/2016 DIAJ851015HCSZQS02 7053867622 03-2017P 23/05/2017 13,008.82$ 13,008.82$


TABASCOREP1509093H6 12/11/2016 PAPE861006HCSTRM08 7141881141 03-2017P 23/05/2017 9,895.47$ 9,895.47$


(IZQUIERDO)_(2016)


TABASCOREP1509093H6 12/11/2016 HEAP001031MCSRGTA7 7151192293 03-2017P 23/05/2017 4,643.07$ 4,643.07$


TABASCOREP1509093H6 07/11/2016 MORE850614MCSRZS07 7088313961 03-2017P 23/05/2017 9,722.84$ 9,722.84$


TABASCOREP1509093H6 01/11/2016 EAFR730605MCSSLQ06 7053160771 03-2017P 23/05/2017 13,008.82$ 13,008.82$


TABASCOREP1509093H6 19/10/2016 MEXE190625HTCZXL03 7053867683 03-2017P 23/05/2017 3,852.58$ 3,852.58$

200 DIAGNÓSTICO Y TRATAMIENTO DE LITIASIS DE VÍAS URINARIAS INFERIORES_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 19/10/2016 EOMV571223HCSSNC02 7064703562 03-2017P 23/05/2017 6,351.37$ 6,351.37$

235 DIAGNÓSTICO Y TRATAMIENTO DE HERNIA INGUINAL (DERECHO)_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 18/10/2016 LOHI711231MCSPRR01 7103639242 03-2017P 23/05/2017 7,946.46$ 7,946.46$




TABASCOREP1509093H6 17/10/2016 RAJN560101HCSMMC01 7090239822 03-2017P 23/05/2017 20,720.52$ 20,720.52$

280 REDUCCIÓN QUIRÚRGICA DE FRACTURA DE TIBIA Y PERONÉ (IZQUIERDO)_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 14/10/2016 JILL910904HCSMPS02 7142879742 03-2017P 23/05/2017 23,630.55$ 23,630.55$


TABASCOREP1509093H6 14/10/2016 CUGA730318MDFRYN03 7089321381 03-2017P 23/05/2017 13,008.82$ 13,008.82$


TABASCOREP1509093H6 13/10/2016 CULM741127MCSRPR03 7053462771 03-2017P 23/05/2017 8,306.14$ 8,306.14$


TABASCOREP1509093H6 13/10/2016 LOJO981001HCSPMR01 7089322004 03-2017P 23/05/2017 13,008.82$ 13,008.82$


TABASCOREP1509093H6 11/10/2016 SABJ880618MCSNTL01 7104016821 03-2017P 23/05/2017 55,555.91$ 55,555.91$

200 DIAGNÓSTICO Y TRATAMIENTO DE LITIASIS DE VÍAS URINARIAS INFERIORES_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 10/10/2016 LORE450211HCSPDL08 7138456221 03-2017P 23/05/2017 10,249.39$ 10,249.39$

TILO GOMEZ GOMEZ

SIOMARA RAMIREZ JIMENEZ

JULIETA VAZQUEZ MORALES

FERMIN SOBERANO GOMEZ

SANTIAGO HERNANDEZ ABALOS

JESUS ANTONIO DIAZ AQUINO

EMILIO PATISHTAN PEREZ

PATRICIA HERRERA AGUILERA

ESTER MORALES RUIZ

RAQUEL ESTRADA FLORES

ELOY MEZA NA

VICTOR ESCOVAR MENDEZ

IRMA LOPEZ HERNANDEZ

NICOLAS RAMIREZ JIMENEZ

LUIS GUSTAVO JIMENEZ LOPEZ

ANA LILIA CRUZ GAYOSSO

MARCELA DE LA CRUZ LOPEZ

ORLANDO LOPEZ JIMENEZ

JULIANA SANCHEZ BAUTISTA

EULALIO LOPEZ RODRIGUEZ

23 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 09/10/2016 LOLH890103MCSPPR07 7053781042 03-2017P 23/05/2017 16,222.35$ 16,222.35$

279 REDUCCIÓN QUIRÚRGICA DE FRACTURA DE FÉMUR (IZQUIERDO)_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 08/10/2016 GALA760407HCSBPN01 7089327131 03-2017P 23/05/2017 12,605.77$ 12,605.77$


CRÓNICA_(2016)


TABASCOREP1509093H6 07/10/2016 CURF281004MTCSMR09 7151189145 03-2017P 23/05/2017 7,499.42$ 7,499.42$


TABASCOREP1509093H6 05/10/2016 MACA000318HTCTRNA2 7053869243 03-2017P 23/05/2017 13,008.82$ 13,008.82$


TABASCOREP1509093H6 07/10/2016 GASR970503MCSRNY08 7151409951 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 07/10/2016 RAAE011102MCSMCSA3 7053460937 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 08/10/2016 SAGA870813MNENMR06 7090115271 03-2017P 23/05/2017 11,245.91$ 11,245.91$


TABASCOREP1509093H6 25/10/2016 GOTJ880702MCSMRL02 7103636911 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 24/10/2016 DORM951207MCSMDR05 7150131591 03-2017P 23/05/2017 14,041.63$ 14,041.63$


TABASCOREP1509093H6 24/10/2016 CAMC830716MCSSNR05 7066982762 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 24/10/2016 LOCE920330MCSPJL07 7117156651 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 23/10/2016 HELA950321MCSRPN00 7131352911 03-2017P 23/05/2017 14,041.63$ 14,041.63$


BILATERAL)_(2016)


TABASCOREP1509093H6 20/10/2016 RAMF941206MCSMNR03 7142067871 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 20/10/2016 RAMF941206MCSMNR03 7142067871 03-2017P 23/05/2017 12,092.62$ 12,092.62$

215 DIAGNÓSTICO Y TRATAMIENTO DEL SÍNDROME DE HELLP_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 15/10/2016 BAMY970314MCSLRL05 7127347052 03-2017P 23/05/2017 51,989.62$ 51,989.62$


TABASCOREP1509093H6 15/10/2016 BAMY970314MCSLRL05 7127347052 03-2017P 23/05/2017 8,194.60$ 8,194.60$


TABASCOREP1509093H6 07/10/2016 LOLN920424MCSPPT06 7099819672 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 20/10/2016 SAMI650702MCSNNS04 7053782691 03-2017P 23/05/2017 15,781.22$ 15,781.22$


TABASCOREP1509093H6 20/10/2016 ROMA810523MCSDYN04 7091018091 03-2017P 23/05/2017 9,531.22$ 9,531.22$


BILATERAL)_(2016)


TABASCOREP1509093H6 20/10/2016 ROMA810523MCSDYN04 7091018091 03-2017P 23/05/2017 4,929.57$ 4,929.57$

HORTENCIA LOPEZ LOPEZ

ANTELMO ELISEO GABRIEL LOPES

FRANCISCA CUSTODIO RAMOS

JOSE ANTONIO MATIAS CORONEL

REYNA GUADALUPE GARCIA SANCHEZ

ESMERALDA RAMOS ACOSTA

AURORA SANCHEZ GOMEZ

JULIETA GOMEZ TORRES

MARTHA IVONNE DOMINGUEZ RODRIGUEZ

CAROLINA CASTELLANOS MENDEZ

ELIZBETH LOPEZ CAJIJA

ANA HERNANDEZ LOPEZ

FRANCISCA ESTHER RAMOS MENDOZA

FRANCISCA ESTHER RAMOS MENDOZA

YOLIBETH BALCAZAR MORALES

YOLIBETH BALCAZAR MORALES

NATALIA LOPEZ LOPEZ

ISABEL SANCHEZ MENDEZ

ANGELICA RODRIGUEZ MAYORGA

ANGELICA RODRIGUEZ MAYORGA

24 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



BILATERAL)_(2016)


TABASCOREP1509093H6 20/10/2016 JUGD780329MCSRRR04 7053465831 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 20/10/2016 JUGD780329MCSRRR04 7053465831 03-2017P 23/05/2017 12,092.62$ 12,092.62$


BILATERAL)_(2016)


TABASCOREP1509093H6 23/10/2016 PEDS940702MCSRZR06 7127866201 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 23/10/2016 PEDS940702MCSRZR06 7127866201 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 25/10/2016 GUVE920417MCSTZD07 7110386542 03-2017P 23/05/2017 9,531.22$ 9,531.22$


TABASCOREP1509093H6 25/10/2016 ROPE990127MCSMRS05 7163455541 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 25/10/2016 PAJR901117MCSBRN06 7139702481 03-2017P 23/05/2017 15,990.64$ 15,990.64$


TABASCOREP1509093H6 25/10/2016 JICC761105MCSMRN01 7053473631 03-2017P 23/05/2017 12,416.58$ 12,416.58$


BILATERAL)_(2016)


TABASCOREP1509093H6 25/10/2016 GAMA950512MCSRRR06 7163033231 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 25/10/2016 GAMA950512MCSRRR06 7163033231 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 16/10/2016 JIHG981023MCSMRR01 7053874472 03-2017P 23/05/2017 5,346.38$ 5,346.38$


TABASCOREP1509093H6 16/10/2016 JIHG981023MCSMRR01 7053874472 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 04/10/2016 RACA660218HCSBRR03 7064738362 03-2017P 23/05/2017 9,895.47$ 9,895.47$


TABASCOREP1509093H6 23/10/2016 AAMG961201MCSLRD01 7163031831 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 22/10/2016 LOLG950903MCSPPD07 7142204501 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 22/10/2016 SOMO910706HCSLZN04 7091556481 03-2017P 23/05/2017 13,008.82$ 13,008.82$


TABASCOREP1509093H6 20/10/2016 GOLJ950315MCSMPD00 7151307571 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 21/10/2016 AISG760910MCSRNR05 7129065021 03-2017P 23/05/2017 31,242.14$ 31,242.14$


TABASCOREP1509093H6 23/10/2016 DOGE981111MCSMMS04 7163017792 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 21/10/2016 RICD820424MCSNRL01 7102155361 03-2017P 23/05/2017 5,633.20$ 5,633.20$

DORA MARIA JUAREZ GARCIA

DORA MARIA JUAREZ GARCIA

SORIBEL PEREZ DIAZ

SORIBEL PEREZ DIAZ

EDILMA GUTIERREZ VAZQUEZ

ESTRELLITA ROMERO PEREZ

REINA PABLO JUAREZ

MARIA CONCEPCION JIMENEZ CRUZ

ARACELI GARCILIANO MARGALLI

ARACELI GARCILIANO MARGALLI

GRACIELA JIMENEZ HERNANDEZ

GRACIELA JIMENEZ HERNANDEZ

AURELIO RABELO CRUZ

MARIA GUADALUPE ALVAREZ MORENO

MARIA GUADALUPE LOPEZ LOPEZ

ONESIMO SOLORZANO MEZA

JUDITH GOMEZ LOPEZ

GREGORIA ARIAS SANCHEZ

MARIA ESTELA DOMINGUEZ GOMEZ

DELIA RINCON CRUZ

25 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS







TABASCOREP1509093H6 21/10/2016 LOPR950215MCSPRG09 7116347402 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 21/10/2016 HEHA961001MCSRRN04 7160549301 03-2017P 23/05/2017 7,582.21$ 7,582.21$


BILATERAL)_(2016)


TABASCOREP1509093H6 21/10/2016 LOGC860107MCSPML02 7087769122 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 21/10/2016 LOGC860107MCSPML02 7087769122 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 21/10/2016 VAMA811016MCSZRN06 7090273561 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 23/10/2016 JUPE911021MCSRBL04 7090633332 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 22/10/2016 BAVH000621MTCRZRA4 7151191682 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 21/10/2016 LOPA800409MCSPRN09 7163455251 03-2017P 23/05/2017 12,092.62$ 12,092.62$


BILATERAL)_(2016)


TABASCOREP1509093H6 21/10/2016 LOPA800409MCSPRN09 7163455251 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 21/10/2016 DIHD920824MCSZRL08 7116815421 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 21/10/2016 ZATR900901MCSVRS05 7101810561 03-2017P 23/05/2017 9,531.22$ 9,531.22$


TABASCOREP1509093H6 19/10/2016 MELG870618MCSNPR02 7102462651 03-2017P 23/05/2017 13,194.92$ 13,194.92$


TABASCOREP1509093H6 19/10/2016 GAGG941204MCSRNB09 7160518601 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 19/10/2016 PELD980828MCSRPN06 7163454411 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 19/10/2016 HIGP001201MCSDRTA8 7163453382 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 19/10/2016 CUME900828MCSRRL00 7139226851 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 19/10/2016 JIGF990527MCSMML05 7163000912 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 12/10/2016 SAGA840630MCSNZL06 7087946881 03-2017P 23/05/2017 15,781.22$ 15,781.22$

DELIA RINCON CRUZ

DELIA RINCON CRUZ

REGINA LOPEZ PEREZ

ANGELA HERNANDEZ HERNANDEZ

CLAUDIA CARMELA LOPEZ GOMEZ

CLAUDIA CARMELA LOPEZ GOMEZ

ANGELICA VAZQUEZ MARTINEZ

MARIA ELVIA JUAREZ PABLO

HERMELITA BARAHONA VAZQUEZ

ANA MARIA LOPEZ PEREZ

ANA MARIA LOPEZ PEREZ

DALIA DIAZ HERNANDEZ

ROSA ISELA ZAVALA TORRES

GRACIELA MENDEZ LOPEZ

GABRIELA GARCIA GONZALEZ

DIANA PEREZ LOPEZ

PATRICIA HIDALGO GARCIA

ELDA CRUZ MARTINEZ

FLOR DE PALMIRA JIMENEZ GOMEZ

ALICIA SANCHEZ GUZMAN

26 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 11/10/2016 HEHD000630MCSRRMA1 7053456054 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 12/10/2016 MAHL830612MCSRRN07 7151096871 03-2017P 23/05/2017 10,143.61$ 10,143.61$




TABASCOREP1509093H6 12/10/2016 AOHC511102MCSRDR09 7102145171 03-2017P 23/05/2017 6,103.32$ 6,103.32$


TABASCOREP1509093H6 12/10/2016 AOHC511102MCSRDR09 7102145171 03-2017P 23/05/2017 15,781.22$ 15,781.22$


TABASCOREP1509093H6 12/10/2016 MALT420610MCSRPR08 7101544811 03-2017P 23/05/2017 15,781.22$ 15,781.22$




TABASCOREP1509093H6 12/10/2016 MALT420610MCSRPR08 7101544811 03-2017P 23/05/2017 6,103.32$ 6,103.32$


BILATERAL)_(2016)


TABASCOREP1509093H6 12/10/2016 OAAG950825MTCVLD05 7128748332 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 12/10/2016 OAAG950825MTCVLD05 7128748332 03-2017P 23/05/2017 14,041.63$ 14,041.63$


TABASCOREP1509093H6 12/10/2016 VAHA920403MCSZRN04 7104460151 03-2017P 23/05/2017 59,979.06$ 59,979.06$






(IZQUIERDO)_(2016)


TABASCOREP1509093H6 12/10/2016 AOGF730623MCSRTR06 7053660112 03-2017P 23/05/2017 2,694.06$ 2,694.06$


TABASCOREP1509093H6 15/10/2016 TANL920912MCSPTR00 7090739841 03-2017P 23/05/2017 5,633.20$ 5,633.20$


BILATERAL)_(2016)


TABASCOREP1509093H6 15/10/2016 ZARM920922MCSVDR05 7102038602 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 15/10/2016 ZARM920922MCSVDR05 7102038602 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 15/10/2016 LOTA930611MCSPRN02 7116164582 03-2017P 23/05/2017 12,092.62$ 12,092.62$


BILATERAL)_(2016)


TABASCOREP1509093H6 15/10/2016 LOTA930611MCSPRN02 7116164582 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 14/10/2016 SACR930831MCSNMS00 7127389161 03-2017P 23/05/2017 10,143.61$ 10,143.61$


BILATERAL)_(2016)


TABASCOREP1509093H6 14/10/2016 SACR930831MCSNMS00 7127389161 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 15/10/2016 DOOR970929MCSMLB03 7139197492 03-2017P 23/05/2017 7,582.21$ 7,582.21$

DAMARIS LUCERO HERNANDEZ HERNANDEZ

LENI MARTINEZ HERNANDEZ

CRUZ ELENA ARCOS HIDALGO

CRUZ ELENA ARCOS HIDALGO

TERESA MARTINEZ LOPEZ

TERESA MARTINEZ LOPEZ

MARIA GUADALUPE OVANDO ALMEIDA

MARIA GUADALUPE OVANDO ALMEIDA

ANA DANIELA VAZQUEZ HERNANDEZ



FRANCISCA ARCOS GUTIERREZ

LARISSA LIZBETH TAPIA NIETO

MAIRA DEL CARMEN ZAVALA RODRIGUEZ

MAIRA DEL CARMEN ZAVALA RODRIGUEZ

ANDREA LOPEZ TORRES

ANDREA LOPEZ TORRES

MARIA DEL ROSARIO SANCHEZ CAMAS

MARIA DEL ROSARIO SANCHEZ CAMAS

RUBI DOMINGUEZ OLAN

27 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS


183 DIAGNÓSTICO Y TRATAMIENTO DE AMENAZA DE PARTO PRETÉRMINO_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 14/10/2016 LUHA980111MTCQRR02 7160519051 03-2017P 23/05/2017 1,708.18$ 1,708.18$


TABASCOREP1509093H6 16/10/2016 SAMR860225MCSNNS01 7117034721 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 14/10/2016 LOVM861209MCSPLG04 7103593741 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 16/10/2016 HELG891117MCSRPD08 7101716931 03-2017P 23/05/2017 9,531.22$ 9,531.22$


TABASCOREP1509093H6 16/10/2016 HELG891117MCSRPD08 7101716931 03-2017P 23/05/2017 2,811.77$ 2,811.77$


BILATERAL)_(2016)


TABASCOREP1509093H6 14/10/2016 ROCS950526MCSDRL18 7100740561 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 14/10/2016 ROCS950526MCSDRL18 7100740561 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 17/10/2016 BACJ910814MCSZRS09 7139198701 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 16/10/2016 PEHF000923MCSRRDA6 7100911204 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 18/10/2016 MIGJ810329MCSRRS05 7091555551 03-2017P 23/05/2017 5,633.20$ 5,633.20$


BILATERAL)_(2016)


TABASCOREP1509093H6 18/10/2016 JILC930616MCSMPR09 7066503952 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 18/10/2016 JILC930616MCSMPR09 7066503952 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 18/10/2016 DOMC800607MCSMRR08 7101811001 03-2017P 23/05/2017 9,531.22$ 9,531.22$


BILATERAL)_(2016)


TABASCOREP1509093H6 18/10/2016 DOMC800607MCSMRR08 7101811001 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 17/10/2016 ROPT830209MCSDRV04 7053462491 03-2017P 23/05/2017 7,582.21$ 7,582.21$


BILATERAL)_(2016)


TABASCOREP1509093H6 17/10/2016 ROPT830209MCSDRV04 7053462491 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 17/10/2016 BAFA800315MCSTLM08 7116814631 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 18/10/2016 RAOY990130MCSMSS00 7160519222 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 18/10/2016 GAGN930708MCSRMT05 7142043441 03-2017P 23/05/2017 5,633.20$ 5,633.20$


BILATERAL)_(2016)


TABASCOREP1509093H6 17/10/2016 LOHB800818MCSPRT10 7102823711 03-2017P 23/05/2017 4,929.57$ 4,929.57$

ARANXA GABRIELA LUQUE HERNANDEZ

ROSARIA SANCHEZ MENDEZ

MARIA MAGDALENA LOPEZ VILLARREAL

MARIA GUADALUPE HERNANDEZ LOPEZ

MARIA GUADALUPE HERNANDEZ LOPEZ

SELENA RODRIGUEZ CRUZ

SELENA RODRIGUEZ CRUZ

JEISSY GABRIELA BAEZA CERINO

FIDELINA PEREZ HERNANDEZ

JOSEFINA MIRANDA GARCILIANO

CARMITA JIMENEZ LOPEZ

CARMITA JIMENEZ LOPEZ

MARIA DEL CARMEN DOMINGUEZ MORALES

MARIA DEL CARMEN DOMINGUEZ MORALES

TAVITA RODRIGUEZ PEREZ

TAVITA RODRIGUEZ PEREZ

AMELIA BAUTISTA FLORES

YSIS BELEN RAMIREZ OSORIO

NATIVIDAD DEL ROCIO GARCIA GOMEZ

BEATRIZ LOPEZ HERNANDEZ

28 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 17/10/2016 LOHB800818MCSPRT10 7102823711 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 17/10/2016 HELD960108MCSRPN01 7160032701 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 18/10/2016 MEDM011205MCSNZRA9 7115178134 03-2017P 23/05/2017 15,143.93$ 15,143.93$


BILATERAL)_(2016)


TABASCOREP1509093H6 17/10/2016 AAEY901011MCSBSN00 7103977521 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 17/10/2016 AAEY901011MCSBSN00 7103977521 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 13/10/2016 DOHE770809MVZMRR09 7088127371 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 13/10/2016 LOMR960301MCSPRY08 7163031181 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 13/10/2016 RUHE970830MCSZRS09 7150128532 03-2017P 23/05/2017 12,092.62$ 12,092.62$




TABASCOREP1509093H6 04/10/2016 CUJD940621MCSRMS02 7163799151 03-2017P 23/05/2017 8,555.36$ 8,555.36$


BILATERAL)_(2016)


TABASCOREP1509093H6 03/10/2016 LOJY810918MCSPML07 7064698701 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 03/10/2016 LOJY810918MCSPML07 7064698701 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 03/10/2016 MOPM900617MCSNXR09 7141112491 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 03/10/2016 CATD000930MVZNRLA4 7053446665 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 03/10/2016 JIPS980509MCSMRF04 7127876882 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 11/10/2016 LOPM890322MCSPRR01 7131602322 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 11/10/2016 COBA970828MCSLRN06 7163636061 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 11/10/2016 AECG891210MCSLRD07 7090515411 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 11/10/2016 VIZA950531MCSDCL03 7160518031 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 08/10/2016 SADL951231MCSNMC08 7102034522 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 11/10/2016 GOMA930212MCSMRN05 7116163671 03-2017P 23/05/2017 5,633.20$ 5,633.20$

BEATRIZ LOPEZ HERNANDEZ

DIANA LAURA HERNANDEZ LOPEZ

MARIA MENDEZ DIAZ

YANIA DEL ROSARIO ABARCA ESTEBAN

YANIA DEL ROSARIO ABARCA ESTEBAN

ERIKA DOMINGUEZ HERNANDEZ

REYNA CRISTEL LOPEZ MORALES

MARIA ESTHER RUIZ HERNANDEZ

DEISY CRUZ JIMENEZ

YOLANDA LOPEZ JIMENEZ

YOLANDA LOPEZ JIMENEZ

MARIA MONTEJO PEÑATE

DULCE GEORGINA CANCINO TREJO

SOFIA MARIA JIMENEZ PEREZ

MARTHA LUZ LOPEZ PEREZ

ANAHI COLIAZA BARBERIO

GUADALUPE ALEJANDRO CRUZ

ALEJANDRA VIDAL ZACARIAS

LUCIA SANCHEZ DOMIGUEZ

ANDREA GOMEZ MORALES

29 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 11/10/2016 VIVY990803MCSLLS03 7128133742 03-2017P 23/05/2017 10,143.61$ 10,143.61$




TABASCOREP1509093H6 07/10/2016 HERN850821MCSRMT07 7117484301 03-2017P 23/05/2017 8,555.36$ 8,555.36$


TABASCOREP1509093H6 06/10/2016 MEGF900729MCSNML01 7087845392 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 06/10/2016 COOA940318MCSNJN02 7101631182 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 05/10/2016 AOMZ020419MCSRRNA7 7103905764 03-2017P 23/05/2017 5,633.20$ 5,633.20$




TABASCOREP1509093H6 05/10/2016 MECJ910108MCSNHC04 7116814671 03-2017P 23/05/2017 8,555.36$ 8,555.36$


TABASCOREP1509093H6 05/10/2016 HEGN820923MCSRML06 7115910191 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 09/10/2016 GOSL000224MCSMNSA8 7150095762 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 05/10/2016 AOLG930522MCSRPR09 7104358982 03-2017P 23/05/2017 10,143.61$ 10,143.61$




TABASCOREP1509093H6 05/10/2016 ZAMD921112MCSPRY01 7116814911 03-2017P 23/05/2017 12,092.62$ 12,092.62$


BILATERAL)_(2016)


TABASCOREP1509093H6 05/10/2016 ZAMD921112MCSPRY01 7116814911 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 05/10/2016 IUBN940108MTCZLM09 7115684521 03-2017P 23/05/2017 10,143.61$ 10,143.61$


BILATERAL)_(2016)


TABASCOREP1509093H6 05/10/2016 IUBN940108MTCZLM09 7115684521 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 10/10/2016 SIME910419MTCLRN02 7088356732 03-2017P 23/05/2017 15,990.64$ 15,990.64$


BILATERAL)_(2016)


TABASCOREP1509093H6 10/10/2016 SIME910419MTCLRN02 7088356732 03-2017P 23/05/2017 4,929.57$ 4,929.57$




TABASCOREP1509093H6 10/10/2016 BELC910702MCSNPL08 7128695201 03-2017P 23/05/2017 8,555.36$ 8,555.36$


TABASCOREP1509093H6 10/10/2016 GUMY840421MCSZNL02 7128048171 03-2017P 23/05/2017 9,531.22$ 9,531.22$


BILATERAL)_(2016)


TABASCOREP1509093H6 10/10/2016 MOGM751206MCSNMR01 7088739651 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 10/10/2016 MOGM751206MCSNMR01 7088739651 03-2017P 23/05/2017 12,092.62$ 12,092.62$

YESENIA VILLEGAS VILLARREAL

NATALIA HERNNADEZ RAMIREZ

FLORDELY MENDEZ GOMEZ

ANA KAREN CONCEPCION OJEDA

ZENAYDA ARCOS MORENO

JOCABEB MENDEZ CHABLE

NELLY HERNANDEZ GOMEZ

MARIA LUISA GOMEZ SANCHEZ

GRACIELA ARCOS LOPEZ


DEYSI ZAPATA MORALES

DEYSI ZAPATA MORALES

NOEMI IZQUIERDO BOLAINA

NOEMI IZQUIERDO BOLAINA

ENRIQUETA SILVA MARTINEZ

ENRIQUETA SILVA MARTINEZ

CELESTINA BENITEZ LOPEZ

YOLANDA GUZMAN MONTEJO

MIREYA MONTALVO GOMEZ

MIREYA MONTALVO GOMEZ

30 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 07/10/2016 AESA850825MCSVNN03 7053955621 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 07/10/2016 SACD980512MCCNRY04 7164099401 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 07/10/2016 OIST911117MCSRNH04 7104458182 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 08/10/2016 AOSS981219MCSCNL02 7150090792 03-2017P 23/05/2017 5,633.20$ 5,633.20$


BILATERAL)_(2016)


TABASCOREP1509093H6 09/10/2016 HESG841112MCSRNL08 7101546911 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 09/10/2016 HESG841112MCSRNL08 7101546911 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 09/10/2016 MOPS930818MCSNXY03 7142354571 03-2017P 23/05/2017 9,531.22$ 9,531.22$


TABASCOREP1509093H6 08/10/2016 GOJM950929MCSMMG02 7131825271 03-2017P 23/05/2017 15,990.64$ 15,990.64$


BILATERAL)_(2016)


TABASCOREP1509093H6 08/10/2016 GOJM950929MCSMMG02 7131825271 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 08/10/2016 CUCB970629MCSRRL07 7160517721 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 08/10/2016 MOMM881003MCSNNY06 7098913601 03-2017P 23/05/2017 5,346.38$ 5,346.38$


TABASCOREP1509093H6 08/10/2016 MOMM881003MCSNNY06 7098913601 03-2017P 23/05/2017 9,531.22$ 9,531.22$


TABASCOREP1509093H6 02/10/2016 GOLM841017MCSMPR00 7101807531 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 02/10/2016 MADE961230MCSRMS09 7131376972 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 02/10/2016 AADV830628MCSLZR06 7088118472 03-2017P 23/05/2017 10,143.61$ 10,143.61$


BILATERAL)_(2016)


TABASCOREP1509093H6 02/10/2016 AADV830628MCSLZR06 7088118472 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 02/10/2016 DIDC940811MCSZZS02 7117281092 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 01/10/2016 GOAI820706MCSNLS08 7127876151 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 01/10/2016 OARA900911MCSLMN02 7103092381 03-2017P 23/05/2017 7,582.21$ 7,582.21$


BILATERAL)_(2016)


TABASCOREP1509093H6 01/10/2016 DEPS920911MCSLRL03 7104586612 03-2017P 23/05/2017 4,929.57$ 4,929.57$

ANA LAURA AVENDAÑO SANCHEZ

DEYSI GUADALUPE SANCHEZ CRUZ

THELMA ISABEL ORTIZ SANCHEZ

SILVIA MARIANA ACOPA SANDOVA

GLORIA HERNANDEZ SANCHEZ

GLORIA HERNANDEZ SANCHEZ

SAYDER MONTEJO PEÑATE

MIGUELINA GOMEZ JIMENEZ

MIGUELINA GOMEZ JIMENEZ

BLANCA MARGARITA DE LA CRUZ CRUZ

MAYRA MONTEJO MENDEZ

MAYRA MONTEJO MENDEZ

MARTIMIANA GOMEZ LOPEZ

ESMERALDA MARTINEZ DOMINGUEZ

VERONICA ALVAREZ DIAZ

VERONICA ALVAREZ DIAZ

CASANDRA DIAZ DIAZ

MARIA ISABEL GONZALEZ ALVAREZ

ANTONIA OLAN RAMOS

SOLEDAD DELESMA PEREZ

31 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 01/10/2016 DEPS920911MCSLRL03 7104586612 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 01/10/2016 MEJD890919MCSNLL02 7102757181 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 01/10/2016 RASP830602MCSMLT09 7160517441 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 02/10/2016 LOMC970807MCSPRR05 7141553553 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 01/10/2016 EAGA880228MCSSNB08 7110140062 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 01/10/2016 MOLJ750106MCSRPN03 7117567451 03-2017P 23/05/2017 8,194.60$ 8,194.60$




BILATERAL)_(2016)




TABASCOREP1509093H6 07/10/2016 LOMM990212MCSPNG08 7067349652 03-2017P 23/05/2017 14,041.63$ 14,041.63$


TABASCOREP1509093H6 13/10/2016 GUGS161011MTCRNFXX 7103202874 03-2017P 23/05/2017 5,300.64$ 5,300.64$


TABASCOREP1509093H6 13/10/2016 GOZC920118MTCNPL06 7103202872 03-2017P 23/05/2017 12,092.62$ 12,092.62$


BILATERAL)_(2016)


TABASCOREP1509093H6 13/10/2016 GOZC920118MTCNPL06 7103202872 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 09/10/2016 LOPE871012HCSPRD03 7116945471 03-2017P 23/05/2017 9,895.47$ 9,895.47$


BILATERAL)_(2016)


TABASCOREP1509093H6 07/10/2016 LOMO091116MCSPNF06 7104261131 03-2017P 23/05/2017 6,878.58$ 6,878.58$

212TRATAMIENTO HOSPITALARIO DE ÚLCERA Y DEL PIE DIABÉTICO INFECTADOS

(IZQUIERDO)_(2016)


TABASCOREP1509093H6 04/10/2016 GOGE810208HVZMML05 4150357832 03-2017P 23/05/2017 7,025.59$ 7,025.59$


TABASCOREP1509093H6 25/11/2016 MAGJ161123MTCRTZXX 7164040782 03-2017P 23/05/2017 5,300.64$ 5,300.64$


TABASCOREP1509093H6 26/11/2016 VAMV900303MVZZNC02 7117299451 03-2017P 23/05/2017 12,204.16$ 12,204.16$


TABASCOREP1509093H6 20/11/2016 LOPH970218MCSPRL06 7142297092 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 17/11/2016 GONA161117MTCMTLXX 7164149043 03-2017P 23/05/2017 1,402.62$ 1,402.62$


TABASCOREP1509093H6 17/11/2016 NOLE990920MCSTPR01 7164149042 03-2017P 23/05/2017 7,582.21$ 7,582.21$

SOLEDAD DELESMA PEREZ

DELIBERIA MENDEZ JULIAN

PATRICIA RAMIREZ SALVADOR

CARLA MARICELA LOPEZ MARIAS

ABIGAIL ESTRADA GONZALEZ

JUANA MORENO LOPEZ

JUANA MORENO LOPEZ

JUANA MORENO LOPEZ

MIGUELINA LOPEZ MENDEZ

SOFIA GUIRAO GONZALEZ

CLARIVEL GONZALEZ ZAPATA

CLARIVEL GONZALEZ ZAPATA

JOSE EDUARDO LOPEZ PEREZ

OFELIA LOPEZ MENDEZ

ELIUT GOMEZ GOMEZ

MARIA JAZMIN MARTINEZ GUTIERREZ

VICENTA VAZQUEZ MONTIEL

HELADIA DEL CARMEN LOPEZ PEREZ

ALONDRA GOMEZ NOTARIO

ERIKA NOTARIO LOPEZ

32 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 13/11/2016 CUPY881217MCSRRL04 7142396631 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 10/11/2016 JAFJ161108HTCMRLXX 7116957163 03-2017P 23/05/2017 5,300.64$ 5,300.64$


TABASCOREP1509093H6 10/11/2016 FALL920419MCSRPR00 7116957161 03-2017P 23/05/2017 12,092.62$ 12,092.62$


BILATERAL)_(2016)


TABASCOREP1509093H6 10/11/2016 FALL920419MCSRPR00 7116957161 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 08/11/2016 CAMR161107MTCLNGXX 7163355132 03-2017P 23/05/2017 3,351.63$ 3,351.63$


TABASCOREP1509093H6 08/11/2016 MERR960415MCSNMG00 7163355131 03-2017P 23/05/2017 9,531.22$ 9,531.22$


TABASCOREP1509093H6 06/11/2016 REMV910423MTCYLV03 7163158591 03-2017P 23/05/2017 7,582.21$ 7,582.21$


BILATERAL)_(2016)


TABASCOREP1509093H6 06/11/2016 REMV910423MTCYLV03 7163158591 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 27/10/2016 HESA161025MTCRRTXX 7104361102 03-2017P 23/05/2017 5,300.64$ 5,300.64$


TABASCOREP1509093H6 27/10/2016 HESM910507MCSRRR05 7104361101 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 23/10/2016 SACM960308MCSNNR02 7163354441 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 21/10/2016 PEPP161020MTCRRLXX 7117485974 03-2017P 23/05/2017 3,351.63$ 3,351.63$


TABASCOREP1509093H6 21/10/2016 PEPM920909MCSRRR06 7117485972 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 21/10/2016 PEGE161020MTCRRSXX 7088314195 03-2017P 23/05/2017 3,351.63$ 3,351.63$


TABASCOREP1509093H6 21/10/2016 GAPE890729MCSRRS06 7088314191 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 21/10/2016 ROFP781226MCSSLT08 7064534511 03-2017P 23/05/2017 12,204.16$ 12,204.16$




TABASCOREP1509093H6 18/10/2016 LOCE981025HCSPRD03 7102462464 03-2017P 23/05/2017 5,128.44$ 5,128.44$


TABASCOREP1509093H6 16/10/2016 MOPS921118MCSNRN01 7110465131 03-2017P 23/05/2017 9,531.22$ 9,531.22$


TABASCOREP1509093H6 11/10/2016 JITL161010MTCMRRXX 7131825313 03-2017P 23/05/2017 3,351.63$ 3,351.63$


TABASCOREP1509093H6 11/10/2016 TODL940810MCSRZR04 7131825311 03-2017P 23/05/2017 7,582.21$ 7,582.21$

YULIANA CRUZ PEREZ

JULIO CESAR JAIMES FRANCO

LAURA FRANCO LOPEZ

LAURA FRANCO LOPEZ

REGINA CALDERON MENDEZ

REGINA MENDEZ RAMIREZ

VIVIANA REYES MALDONADO

VIVIANA REYES MALDONADO

AITANA HERNANDEZ SARAO

MIRIAM HERNANDEZ SARAO

MARTHA SANCHEZ CANUL

PAOLA PEREZ PEREZ

MARLENE DEL CARMEN PEREZ PEREZ

ESMERALDA PEREZ GARCIA

ESMERALDA GARCIA PEREZ

PETRONILA DE LA ROSA FELIX

EDDY LOPEZ CRUZ

SANTA REINA MONTEJO PEREZ

LORENZA JIMENEZ TORRES

LORENZA TORRES DIAZ

33 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS


240 DIAGNÓSTICO Y TRATAMIENTO DE QUISTES DE OVARIO (IZQUIERDO)_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 09/10/2016 MOMD830821MVZRRY01 7087569481 03-2017P 23/05/2017 7,097.92$ 7,097.92$


TABASCOREP1509093H6 16/10/2016 HEJY101012MCSRMSA0 7053912344 03-2017P 23/05/2017 13,008.82$ 13,008.82$




TABASCOREP1509093H6 11/11/2016 LOCB100918MCSPRRA5 7089180913 03-2017P 23/05/2017 20,720.52$ 20,720.52$


TABASCOREP1509093H6 08/11/2016 GOTM160929MCSMRGXX 70665045810 03-2017P 23/05/2017 1,083.53$ 1,083.53$

175DIAGNÓSTICO Y TRATAMIENTO DE MENINGITIS Y MENINGOENCEFALITIS

AGUDAS_(2016)


TABASCOREP1509093H6 08/11/2016 GOTM160929MCSMRGXX 70665045810 03-2017P 23/05/2017 29,235.15$ 29,235.15$


TABASCOREP1509093H6 09/10/2016 MASV161007MTCRNRXX 7141875974 03-2017P 23/05/2017 5,300.64$ 5,300.64$


BILATERAL)_(2016)


TABASCOREP1509093H6 09/10/2016 JISC921226MCSMNR08 7141875972 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 09/10/2016 JISC921226MCSMNR08 7141875972 03-2017P 23/05/2017 14,041.63$ 14,041.63$

275 REDUCCIÓN QUIRÚRGICA DE FRACTURA DE HÚMERO (IZQUIERDO)_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 25/11/2016 LOPJ100410HCSPNRA8 7142398832 03-2017P 23/05/2017 14,226.44$ 14,226.44$


TABASCOREP1509093H6 17/11/2016 CUBH130103MTCRRNA6 7103096315 03-2017P 23/05/2017 13,008.82$ 13,008.82$


TABASCOREP1509093H6 03/10/2016 GAPA161002HTCRRLXX 7150147713 03-2017P 23/05/2017 3,351.63$ 3,351.63$


TABASCOREP1509093H6 03/10/2016 PESM971002MCSRNR03 7150147712 03-2017P 23/05/2017 7,582.21$ 7,582.21$

279 REDUCCIÓN QUIRÚRGICA DE FRACTURA DE FÉMUR (DERECHO)_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 07/11/2016 MAVK150723HCSYLVXX 7101664104 03-2017P 23/05/2017 26,248.84$ 26,248.84$


TABASCOREP1509093H6 07/11/2016 MAVK150723HCSYLVXX 7101664104 03-2017P 23/05/2017 1,083.53$ 1,083.53$

163 CURACIÓN Y SUTURAS DE LESIONES TRAUMÁTICAS DE TEJIDOS BLANDOS_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 07/11/2016 MAVK150723HCSYLVXX 7101664104 03-2017P 23/05/2017 533.42$ 533.42$




TABASCOREP1509093H6 14/11/2016 DIMA160701HQRZNLXX 7128116734 03-2017P 23/05/2017 511.49$ 511.49$


TABASCOREP1509093H6 15/11/2016 TOGB070319HCSRMNA8 7117040557 03-2017P 23/05/2017 13,008.82$ 13,008.82$

82 DIAGNÓSTICO Y TRATAMIENTO DE GASTRITIS AGUDA DUODENITIS Y DISPEPSIA_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 12/11/2016 AAAA101008HCSLLLA6 7076781674 03-2017P 23/05/2017 627.48$ 627.48$


TABASCOREP1509093H6 12/11/2016 BAAJ040530HTCTRNA1 7101630902 03-2017P 23/05/2017 13,008.82$ 13,008.82$


MODERADO_(2016)


TABASCOREP1509093H6 08/11/2016 GOEF120405HTCMSLA2 7116801647 03-2017P 23/05/2017 9,346.83$ 9,346.83$

DAYMA AZUCENA MORENO MARTINEZ

YESI HERNANDEZ JIMENEZ

BRICEIDA CRYSTEL LOPEZ DE LA CRUZ

MIGUELINA GOMEZ TORRES

MIGUELINA GOMEZ TORRES

VIRGINIA MARTINEZ SANCHEZ

MARIA DEL CARMEN JIMENEZ SANCHEZ

MARIA DEL CARMEN JIMENEZ SANCHEZ

JORGE ALFREDO LOPEZ PANIAGUA

HANNIA ANGELITA CRUZ BARRIENTOS

ALEJANDRO GARCIA PEREZ

MARTHA PEREZ SANCHEZ

KEVIN DANIEL MAYO VELASCO



ALER DARINEL DIAZ MENDEZ

JOSE BENITO TORRES GOMEZ

ALAN FERNANDO ALVAREZ ALEGRIA

JUAN DANIEL BAUTISTA ARIAS

FILIBERTO GOMEZ ESQUIBEL

34 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS


233 DIAGNÓSTICO Y TRATAMIENTO DE HIPERTROFIA CONGÉNITA DEL PÍLORO_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 06/11/2016 JIGF160918HTCMNRXX 7150338982 03-2017P 23/05/2017 13,578.74$ 13,578.74$




TABASCOREP1509093H6 25/10/2016 MEAL081201HQRNRNA5 7127909352 03-2017P 23/05/2017 9,549.44$ 9,549.44$


TABASCOREP1509093H6 06/11/2016 CUSS080708HCSRRBA6 7053879715 03-2017P 23/05/2017 13,008.82$ 13,008.82$


TABASCOREP1509093H6 04/11/2016 MESI110623HCSNLSA2 7105272714 03-2017P 23/05/2017 11,059.81$ 11,059.81$


TABASCOREP1509093H6 05/11/2016 LOPL051226HCSPRSA0 7077565862 03-2017P 23/05/2017 13,008.82$ 13,008.82$

165 MANEJO EN URGENCIAS DE QUEMADURAS DE PRIMER GRADO_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 04/11/2016 SADS141117MCSNZNXX 7090898564 03-2017P 23/05/2017 458.18$ 458.18$


GRADO_(2016)


TABASCOREP1509093H6 04/11/2016 SADS141117MCSNZNXX 7090898564 03-2017P 23/05/2017 14,903.24$ 14,903.24$


TABASCOREP1509093H6 08/11/2016 CACK930830MTCSN05 7128456611 03-2017P 23/05/2017 9,531.22$ 9,531.22$


TABASCOREP1509093H6 04/10/2016 HERH961202MCSRDL08 7128700452 03-2017P 23/05/2017 7,582.21$ 7,582.21$

226 DIAGNÓSTICO Y TRATAMIENTO DE OBSTRUCCIÓN INTESTINAL E ÍLEO_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 22/10/2016 CULD160524HCSXPNXX 7141769193 03-2017P 23/05/2017 14,136.50$ 14,136.50$


TABASCOREP1509093H6 15/10/2016 PEVJ101223HCSRZRA0 7.06524E+11 03-2017P 23/05/2017 8,518.56$ 8,518.56$


TABASCOREP1509093H6 15/10/2016 PEVJ101223HCSRZRA0 7.06524E+11 03-2017P 23/05/2017 13,643.07$ 13,643.07$


TABASCOREP1509093H6 24/10/2016 CUVL130326HCSRLSA5 7115249022 03-2017P 23/05/2017 13,008.82$ 13,008.82$


TABASCOREP1509093H6 23/10/2016 VARR120409HCSZMYA4 7104261814 03-2017P 23/05/2017 13,008.82$ 13,008.82$

109DIAGNÓSTICO Y TRATAMIENTO MÉDICO DEL SOBREPESO Y OBESIDAD

EXÓGENA_(2016)


TABASCOREP1509093H6 05/10/2016 SIPV030525MCSLRRA2 7101645483 03-2017P 23/05/2017 89.49$ 89.49$


TABASCOREP1509093H6 14/10/2016 IUMI140323HTCZSVA1 7088063795 03-2017P 23/05/2017 9,736.24$ 9,736.24$


GRADO_(2016)


TABASCOREP1509093H6 05/11/2016 JIMI140128HCSMRKA5 7150151354 03-2017P 23/05/2017 24,871.02$ 24,871.02$

280 REDUCCIÓN QUIRÚRGICA DE FRACTURA DE TIBIA Y PERONÉ (DERECHO)_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 10/10/2016 AARP060721MCSLDRA3 7053461535 03-2017P 23/05/2017 21,681.54$ 21,681.54$


TABASCOREP1509093H6 01/10/2016 GUMC041110HCSTRRA8 7102062302 03-2017P 23/05/2017 11,059.81$ 11,059.81$


TABASCOREP1509093H6 15/09/2016 GACE861221MTCRLD06 7090688761 03-2017P 23/05/2017 10,255.15$ 10,255.15$

FRANK JIMENEZ GONZALEZ

LEONARDO MENDEZ ARCOS

SEBASTIAN DE LA CRUZ SURIAN

ISIDRO MENDOZA SOLIS

JOSE LUIS LOPEZ PEREZ

SONIA ARACELY SANCHEZ DIAZ

SONIA ARACELY SANCHEZ DIAZ

KENIA CASTELLANOS DE LA CRUZ

HALLALY GUADALUPE HERNANDEZ RODRIGUEZ

DIANA RENATA CU LOPEZ

JORGE MISAEL PEREZ VAZQUEZ

JORGE MISAEL PEREZ VAZQUEZ

LUIS ANGEL CRUZ VELAZQUEZ

REYLI VAZQUEZ RAMIREZ

VERENICE DE JESUS SILVA PEREZ

IVAN EDUARDO IZQUIERDO MOSCOSO

IKER YAHEL JIMENEZ MARTINEZ

PERLA GUADALUPE ALVAREZ RODRIGUEZ

CRISTIAN DELI GUTIERREZ MORALES

EDILIA GARCIA COLORADO

35 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 02/09/2016 UIPL011113MQRRBCA9 7163455212 03-2017P 23/05/2017 13,008.82$ 13,008.82$

266 TRATAMIENTO QUIRÚRGICO DE HIDROCEFALIA_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 29/08/2016 AAJP940830MCSLRL06 7163506451 03-2017P 23/05/2017 27,780.90$ 27,780.90$

256 DIAGNÓSTICO Y TRATAMIENTO DE HIPERPLASIA DE LA PRÓSTATA_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 28/09/2016 CUHM440908HTCRRN07 7064733522 03-2017P 23/05/2017 11,936.19$ 11,936.19$


TABASCOREP1509093H6 19/09/2016 VEDJ840526HCSRZN03 7129258411 03-2017P 23/05/2017 6,995.23$ 6,995.23$


(IZQUIERDO)_(2016)


TABASCOREP1509093H6 19/09/2016 PEML770707MCSRRT02 7089321431 03-2017P 23/05/2017 7,025.59$ 7,025.59$


TABASCOREP1509093H6 03/09/2016 RUBL580825MVZZNS06 7064698762 03-2017P 23/05/2017 10,255.15$ 10,255.15$


TABASCOREP1509093H6 28/09/2016 RUDM430330HCSZSR09 7103596461 03-2017P 23/05/2017 24,669.38$ 24,669.38$


TABASCOREP1509093H6 02/08/2016 AURL020812HCSQMSA4 7090690193 03-2017P 23/05/2017 10,264.29$ 10,264.29$


BILATERAL)_(2016)


TABASCOREP1509093H6 18/08/2016 GARL831030MCSLML06 7163454061 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 18/08/2016 GARL831030MCSLML06 7163454061 03-2017P 23/05/2017 7,582.21$ 7,582.21$

231 DIAGNÓSTICO Y TRATAMIENTO DE ENFERMEDAD HEMORROIDAL_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 31/08/2016 JIGJ970122HCSMNL06 7160517521 03-2017P 23/05/2017 6,503.68$ 6,503.68$

230 DIAGNÓSTICO Y TRATAMIENTO DE FÍSTULA Y/O FISURA ANAL_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 31/08/2016 JIGJ970122HCSMNL06 7160517521 03-2017P 23/05/2017 5,767.56$ 5,767.56$


TABASCOREP1509093H6 11/09/2016 AODI040203MTCNMNA6 7150592364 03-2017P 23/05/2017 13,008.82$ 13,008.82$


TABASCOREP1509093H6 15/09/2016 CUAC650806MCSRRL07 7102143951 03-2017P 23/05/2017 3,898.02$ 3,898.02$


TABASCOREP1509093H6 09/08/2016 RORG760820MCSSMV06 7163508641 03-2017P 23/05/2017 15,896.49$ 15,896.49$


TABASCOREP1509093H6 09/08/2016 RORG760820MCSSMV06 7163508641 03-2017P 23/05/2017 10,730.77$ 10,730.77$


TABASCOREP1509093H6 12/09/2016 SARR650403HCSNDC03 7150129851 03-2017P 23/05/2017 15,143.93$ 15,143.93$


TABASCOREP1509093H6 15/09/2016 JIJJ890417HCSMMR01 7099963154 03-2017P 23/05/2017 15,240.04$ 15,240.04$


TABASCOREP1509093H6 15/09/2016 AECI970607MVZSST07 7151189191 03-2017P 23/05/2017 10,255.15$ 10,255.15$


TABASCOREP1509093H6 16/09/2016 SAMM920831MCSNNR02 7103592522 03-2017P 23/05/2017 8,306.14$ 8,306.14$

LUCERO MONSERRATH URBINA PEBA

PAOLA ALVAREZ JUAREZ

MANUEL DE LA CRUZ HERNANDEZ

JUAN FELIPE VERA DIAZ

LETICIA PEREZ MORALES

MARIA LUISA RUIZ BENITEZ

MARCOS RUIZ DIAS

LISANDRO AQUINO RAMOS

LILIANA GALERA ROMERO

LILIANA GALERA ROMERO

JULIO CESAR JIMENEZ GONZALEZ

JULIO CESAR JIMENEZ GONZALEZ

INGRID ANTONIO DAMIAN

CELIA CRUZ ARCOS

GEOVANA AUGUSTA ROSSETTE RAMOS

GEOVANA AUGUSTA ROSSETTE RAMOS

RICARDO SANCHEZ RODRIGUEZ

JORGE LUIS JIMENEZ JIMENEZ

ITZEL ASENCIO CASTILLO

MIREYA SANCHEZ MENDEZ

36 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 20/09/2016 LAGE981211HCSRRD08 7128137353 03-2017P 23/05/2017 13,008.82$ 13,008.82$

254 CIRCUNCISIÓN_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 23/09/2016 CUJA760715HVZRMS04 7090514651 03-2017P 23/05/2017 3,873.21$ 3,873.21$


TABASCOREP1509093H6 26/09/2016 CUAA630508MCSRLD00 7102821371 03-2017P 23/05/2017 14,079.44$ 14,079.44$


TABASCOREP1509093H6 05/09/2016 CULA880114MCSRPD01 7075733301 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 28/09/2016 ROCM950826MCSDRR01 7142353361 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 28/09/2016 LOGJ900624MCSPRN03 7150207052 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 28/09/2016 CULY971030MCSRPS02 7163453541 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 28/09/2016 GUJH940516MCSTRL00 7142397691 03-2017P 23/05/2017 5,633.20$ 5,633.20$


(IZQUIERDO)_(2016)


TABASCOREP1509093H6 28/09/2016 DOPM970113MCSMRR00 7163033811 03-2017P 23/05/2017 2,694.06$ 2,694.06$


TABASCOREP1509093H6 07/09/2016 AOVA830331MCSRZN03 7163635841 03-2017P 23/05/2017 59,979.06$ 59,979.06$


TABASCOREP1509093H6 07/09/2016 AOVA830331MCSRZN03 7163635841 03-2017P 23/05/2017 14,041.63$ 14,041.63$




TABASCOREP1509093H6 13/09/2016 MORA940111MCSNDN03 7091555632 03-2017P 23/05/2017 12,453.38$ 12,453.38$


TABASCOREP1509093H6 13/09/2016 LOAF810627MCSPLL07 7141355381 03-2017P 23/05/2017 10,143.61$ 10,143.61$


BILATERAL)_(2016)


TABASCOREP1509093H6 13/09/2016 LOAF810627MCSPLL07 7141355381 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 13/09/2016 LODJ921012MCSPZS07 7163333041 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 13/09/2016 PEGZ920927MCSRRN09 7103640022 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 12/09/2016 HEPY951202MCSRNS09 7160518021 03-2017P 23/05/2017 12,092.62$ 12,092.62$




TABASCOREP1509093H6 03/09/2016 CARP800310MCSSYL09 7163794781 03-2017P 23/05/2017 21,942.03$ 21,942.03$


TABASCOREP1509093H6 03/09/2016 DOTE920619MCSMLN05 7090352501 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 02/09/2016 DIAR890609MCSZRS01 7103909801 03-2017P 23/05/2017 5,633.20$ 5,633.20$

EDUARDO LARA GARCIA

ASUNCION DE LA CRUZ JIMENEZ

ADELA DE LA CRUZ ALEJO

ADRIANA CRUZ LOPEZ

MARBELLA RODAS CRUZ

JUANA LOPEZ GARCIA

YESICA LILIANA DE LA CRUZ LOPEZ

HILDA GUTIERREZ JUAREZ

MARIANA DOMINGUEZ PEREZ

ANTONIA ARCOS VAZQUEZ

ANTONIA ARCOS VAZQUEZ

ANALLELY MONDRAGON RODRIGUEZ

FLORA LOPEZ ALFARO

FLORA LOPEZ ALFARO

JOSEFINA LOPEZ DIAZ

ZENAIDA PEREZ GARCIA

YESSICA HERNANDEZ PINTO

PAULINA CASTRO REYES

ENEDINA DOMINGUEZ TOLENTINO

ROSA DIAZ ARCOS

37 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 09/08/2016 AAEA890824MTCLSN05 7131601831 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 18/08/2016 TOTM910217MCSRRR01 7143014551 03-2017P 23/05/2017 7,582.21$ 7,582.21$


BILATERAL)_(2016)


TABASCOREP1509093H6 05/08/2016 TEAS841119MMNLLL09 7064701762 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 05/08/2016 TEAS841119MMNLLL09 7064701762 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 31/08/2016 SATA950813MCSLRR07 7104117062 03-2017P 23/05/2017 9,531.22$ 9,531.22$


TABASCOREP1509093H6 15/08/2016 GOCA910312MCSNRR00 7104110151 03-2017P 23/05/2017 5,606.20$ 5,606.20$


TABASCOREP1509093H6 04/09/2016 VICZ931028MCSDSL09 7131602711 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 02/09/2016 LOPA010730MCSPRLA2 7116950376 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 30/09/2016 BISR820331MCSRNS09 7117154421 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 30/09/2016 PEDD980409MCSRMN05 7163456631 03-2017P 23/05/2017 5,346.38$ 5,346.38$


TABASCOREP1509093H6 30/09/2016 PEDD980409MCSRMN05 7163456631 03-2017P 23/05/2017 9,531.22$ 9,531.22$


BILATERAL)_(2016)


TABASCOREP1509093H6 30/09/2016 GOAC851022MCSMLR08 7064773212 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 30/09/2016 GOAC851022MCSMLR08 7064773212 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 30/09/2016 CUIM940918MCSRZR08 7128788901 03-2017P 23/05/2017 12,092.62$ 12,092.62$


BILATERAL)_(2016)


TABASCOREP1509093H6 30/09/2016 CUIM940918MCSRZR08 7128788901 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 02/09/2016 FIBA870725MCSGTN06 7102825111 03-2017P 23/05/2017 12,092.62$ 12,092.62$


BILATERAL)_(2016)


TABASCOREP1509093H6 02/09/2016 FIBA870725MCSGTN06 7102825111 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 25/09/2016 CXCA921224MCSSSN08 7141681731 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 02/09/2016 MAGN841130MCSRRR06 7099666751 03-2017P 23/05/2017 12,092.62$ 12,092.62$


BILATERAL)_(2016)


TABASCOREP1509093H6 02/09/2016 MAGN841130MCSRRR06 7099666751 03-2017P 23/05/2017 4,929.57$ 4,929.57$

ANA SILVIA ALFARO ESTEBAN

MARBELLA TORRES TORRES

SELENE TELLEZ ALVAREZ

SELENE TELLEZ ALVAREZ

ARELI SALAS TORRES

ARGELIA GONZALEZ DE LA CRUZ

ZULMA VIDAL CUSTODIO

ALEJANDRA LOPEZ PEREZ

ROSA KENDIRA BRIONES SANCHEZ

DIANA LAURA PEREZ DOMINGUEZ

DIANA LAURA PEREZ DOMINGUEZ

CAROLINA GOMEZ ALVAREZ

CAROLINA GOMEZ ALVAREZ

MARCELA DE LA CRUZ IZQUIERDO

MARCELA DE LA CRUZ IZQUIERDO

ANA GABRIEL FIGUEROA BAUTISTA

ANA GABRIEL FIGUEROA BAUTISTA

ANAIZA CASTILLEJOS CASTILLO

NORMA MARTINEZ GARCIA

NORMA MARTINEZ GARCIA

38 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 02/09/2016 LOGG651201MTCPMD04 7065268621 03-2017P 23/05/2017 15,781.22$ 15,781.22$


TABASCOREP1509093H6 07/09/2016 GOOG970909MCSMVD09 7163032821 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 07/09/2016 LOLS960313MCSPPR00 7090644812 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 02/09/2016 VAGJ990106MCSLRN05 7053446264 03-2017P 23/05/2017 5,346.38$ 5,346.38$


TABASCOREP1509093H6 02/09/2016 VAGJ990106MCSLRN05 7053446264 03-2017P 23/05/2017 14,041.63$ 14,041.63$


TABASCOREP1509093H6 03/09/2016 PEML901020MTCRRL06 7102820671 03-2017P 23/05/2017 7,582.21$ 7,582.21$


BILATERAL)_(2016)


TABASCOREP1509093H6 05/09/2016 MOGB921127MCSRMR12 7150406751 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 05/09/2016 MOGB921127MCSRMR12 7150406751 03-2017P 23/05/2017 12,092.62$ 12,092.62$




TABASCOREP1509093H6 03/09/2016 CUPG970920MCSRRL06 7163030481 03-2017P 23/05/2017 6,428.58$ 6,428.58$


TABASCOREP1509093H6 04/09/2016 CACE020901MCSBRLA4 7142658264 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 04/09/2016 OOVJ900121MCSSZN00 7090357331 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 19/09/2016 DORK981124MCSMYT00 7064959555 03-2017P 23/05/2017 9,531.22$ 9,531.22$


TABASCOREP1509093H6 09/09/2016 CERC890218MCSRBR03 7102082031 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 20/09/2016 AIDM941112MCSVZR05 7131758941 03-2017P 23/05/2017 14,505.83$ 14,505.83$

269 TORACOTOMÍA PLEUROTOMÍA Y DRENAJE DE TÓRAX_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 17/08/2016 RORP000824MCSSMNA3 7163508642 03-2017P 23/05/2017 6,935.17$ 6,935.17$




TABASCOREP1509093H6 23/09/2016 AOPJ800701HCSRXN07 7064897712 03-2017P 23/05/2017 5,651.42$ 5,651.42$

155DIAGNÓSTICO Y TRATAMIENTO DEL ENVENENAMIENTO POR INSECTICIDAS

ORGANOFOSFORADOS Y CARBAMATOS_(2016)


TABASCOREP1509093H6 19/09/2016 DORI960530HCSMMV06 7163456471 03-2017P 23/05/2017 1,458.15$ 1,458.15$


TABASCOREP1509093H6 13/09/2016 JIGJ620115MCSMMN04 7151508351 03-2017P 23/05/2017 8,306.14$ 8,306.14$


TABASCOREP1509093H6 13/09/2016 JIGJ620115MCSMMN04 7151508351 03-2017P 23/05/2017 4,203.30$ 4,203.30$


TABASCOREP1509093H6 08/09/2016 CAPV830713MCSRRR03 7053960241 03-2017P 23/05/2017 12,092.62$ 12,092.62$

GUADALUPE LOPEZ GOMEZ

MARIA GUADALUPE GOMEZ OVANDO

SORAYMA GUADALUPE LOPEZ LOPEZ

JENNIFER VALENCIA GARCIA

JENNIFER VALENCIA GARCIA

LILIANA PERALTA MORALES

BRENDA CRISTHEL MORALES GOMEZ

BRENDA CRISTHEL MORALES GOMEZ

GLADYS DE LA CRUZ PEREZ

MARIA ELENA CABRERA CRUZ

JUANA IVET OSORIO VAZQUEZ

KATHIA GRACIANA DOMINGUEZ REYES

CAROLINA CERVANTES RABELO

MARTINA AVILA DIAZ

PENELOPE MICHELLE ROSSETTE RAMOS

JUAN ARCOS PEÑATE

IVAN DOMINGUEZ RAMIREZ

JUANA JIMÉNEZ GÓMEZ

JUANA JIMÉNEZ GÓMEZ

VIRGINIA CARRILLO PEREZ

39 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



BILATERAL)_(2016)


TABASCOREP1509093H6 08/09/2016 CAPV830713MCSRRR03 7053960241 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 10/09/2016 GAZD831021MCSRXN00 7163354241 03-2017P 23/05/2017 12,092.62$ 12,092.62$


BILATERAL)_(2016)


TABASCOREP1509093H6 10/09/2016 GAZD831021MCSRXN00 7163354241 03-2017P 23/05/2017 4,929.57$ 4,929.57$




TABASCOREP1509093H6 12/09/2016 SAMC831118HCSNNR07 7139229452 03-2017P 23/05/2017 10,975.47$ 10,975.47$


TABASCOREP1509093H6 29/08/2016 LOAJ860105MCSPGS01 7102273411 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 29/08/2016 SELC980518MCSGPH08 7116915242 03-2017P 23/05/2017 9,531.22$ 9,531.22$


TABASCOREP1509093H6 10/09/2016 PEPJ880215HVZSVN02 7160516371 03-2017P 23/05/2017 11,059.81$ 11,059.81$


TABASCOREP1509093H6 30/08/2016 HEPA031020MCSRRNA4 7163817055 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 09/09/2016 AUCJ960802HTCGSS05 4140170952 03-2017P 23/05/2017 13,008.82$ 13,008.82$


TABASCOREP1509093H6 30/08/2016 JILE980224MCSMPL07 7163057091 03-2017P 23/05/2017 12,092.62$ 12,092.62$


EL EMBARAZO_(2016)


TABASCOREP1509093H6 30/08/2016 JILE980224MCSMPL07 7163057091 03-2017P 23/05/2017 5,267.36$ 5,267.36$


TABASCOREP1509093H6 15/08/2016 VERG980215MCSLJY01 7163003732 03-2017P 23/05/2017 10,143.61$ 10,143.61$

286 DIAGNÓSTICO Y TRATAMIENTO DE ARRITMIAS CARDÍACAS_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 08/09/2016 GAPO360111HCSRRS08 7053899662 03-2017P 23/05/2017 16,291.50$ 16,291.50$


MODERADO_(2016)


TABASCOREP1509093H6 17/08/2016 CAGL980125MCSSMT00 7138392562 03-2017P 23/05/2017 9,346.83$ 9,346.83$


TABASCOREP1509093H6 07/09/2016 RADR400327MVZMMP04 7104458091 03-2017P 23/05/2017 14,079.44$ 14,079.44$

257 EXTIRPACIÓN DE LESIÓN CANCEROSA DE PIEL (NO INCLUYE MELANOMA)_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 06/09/2016 PEDR550401MCSRMS09 7102113921 03-2017P 23/05/2017 2,647.37$ 2,647.37$


TABASCOREP1509093H6 06/09/2016 HEMS400228HCSRNN04 7053884522 03-2017P 23/05/2017 8,960.96$ 8,960.96$


TABASCOREP1509093H6 14/09/2016 PECM830803MCSRHR00 7128136871 03-2017P 23/05/2017 13,008.82$ 13,008.82$


TABASCOREP1509093H6 10/09/2016 AIGN570805MTCRML00 7103592462 03-2017P 23/05/2017 8,306.14$ 8,306.14$




TABASCOREP1509093H6 04/09/2016 EIAD000107MCSSLYA5 7090899554 03-2017P 23/05/2017 11,498.45$ 11,498.45$

VIRGINIA CARRILLO PEREZ

DENNIS ROSELINA GARCIA ZUÑIGA

DENNIS ROSELINA GARCIA ZUÑIGA

CRISTOBAL SÁNCHEZ MÉNDEZ

JESUS LORENA LOPEZ AGUILAR

CHANUK MARTHA SEGUNDO LOPEZ

JUAN PABLO PESTAÑA PAVÓN

ANALIA HERNANDEZ PEREZ

JESÚS ALFONSO AGUIRRE CASTAÑEDA

MARIA ELENA JIMENEZ LOPEZ

MARIA ELENA JIMENEZ LOPEZ

GEYDI GUADALUPE VELASCO ROJAS

OSCAR GARCÍA PÉREZ

LETICIA CASTELLANOS GOMEZ

RUPERTA RAMOS DOMÍNGUEZ

ROSAURA PÉREZ DOMÍNGUEZ

JOSÉ SANTANA HERNÁNDEZ MÉNDEZ

MARIA PEREZ CHABLE

NILA DEL CARMEN ARIAS GOMEZ

DEYSI FAVIOLA ESPINOSA ALVARADO

40 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 28/08/2016 GOPS850120HCSMTB01 7102060665 03-2017P 23/05/2017 826.37$ 826.37$


TABASCOREP1509093H6 06/09/2016 VAOM870417MCSZRR04 7139199341 03-2017P 23/05/2017 10,143.61$ 10,143.61$


BILATERAL)_(2016)


TABASCOREP1509093H6 06/09/2016 VAOM870417MCSZRR04 7139199341 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 07/09/2016 AAGM990510MCSLMR05 7064780275 03-2017P 23/05/2017 10,143.61$ 10,143.61$


BILATERAL)_(2016)


TABASCOREP1509093H6 07/09/2016 SALZ920628MCSNPL06 7163635691 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 07/09/2016 SALZ920628MCSNPL06 7163635691 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 08/09/2016 HEAG011207MCSRLSA1 7090629843 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 08/09/2016 AEPS930602MCSLRH00 7131601391 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 26/09/2016 MEAL000930MCSNLCA3 7102757744 03-2017P 23/05/2017 7,582.21$ 7,582.21$




TABASCOREP1509093H6 26/09/2016 CUCF860313MCSRRB01 7064702941 03-2017P 23/05/2017 4,479.57$ 4,479.57$


TABASCOREP1509093H6 29/09/2016 TOOR870914MCSRVM09 7090351111 03-2017P 23/05/2017 9,531.22$ 9,531.22$


BILATERAL)_(2016)


TABASCOREP1509093H6 27/09/2016 VEDS840902MCSLZS02 7065351181 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 27/09/2016 VEDS840902MCSLZS02 7065351181 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 27/09/2016 HEHA921014MCSRRN09 7120141821 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 27/09/2016 SARL970803MCSNMZ08 7160520511 03-2017P 23/05/2017 10,143.61$ 10,143.61$

250 DIAGNÓSTICO Y TRATAMIENTO DE MIOMATOSIS UTERINA_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 19/09/2016 LOSR820903MCSPNM07 7127706202 03-2017P 23/05/2017 10,944.03$ 10,944.03$


TABASCOREP1509093H6 19/09/2016 RUGG920511MCSDZN05 7115254101 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 19/09/2016 RUGG920511MCSDZN05 7115254101 03-2017P 23/05/2017 5,346.38$ 5,346.38$


TABASCOREP1509093H6 19/09/2016 UIVN960922MTCRLR02 7142064562 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 17/09/2016 CUAF970916MCSRSL09 7163456041 03-2017P 23/05/2017 5,633.20$ 5,633.20$

SEBASTIAN GOMEZ PATISHTAN

MARITZA ZULEMA VAZQUEZ ORAMAS

MARITZA ZULEMA VAZQUEZ ORAMAS

MARI ELBA ALVAREZ GOMEZ

ZOILA SANTIZ LOPEZ

ZOILA SANTIZ LOPEZ

GISSELLE HERNANDEZ ALEGRIA

SHEILA ALEGRIA PEREZ

LUCRECIA MENDEZ ALVARADO

FABIOLA CRUZ CRUZ

ROMANA TORRES OVANDO

SUSANA VELASCO DIAZ

SUSANA VELASCO DIAZ

MARIA DE LOS ANGELES HERNANDEZ HERNANDEZ

LUZ DEL ALVA SANCHEZ RAMIREZ

ROMELIA LOPEZ SANCHEZ

GENNY DEL CARMEN RUEDA GUZMAN

GENNY DEL CARMEN RUEDA GUZMAN

NURIDIANA URIVE VILLEGAS

FLOR EDITH DE LA CRUZ ASCENCIO

41 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 19/09/2016 GUOM890101MTCLSN08 7075755301 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 12/09/2016 MOGM811221MCSRTN02 7128746261 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 12/09/2016 LOML960529MCSRNZ06 7150130251 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 12/09/2016 SAHS900808MCSNRN05 7117154301 03-2017P 23/05/2017 15,990.64$ 15,990.64$


TABASCOREP1509093H6 08/09/2016 FOEC821201MCSLMN04 7064748061 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 08/09/2016 AODI790807MCSRZR09 7088096581 03-2017P 23/05/2017 9,531.22$ 9,531.22$


TABASCOREP1509093H6 08/09/2016 CAMC730202MCSXNN00 7064741831 03-2017P 23/05/2017 13,832.21$ 13,832.21$


BILATERAL)_(2016)






TABASCOREP1509093H6 06/09/2016 ROLL820827MTCSPY09 7103099461 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 06/09/2016 HEGM960209MCSRMR07 7163000991 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 06/09/2016 GUAO930222MCSZRF04 7128578911 03-2017P 23/05/2017 8,194.60$ 8,194.60$


TABASCOREP1509093H6 06/09/2016 GUAO930222MCSZRF04 7128578911 03-2017P 23/05/2017 155,543.22$ 155,543.22$




TABASCOREP1509093H6 01/09/2016 LOMR800625MCSPRS09 7087765221 03-2017P 23/05/2017 8,555.36$ 8,555.36$


TABASCOREP1509093H6 01/09/2016 LAEG890815MTCRSV06 7150604861 03-2017P 23/05/2017 9,531.22$ 9,531.22$


BILATERAL)_(2016)


TABASCOREP1509093H6 01/09/2016 LAEG890815MTCRSV06 7150604861 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 01/09/2016 OACK920711MTCLNR01 7128345691 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 01/09/2016 AOMJ770608MCSRNN09 7163418341 03-2017P 23/05/2017 12,092.62$ 12,092.62$


BILATERAL)_(2016)


TABASCOREP1509093H6 01/09/2016 GOJE770113MCSMRG02 7053639411 03-2017P 23/05/2017 4,929.57$ 4,929.57$



MANUELA GUILLEN OSORIO

MANUELA MORENO GUTIERREZ

MARIA DE LA LUZ LORENZO MENDEZ

SANDRA SANCHEZ HERNANDEZ

MARIA CONCEPCION FLORES EMETERIO

IRMA ARCOS DIAZ

CANDELARIA CAÑAS MONTERO

MARIA MARTINEZ LOPEZ

MARIA MARTINEZ LOPEZ

LEYDI ESMERALDA ROSADO LOPEZ

MARTHA YOLANDA HERNANDEZ GOMEZ

OFELIA GUZMAN ARCOS

OFELIA GUZMAN ARCOS

ROSALIA LOPEZ MARTINEZ

GEOVANNI DEL CARMEN LARA ESCOBAR

GEOVANNI DEL CARMEN LARA ESCOBAR

KARLA GEORGINA OLAN CONTRERAS

JUANA ARCOS MENDEZ

MARIA EUGENIA GOMEZ JUAREZ


42 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS







TABASCOREP1509093H6 11/09/2016 AACA841112MCSBHN07 7088373371 03-2017P 23/05/2017 8,344.58$ 8,344.58$


BILATERAL)_(2016)


TABASCOREP1509093H6 10/09/2016 CUGM840911MCSRRR09 7099443301 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 10/09/2016 CUGM840911MCSRRR09 7099443301 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 29/08/2016 SUCL970924MCSRSR08 7163039281 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 19/08/2016 LOHR960109MCSPRS06 7142066821 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 08/08/2016 MAAA860917MVZLLN08 7161193841 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 30/08/2016 GUCE000127MCSTRLA0 7150096482 03-2017P 23/05/2017 7,582.21$ 7,582.21$




TABASCOREP1509093H6 24/08/2016 VATJ790331MCSZRN07 7065316101 03-2017P 23/05/2017 10,504.37$ 10,504.37$


TABASCOREP1509093H6 19/08/2016 ROVF990223MCSDLR05 7077600593 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 20/08/2016 GOJA850115MVZMMR02 7053252341 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 20/08/2016 HEMG900529MVZRND05 7102040281 03-2017P 23/05/2017 9,531.22$ 9,531.22$


TABASCOREP1509093H6 22/09/2016 LOCY881125MCSPRL07 7090478831 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 26/09/2016 CAGY930512MCSSNS07 7138389552 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 25/08/2016 GUAG941130MCSTLD07 7139447301 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 27/09/2016 MATD920907MTCRRY00 7116797441 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 24/09/2016 AURA981027MCSGMR05 7142205141 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 13/09/2016 MEVA831006MCSNLN05 7065775731 03-2017P 23/05/2017 9,531.22$ 9,531.22$


TABASCOREP1509093H6 03/08/2016 HECZ920830MCSRRN09 7104116832 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 05/08/2016 DICS861013MCSZNH07 7076779831 03-2017P 23/05/2017 7,582.21$ 7,582.21$


MARIA ANGELICA ABARCA CHAVEZ

MARILU CRUZ GARCIA

MARILU CRUZ GARCIA

LAURA SUAREZ CASTELLANOS

ROSARIO LOPEZ HERNANDEZ

MARIA DE LOS ANGELES MALDONADO ALBAÑIL

ELBA GUTIERREZ CRUZ

JUANA DEL ROSARIO VAZQUEZ TRUJILLO

MARIA FERNANDA RODRIGUEZ VELAZQUEZ

ARELIS GOMEZ JIMENEZ

GUADALUPE HERNANDEZ MONTALVO

YULIANA LOPEZ CRUZ

YASENIA CASTELLANOS GONZALEZ

GUADALUPE DEL CARMEN GUTIERREZ ALVAREZ

DEYSI MARTINEZ TORREZ

ARIANA ESTHER AGUILAR ROMERO

ANADEY MENDOZA VALENCIA

ZENAYDA HERNANDEZ DE LA CRUZ

SHEYLA FAVIOLA DIAZ CANTORAL

43 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 10/08/2016 MOON941210MCSRSR07 7139287211 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 10/08/2016 HEAM940830MCSRLR08 7163003001 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 30/08/2016 RIVL441219HCSVZC06 7066334662 03-2017P 23/05/2017 7,946.46$ 7,946.46$


TABASCOREP1509093H6 20/09/2016 SAVL010312MCSNLRA0 7116839642 03-2017P 23/05/2017 13,008.82$ 13,008.82$


TABASCOREP1509093H6 26/09/2016 PEJH720122MCSRMR03 7128694411 03-2017P 23/05/2017 274.92$ 274.92$


TABASCOREP1509093H6 26/09/2016 PEJH720122MCSRMR03 7128694411 03-2017P 23/05/2017 826.37$ 826.37$


TABASCOREP1509093H6 07/08/2016 RARD940107MCSMMN00 7131376261 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 04/08/2016 GUSC110722MCSZNRA9 7128577653 03-2017P 23/05/2017 11,844.48$ 11,844.48$


TABASCOREP1509093H6 20/08/2016 CAUL531007MCSSRS01 7053945751 03-2017P 23/05/2017 10,255.15$ 10,255.15$

125 DIAGNÓSTICO Y TRATAMIENTO DE INSUFICIENCIA CARDÍACA_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 08/08/2016 OIPM031118MCSRRRA4 7117036943 03-2017P 23/05/2017 1,219.75$ 1,219.75$


TABASCOREP1509093H6 09/09/2016 AALG150605HCSLPBA8 7104452423 03-2017P 23/05/2017 23,379.31$ 23,379.31$


MODERADO_(2016)


TABASCOREP1509093H6 03/09/2016 PEMM140319HCSRNRXX 7102319056 03-2017P 23/05/2017 5,448.81$ 5,448.81$

279 REDUCCIÓN QUIRÚRGICA DE FRACTURA DE FÉMUR (DERECHO)_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 03/09/2016 PEMM140319HCSRNRXX 7102319056 03-2017P 23/05/2017 26,248.84$ 26,248.84$


TABASCOREP1509093H6 03/09/2016 COFA151027HTCNNLXX 7143072183 03-2017P 23/05/2017 1,148.20$ 1,148.20$


TABASCOREP1509093H6 26/09/2016 LOLP160527HCSPPPXX 7141356213 03-2017P 23/05/2017 1,940.20$ 1,940.20$

105 DIAGNÓSTICO Y TRATAMIENTO DE DESNUTRICIÓN LEVE MODERADA Y SEVERA_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 26/09/2016 LOLP160527HCSPPPXX 7141356213 03-2017P 23/05/2017 667.76$ 667.76$


TABASCOREP1509093H6 26/09/2016 LOLP160527HCSPPPXX 7141356213 03-2017P 23/05/2017 1,083.53$ 1,083.53$


TABASCOREP1509093H6 27/09/2016 GUGC461208HCSSNN09 7064912852 03-2017P 23/05/2017 11,059.81$ 11,059.81$


TABASCOREP1509093H6 03/08/2016 PERA970706MCSRZL07 7127374582 03-2017P 23/05/2017 10,143.61$ 10,143.61$


BILATERAL)_(2016)


TABASCOREP1509093H6 03/08/2016 PERA970706MCSRZL07 7127374582 03-2017P 23/05/2017 4,929.57$ 4,929.57$

NORMALI GUADALUPE MORENO OSORIO

MARIELA HERNANDEZ ALVAREZ

LEOCADIO RIVERA VAZQUEZ

LAURA FABIOLA SANCHEZ VELAZCO

HERMELINDA PEREZ JIMENEZ

HERMELINDA PEREZ JIMENEZ

DANIELA RAMOS RAMOS

CRISTINA GUADALUPE GUZMAN SANDOVAL

LUISA CASTELLANOS URBINA

MERCI MARILU ORTIZ PEREZ

JOSE GABRIEL ALAMINA LOPEZ

MARIANO PEREZ MENDOZA

MARIANO PEREZ MENDOZA

ALAN MATIAS CONCEPCION FUENTES

JOSE PEPITO LOPEZ LOPEZ



CONCEPCION GUSMAN GONZALEZ

ALEYDA PEREZ RUIZ

ALEYDA PEREZ RUIZ

44 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



GRADO_(2016)


TABASCOREP1509093H6 09/09/2016 SAGD130615HCSNTMXX 7099462437 03-2017P 23/05/2017 19,023.99$ 19,023.99$


TABASCOREP1509093H6 12/09/2016 SASR060621HCSNNLA9 7139867755 03-2017P 23/05/2017 13,008.82$ 13,008.82$


TABASCOREP1509093H6 07/09/2016 ROLJ120525HCSJMRA9 7114364942 03-2017P 23/05/2017 8,289.47$ 8,289.47$


TABASCOREP1509093H6 07/09/2016 ROLJ120525HCSJMRA9 7114364942 03-2017P 23/05/2017 5,847.03$ 5,847.03$


TABASCOREP1509093H6 08/09/2016 GUVE570312MCSZZL00 7104260071 03-2017P 23/05/2017 9,895.47$ 9,895.47$


MODERADO_(2016)


TABASCOREP1509093H6 29/09/2016 LOMM140530MCSPNCA2 7088121185 03-2017P 23/05/2017 9,346.83$ 9,346.83$


TABASCOREP1509093H6 24/09/2016 CUMG160504HCSRNLXX 7053808013 03-2017P 23/05/2017 8,289.47$ 8,289.47$


TABASCOREP1509093H6 24/09/2016 CUMG160504HCSRNLXX 7053808013 03-2017P 23/05/2017 3,898.02$ 3,898.02$




TABASCOREP1509093H6 09/09/2016 TELJ860115MCSRPC01 7064752871 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 09/09/2016 EEAA960204MCSMSN09 7163453001 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 11/09/2016 SAHC960629MCSNRN05 7142882091 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 10/09/2016 GOSR990128MCSMNC05 7066986626 03-2017P 23/05/2017 7,582.21$ 7,582.21$




TABASCOREP1509093H6 10/09/2016 JUOG940218MCSRVD08 7115908961 03-2017P 23/05/2017 8,555.36$ 8,555.36$


EL EMBARAZO_(2016)






TABASCOREP1509093H6 25/08/2016 PEJC040920HCSRMRA3 7104117248 03-2017P 23/05/2017 18,771.51$ 18,771.51$


BILATERAL)_(2016)


TABASCOREP1509093H6 30/08/2016 LULG970303MCSNPB06 7127865292 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 30/08/2016 LULG970303MCSNPB06 7127865292 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 30/08/2016 NAGB951218MCSHZL02 7160166341 03-2017P 23/05/2017 9,531.22$ 9,531.22$


TABASCOREP1509093H6 30/08/2016 LOLJ991201MCSPPS05 7053782512 03-2017P 23/05/2017 10,143.61$ 10,143.61$

DOMINGO SANCHEZ GUTIERREZ

RAUL ANTONIO SANTIAGO SANCHEZ

JORGE MIGUEL ROJAS LEMAN

JORGE MIGUEL ROJAS LEMAN

ELENA GUZMAN VAZQUEZ

MICAELA LOPEZ MONTEJO

GAEL CRUZ MENDEZ

GAEL CRUZ MENDEZ

ANGELICA VAZQUEZ MARTINEZ

JACQUELINE TREJO LOPEZ

ANA CRISTHEL EMETERIO ASCENCIO

CONSUELO SANCHEZ HERNANDEZ

ROCELIA GOMEZ SANCHEZ

GUADALUPE JUAREZ OVANDO


CRISTIAN PEREZ JIMENEZ

GABRIELA DE JESUS LUNA LOPEZ

GABRIELA DE JESUS LUNA LOPEZ

BELLANIRA NAHAL GUZMAN

JESSICA LOPEZ LOPEZ

45 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 30/08/2016 VIHC960621MCSLRR02 7150130561 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 27/08/2016 MOAG010515MCSRLDA9 7163453472 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 29/08/2016 AOFL930315MCSCRR07 7099441822 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 29/08/2016 CAGE940517MTCSRL04 7160516771 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 28/08/2016 DIAP890816MCSZQT07 7151189341 03-2017P 23/05/2017 7,582.21$ 7,582.21$

172 DIAGNÓSTICO Y TRATAMIENTO DE PIELONEFRITIS_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE



TABASCOREP1509093H6 25/08/2016 AORO901115MCSLMR07 7117035771 03-2017P 23/05/2017 5,633.20$ 5,633.20$




TABASCOREP1509093H6 26/08/2016 GOGA940616MCSMMN02 7138455691 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 28/08/2016 LOMC800102MCSPRC02 7104458871 03-2017P 23/05/2017 5,633.20$ 5,633.20$


BILATERAL)_(2016)


TABASCOREP1509093H6 26/08/2016 CUGV951202MCSRRL09 7163792101 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 26/08/2016 CUGV951202MCSRRL09 7163792101 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 10/09/2016 SICG080920HCSLRSA9 7088339843 03-2017P 23/05/2017 8,289.47$ 8,289.47$


TABASCOREP1509093H6 10/09/2016 SICG080920HCSLRSA9 7088339843 03-2017P 23/05/2017 5,847.03$ 5,847.03$




TABASCOREP1509093H6 27/09/2016 AOMS050205HCSRNLA7 7064897714 03-2017P 23/05/2017 511.49$ 511.49$


TABASCOREP1509093H6 25/09/2016 LOJN050630MCSPMMA9 7099668163 03-2017P 23/05/2017 13,008.82$ 13,008.82$


TABASCOREP1509093H6 26/09/2016 AURM041231HCSQZNA8 7064751575 03-2017P 23/05/2017 7,946.46$ 7,946.46$


TABASCOREP1509093H6 25/09/2016 KECC041203HCSNSRA2 7064696787 03-2017P 23/05/2017 13,008.82$ 13,008.82$

71 DIAGNÓSTICO Y TRATAMIENTO DE ERISIPELA Y CELULITIS_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 26/09/2016 GOAJ130502HTCMNNA7 7116814334 03-2017P 23/05/2017 417.99$ 417.99$


SERPIENTE_(2016)


TABASCOREP1509093H6 08/09/2016 SAGJ091205MCSNMNA5 7103332273 03-2017P 23/05/2017 20,156.47$ 20,156.47$

CARMEN VILLARREAL HERRERA

MARIA GUADALUPE MORALES ALVARADO

LAURA CRISTEL ACOSTA FRIAS

ELIS DEL CARMEN CASTILLO GUERRA

PETRONILA DIAZ AQUINO

MARTHA LUZ LOPEZ PEREZ

ORFA ALONSO RAMOS

MARIA LOPEZ PEREZ

ANGELINA GOMEZ GOMEZ

CECILIA LOPEZ MORALES

VALERIA CRUZ GARCIA

VALERIA CRUZ GARCIA

GUSTAVO SILVA CRUZ

GUSTAVO SILVA CRUZ

SAULO ARCOS MENDEZ

NAOMI MADAI LOPEZ JIMENEZ

MANUEL ANTONIO AQUINO RUIZ

CRUZ KENNY CASAUX

JONATHAN JAFET GOMEZ DEL ANGEL

JUANA GABRIELA SANCHEZ GOMEZ

46 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS





TABASCOREP1509093H6 26/09/2016 AOMM091225MCSRNNA2 7064897716 03-2017P 23/05/2017 511.49$ 511.49$

279 REDUCCIÓN QUIRÚRGICA DE FRACTURA DE FÉMUR (IZQUIERDO)_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 21/09/2016 HEDG040608HCSRMRA2 7091629084 03-2017P 23/05/2017 27,874.92$ 27,874.92$




TABASCOREP1509093H6 12/09/2016 DIPE150328HCSZRDXX 7150365152 03-2017P 23/05/2017 5,128.44$ 5,128.44$


TABASCOREP1509093H6 12/09/2016 DIPE150328HCSZRDXX 7150365152 03-2017P 23/05/2017 5,847.03$ 5,847.03$


TABASCOREP1509093H6 20/09/2016 VAGM160114MCSZMGXX 7139415894 03-2017P 23/05/2017 23,379.31$ 23,379.31$


TABASCOREP1509093H6 17/09/2016 RUEJ151223HTCZSNXX 7115229974 03-2017P 23/05/2017 1,148.20$ 1,148.20$


TABASCOREP1509093H6 28/08/2016 MOVI160522HTCRDRXX 7160520343 03-2017P 23/05/2017 1,083.53$ 1,083.53$






TABASCOREP1509093H6 06/08/2016 PEGD100724HCSRRYA5 7142495937 03-2017P 23/05/2017 5,847.03$ 5,847.03$

228 DIAGNÓSTICO Y TRATAMIENTO DEL VÓLVULO _(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 06/08/2016 PEGD100724HCSRRYA5 7142495937 03-2017P 23/05/2017 7,243.07$ 7,243.07$

244 DIAGNÓSTICO Y TRATAMIENTO QUIRÚRGICO DEL EMBARAZO ECTÓPICO_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 27/09/2016 SOBA920627MTCLLN00 7128799641 03-2017P 23/05/2017 13,441.77$ 13,441.77$


TABASCOREP1509093H6 12/09/2016 PEMM911023MCSRRN04 7142063551 03-2017P 23/05/2017 13,008.82$ 13,008.82$


TABASCOREP1509093H6 01/09/2016 CUGR590512HCSRNB02 7066117342 03-2017P 23/05/2017 12,711.91$ 12,711.91$


TABASCOREP1509093H6 30/09/2016 GOVA990710MCSMZM01 7104361852 03-2017P 23/05/2017 10,143.61$ 10,143.61$


BILATERAL)_(2016)


TABASCOREP1509093H6 30/09/2016 GOVA990710MCSMZM01 7104361852 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 30/09/2016 LOHE931117MCSPRS01 7127487582 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 25/09/2016 PEGA880126MCSRRN02 7088316722 03-2017P 23/05/2017 12,092.62$ 12,092.62$


BILATERAL)_(2016)


TABASCOREP1509093H6 25/09/2016 PEGA880126MCSRRN02 7088316722 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 21/09/2016 BACG631029MCSRRD09 7102462781 03-2017P 23/05/2017 12,204.16$ 12,204.16$

MANUELA ARCOS MENDEZ

GERARDO HERNANDEZ DOMINGUEZ

JOSE EDUARDO DIAZ PEREZ

JOSE EDUARDO DIAZ PEREZ

MAGNOLIA VAZQUEZ GOMEZ

JUAN ALBINO RN RUIZ ESTRADA

IRVING RN MORALES VIDAL



DEYNER ALONSO PEREZ GARCIA

DEYNER ALONSO PEREZ GARCIA

ANA YELI SOLANO BELTRAN

MARISOL PEREZ MONTECINO

ROBERTO CRUZ GONZALEZ

AMALIA GOMEZ VAZQUEZ

AMALIA GOMEZ VAZQUEZ

MARIA ESTELA LOPEZ HERNANDEZ

ANGELA PEREZ GARCIA

ANGELA PEREZ GARCIA

GUADALUPE BARBOSA CARDENAS

47 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 21/09/2016 MAVC800526MCSRZR09 7139869551 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 18/09/2016 HEMF921203MCSRNR06 7103967221 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 17/09/2016 GUGN860831MCSTTT03 7142397491 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 18/09/2016 MALA921014MCSRPM04 7103201491 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 12/09/2016 DIPJ911005MCSZRN08 7163354741 03-2017P 23/05/2017 7,582.21$ 7,582.21$


BILATERAL)_(2016)


TABASCOREP1509093H6 12/09/2016 DIPJ911005MCSZRN08 7163354741 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 11/09/2016 MAGM700317MCSGMR08 7077567182 03-2017P 23/05/2017 8,306.14$ 8,306.14$


TABASCOREP1509093H6 10/09/2016 MEMA850127MCSNRN03 7067349661 03-2017P 23/05/2017 7,582.21$ 7,582.21$

228 DIAGNÓSTICO Y TRATAMIENTO DEL VÓLVULO _(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 06/08/2016 SAAL090924HCSNLSA1 7139445382 03-2017P 23/05/2017 15,039.11$ 15,039.11$


TABASCOREP1509093H6 06/09/2016 AOJY160905MTCRMSXX 7099459804 03-2017P 23/05/2017 3,351.63$ 3,351.63$

258 EXTIRPACIÓN DE TUMOR BENIGNO DE TEJIDOS BLANDOS_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 15/08/2016 MECL060106HCSNHSA2 7127373754 03-2017P 23/05/2017 8,107.80$ 8,107.80$


TABASCOREP1509093H6 14/08/2016 TOGH051126HCSRNNA7 7064703623 03-2017P 23/05/2017 13,008.82$ 13,008.82$




TABASCOREP1509093H6 18/08/2016 MOGB040621HCSRMRA5 7141552782 03-2017P 23/05/2017 511.49$ 511.49$


TABASCOREP1509093H6 29/08/2016 MECA110110HCSNSLA8 7100631903 03-2017P 23/05/2017 13,008.82$ 13,008.82$


TABASCOREP1509093H6 06/09/2016 AOJT890729MCSRMR08 7099459801 03-2017P 23/05/2017 7,582.21$ 7,582.21$




TABASCOREP1509093H6 22/08/2016 ROSA121001MCSSNBXX 7087625587 03-2017P 23/05/2017 11,203.20$ 11,203.20$


TABASCOREP1509093H6 25/08/2016 DORA720131MCSMML04 7150962131 03-2017P 23/05/2017 9,046.93$ 9,046.93$




TABASCOREP1509093H6 29/08/2016 RECR160629HCSQRCXX 7150968832 03-2017P 23/05/2017 9,026.46$ 9,026.46$


TABASCOREP1509093H6 31/08/2016 GUJM740703HCSTMN06 7099817632 03-2017P 23/05/2017 826.37$ 826.37$


TABASCOREP1509093H6 31/08/2016 GUJM740703HCSTMN06 7099817632 03-2017P 23/05/2017 533.42$ 533.42$

CRESCENCIA MARTINEZ VAZQUEZ

FRANCISCA HERNANDEZ MENDEZ

NATALIA GUTIERREZ GUTIERREZ

AMERICA MARTINEZ LOPEZ

JUANA DIAZ PEREZ

JUANA DIAZ PEREZ

MIREYA MAGAÑA GAMBOA

ANA MENDEZ MARTINEZ

LUIS MIGUEL SANCHEZ ALVAREZ

YESICA ARCOS JIMENEZ

LUIS FERNANDO MENDEZ CHAVEZ

HENRI ANTONIO TORRES GONZALEZ

BRIAN MARTIN MORALES GOMEZ

JOSE ALAN MENDEZ CASTELLANOS

TERESA ARCOS JIMENEZ

ABIGAIL ROSALES SANCHEZ

ALMA DELIA DOMINGUEZ RAMIREZ

RECIEN NACIDA REQUENA CORTEZ

MANUEL GUTIERREZ JIMENEZ

MANUEL GUTIERREZ JIMENEZ

48 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 28/08/2016 JIPF920504MCSMRB09 7116957741 03-2017P 23/05/2017 7,582.21$ 7,582.21$




TABASCOREP1509093H6 28/08/2016 GOCV920504MCSMRC00 7142250162 03-2017P 23/05/2017 8,555.36$ 8,555.36$


TABASCOREP1509093H6 24/08/2016 RIMN890430MOCXRN06 7128133701 03-2017P 23/05/2017 5,633.20$ 5,633.20$




TABASCOREP1509093H6 24/08/2016 PEHA520308MTCRRN02 7128135371 03-2017P 23/05/2017 10,001.34$ 10,001.34$


TABASCOREP1509093H6 24/08/2016 MAGC950819MCSRNR08 7160519852 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 24/08/2016 HEAG821219MCSRLL02 7160518492 03-2017P 23/05/2017 2,811.77$ 2,811.77$


TABASCOREP1509093H6 24/08/2016 HEAG821219MCSRLL02 7160518492 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 24/08/2016 VERE871204MTCGYL04 7163452971 03-2017P 23/05/2017 13,194.92$ 13,194.92$


TABASCOREP1509093H6 20/08/2016 LOVM990305MCSPZR02 7087932775 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 21/08/2016 VART950611MCSZMR04 7161413351 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 24/08/2016 LOLJ140413HCSPPLA8 7065772379 03-2017P 23/05/2017 533.42$ 533.42$




TABASCOREP1509093H6 20/08/2016 RUHN990208MCSZRR05 7116806385 03-2017P 23/05/2017 12,453.38$ 12,453.38$

198DIAGNÓSTICO Y TRATAMIENTO DE INFECCIÓN DE EPISIORRAFIA O HERIDA

QUIRÚRGICA OBSTÉTRICA_(2016)


TABASCOREP1509093H6 20/08/2016 RUHN990208MCSZRR05 7116806385 03-2017P 23/05/2017 1,501.97$ 1,501.97$


TABASCOREP1509093H6 21/08/2016 GOLS971113MCSMZH00 7141582712 03-2017P 23/05/2017 14,041.63$ 14,041.63$


TABASCOREP1509093H6 19/08/2016 RARJ970501MCSMZS07 7160520771 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 19/08/2016 VIOG950815MCSLSD00 7160516702 03-2017P 23/05/2017 3,898.02$ 3,898.02$


TABASCOREP1509093H6 19/08/2016 VIOG950815MCSLSD00 7160516702 03-2017P 23/05/2017 5,346.38$ 5,346.38$


TABASCOREP1509093H6 24/08/2016 GUMR150915HCSZRYXX 7150962193 03-2017P 23/05/2017 5,046.22$ 5,046.22$


TABASCOREP1509093H6 19/08/2016 CUMC970716MCSRNR07 7142203783 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 23/08/2016 MEGL970930MCSNTR06 7160547701 03-2017P 23/05/2017 5,633.20$ 5,633.20$

FABIOLA JIMENEZ PEREZ

VICTORIA GOMEZ CRUZ

MAYRA GUADALUPE RODRIGUEZ GARCIA

MARIA ANGELA PEREZ HERNANDEZ

CRISTINA DEL CARMEN MARIN GONZALEZ

GLADYS HERNANDEZ ALVAREZ

GLADYS HERNANDEZ ALVAREZ

ELVIRA VEGA REYES

MARVELINA LOPEZ VAZQUEZ

TRINIDAD VAZQUEZ RAMIREZ

JOSE JULIO LOPEZ LOPEZ

NORMA RUIZ HERNANDEZ

NORMA RUIZ HERNANDEZ

SHEILA CRISTEL GOMEZ LAZARO

JASMIN RAMOS RUIZ

MARIA GUADALUPE VILLEGAS OSORIO

MARIA GUADALUPE VILLEGAS OSORIO

REYES RN GUZMAN MARTINEZ

MARIA DEL CARMEN DE LA CRUZ MENDEZ

LAURA MENDEZ GUTIERREZ

49 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 20/08/2016 VAGC951219MCSLRN02 7128744362 03-2017P 23/05/2017 5,633.20$ 5,633.20$


EL EMBARAZO_(2016)


TABASCOREP1509093H6 20/08/2016 VAGC951219MCSLRN02 7128744362 03-2017P 23/05/2017 13,063.40$ 13,063.40$


TABASCOREP1509093H6 13/08/2016 PEML870119MCSRRR02 7102082151 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 19/08/2016 LOMA960228MTCPDD08 7139197182 03-2017P 23/05/2017 7,582.21$ 7,582.21$




TABASCOREP1509093H6 19/08/2016 VIGR911125MCSLRS07 7090143031 03-2017P 23/05/2017 6,606.35$ 6,606.35$


GRADO_(2016)


TABASCOREP1509093H6 12/08/2016 CUMM070106HCSRNRA9 7074689503 03-2017P 23/05/2017 17,074.98$ 17,074.98$


TABASCOREP1509093H6 20/08/2016 TOGM941203MCSRTR02 7163334561 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 12/08/2016 HURL080405HTCRDSA2 7150405182 03-2017P 23/05/2017 11,059.81$ 11,059.81$


TABASCOREP1509093H6 31/08/2016 DAVM160829HTCMLNXX 7102146907 03-2017P 23/05/2017 5,300.64$ 5,300.64$


BILATERAL)_(2016)


TABASCOREP1509093H6 31/08/2016 VEAM830824MCSLRN01 7102146901 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 31/08/2016 VEAM830824MCSLRN01 7102146901 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 15/08/2016 LOJJ061001HCSPMNA8 7088614005 03-2017P 23/05/2017 13,008.82$ 13,008.82$


TABASCOREP1509093H6 07/08/2016 MODM951209MCSNZR08 7160005201 03-2017P 23/05/2017 7,582.21$ 7,582.21$

275 REDUCCIÓN QUIRÚRGICA DE FRACTURA DE HÚMERO (DERECHO)_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 19/08/2016 TOSH120501HCSRLRA0 7064528057 03-2017P 23/05/2017 12,277.43$ 12,277.43$


TABASCOREP1509093H6 17/08/2016 RALN990516MCSMPR01 7141897542 03-2017P 23/05/2017 7,582.21$ 7,582.21$




TABASCOREP1509093H6 18/08/2016 SALA780127MCSNPN04 7066504961 03-2017P 23/05/2017 10,326.60$ 10,326.60$


TABASCOREP1509093H6 12/08/2016 HEMJ910928MCSRNN04 7139775932 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 11/08/2016 PEGR960305MCSRZY03 7142436041 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 21/08/2016 JIMI930129MTCMNS06 7163454831 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 20/08/2016 CUPV960905MCSRRR03 7163453961 03-2017P 23/05/2017 9,531.22$ 9,531.22$

CINTHIA CRISTEL VALLES GARCIA

CINTHIA CRISTEL VALLES GARCIA

LAURA DEL CARMEN PEREZ MARTINEZ

ADRIANA LOPEZ MADRIGAL

ROSA LILIA VILLARREAL GARCIA

MARIO CESAR CRUZ MANCILLA

MARI TORRES GUTIERREZ

LUIS ROBERTO HUERTA RODRIGUEZ

JOSE MANUEL DAMIAN VELUETA

MANUELA VELUETA ARIAS

MANUELA VELUETA ARIAS

JUAN JESUS LOPEZ JIMENEZ

MARIA MONTEJO DIAZ

HIROMI DAVID TORRES SILVANO

NERI FLORENCIA RAMIREZ LOPEZ

ANGELA SANCHEZ LOPEZ

JUANA HERNANDEZ MENDEZ

REYNA GUADALUPE PEREZ GUZMAN

ISELA ISABEL JIMENEZ MENDEZ

VERONICA CRUZ PEREZ

50 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS


105 DIAGNÓSTICO Y TRATAMIENTO DE DESNUTRICIÓN LEVE MODERADA Y SEVERA_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 01/08/2016 CULE061007MCSRPSA3 7065950455 03-2017P 23/05/2017 667.76$ 667.76$


TABASCOREP1509093H6 01/08/2016 CULE061007MCSRPSA3 7065950455 03-2017P 23/05/2017 5,494.99$ 5,494.99$


TABASCOREP1509093H6 20/08/2016 RAPC941018MTCMRT08 7131600621 03-2017P 23/05/2017 15,990.64$ 15,990.64$


TABASCOREP1509093H6 20/08/2016 MEME941225MCSNNL03 7141921561 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 22/08/2016 VAHA961028MCSZRD09 7142064832 03-2017P 23/05/2017 9,244.40$ 9,244.40$


TABASCOREP1509093H6 27/08/2016 SAMM100322HCSNRTA0 7088338923 03-2017P 23/05/2017 12,679.78$ 12,679.78$


TABASCOREP1509093H6 23/08/2016 SAMM100322HCSNRTA0 7088338923 03-2017P 23/05/2017 1,546.66$ 1,546.66$


TABASCOREP1509093H6 08/08/2016 LOGJ950510MCSPMN09 7142058091 03-2017P 23/05/2017 8,194.60$ 8,194.60$

187 DIAGNÓSTICO Y TRATAMIENTO DE CHOQUE SÉPTICO PUERPERAL_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 08/08/2016 LOGJ950510MCSPMN09 7142058091 03-2017P 23/05/2017 1,949.01$ 1,949.01$


TABASCOREP1509093H6 19/09/2016 CUCE060426HCSRRLA0 7088338892 03-2017P 23/05/2017 13,008.82$ 13,008.82$


TABASCOREP1509093H6 05/08/2016 HEAE020311HTCRLRA6 7090899193 03-2017P 23/05/2017 10,769.83$ 10,769.83$


TABASCOREP1509093H6 13/08/2016 MERT860821MVZNYM04 30075860581 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 14/08/2016 LOLN850503MCSPPR05 7160542211 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 12/08/2016 GIAE890714MCSRLL03 7077558906 03-2017P 23/05/2017 7,582.21$ 7,582.21$


BILATERAL)_(2016)


TABASCOREP1509093H6 12/08/2016 GIAE890714MCSRLL03 7077558906 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 12/08/2016 LOPN940823MCSPRN08 7139378851 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 14/08/2016 HEGC971006MTCRTN00 7160516881 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 13/08/2016 EERC030706MCSMMLA7 7160516421 03-2017P 23/05/2017 12,092.62$ 12,092.62$




TABASCOREP1509093H6 18/08/2016 SAFS940405MTCNLL06 7138691461 03-2017P 23/05/2017 10,504.37$ 10,504.37$


TABASCOREP1509093H6 18/08/2016 PECM860817MTCRRR07 7160520371 03-2017P 23/05/2017 5,633.20$ 5,633.20$

ESTHER MADAHI CRUZ LOPEZ

ESTHER MADAHI CRUZ LOPEZ

CATALINA RAMIREZ PEREZ

ELIZABETH MENDEZ MONDRAGON

ADRIANA JUDITH VAZQUEZ HERNANDEZ

MATIAS SANCHEZ MARTINEZ

MATIAS SANCHEZ MARTINEZ

JUANA LOPEZ GOMEZ

JUANA LOPEZ GOMEZ

ELIU CRUZ CRUZ

ERICK SANTIAGO HERNANDEZ ALBARES

TOMASA MENDOZA REYES

NORMA LOPEZ LOPEZ

ELIANA CLARIVEL GIORGANA ALVAREZ

ELIANA CLARIVEL GIORGANA ALVAREZ

NANCY LILIANA LOPEZ PRIETO

CINTHIA ABIGAIL HERNANDEZ GUTIERREZ

CLARITA DEL CARMEN EMETERIO RAMOS

SILVIA SANTIAGO FLORES

MARIANA PEREZ CORDOVA

51 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 18/08/2016 GOHB920731MCSMRR02 7127876511 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 18/08/2016 SAAA910104MCSNLD00 7128601311 03-2017P 23/05/2017 10,143.61$ 10,143.61$


BILATERAL)_(2016)


TABASCOREP1509093H6 11/08/2016 PEHM931125MCSRRG05 7117472622 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 11/08/2016 PEHM931125MCSRRG05 7117472622 03-2017P 23/05/2017 5,633.20$ 5,633.20$

199 DIAGNÓSTICO Y TRATAMIENTO DE LITIASIS RENAL Y URETERAL_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 18/08/2016 SARM630522MCSNDR09 7053861191 03-2017P 23/05/2017 10,151.66$ 10,151.66$


TABASCOREP1509093H6 11/08/2016 GOCI960220MTCNRL19 7150406611 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 11/08/2016 AAGI890404MCSLTS09 7104180701 03-2017P 23/05/2017 5,633.20$ 5,633.20$


BILATERAL)_(2016)


TABASCOREP1509093H6 09/08/2016 HESF950828MCSRNL07 7163452911 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 09/08/2016 HESF950828MCSRNL07 7163452911 03-2017P 23/05/2017 8,194.60$ 8,194.60$


TABASCOREP1509093H6 10/08/2016 CAMC911011MCSHLC03 7115228521 03-2017P 23/05/2017 9,531.22$ 9,531.22$


TABASCOREP1509093H6 30/08/2016 PIRR770428HCSRMB08 7090690492 03-2017P 23/05/2017 16,222.35$ 16,222.35$


BILATERAL)_(2016)


TABASCOREP1509093H6 13/08/2016 BACL901102MTCZND09 7110364271 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 13/08/2016 BACL901102MTCZND09 7110364271 03-2017P 23/05/2017 14,041.63$ 14,041.63$




TABASCOREP1509093H6 13/08/2016 GOCM840603MTCNRR09 7064699102 03-2017P 23/05/2017 6,606.35$ 6,606.35$


TABASCOREP1509093H6 14/08/2016 GOMS880309MCSNRS02 7090351331 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 14/08/2016 GOJI880929MCSMRS04 7066332262 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 14/08/2016 JILY910630MCSMPR04 7104452601 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 12/08/2016 LOMB000502MCSPYRA9 7128747934 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 13/08/2016 AEVJ831111MCSRZS07 7090514851 03-2017P 23/05/2017 12,092.62$ 12,092.62$




TABASCOREP1509093H6 13/08/2016 AECV910731MCSSRR00 7099963702 03-2017P 23/05/2017 8,555.36$ 8,555.36$

BRIGHETE DEL CARMEN GOMEZ HERNANDEZ

AUDELIA SANCHEZ ALVARO

MIGUELINA PEREZ HERNANDEZ

MIGUELINA PEREZ HERNANDEZ

MARINA SANTIAGO RODRIGUEZ

ILSE GONZALEZ DE LA CRUZ

ISAURA ALVAREZ GUTIERREZ

FLOR ZULEYMA HERNANDEZ SANCHEZ

FLOR ZULEYMA HERNANDEZ SANCHEZ

CECILIA CHAVARRIA MALDONADO

ROBERTO PRIEGO ROMANIZ

LIDIA DEL CARMEN BAEZA CANO

LIDIA DEL CARMEN BAEZA CANO

MARTHA PATRICIA GONZALEZ CRISOSTOMO

SUSANA GONZALEZ MORENO

ISABEL GOMEZ JUAREZ

YURIDIANA JIMENEZ LOPEZ

BRENDA LIZETH LOPEZ MAYO

MARIA JESUS ARREDONDO VAZQUEZ

VERONICA ASCENCIO CRUZ

52 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS





TABASCOREP1509093H6 13/08/2016 LOJA941012MCSPML00 7142299691 03-2017P 23/05/2017 8,555.36$ 8,555.36$




TABASCOREP1509093H6 31/08/2016 DOSA980816MCSMLL04 7091630322 03-2017P 23/05/2017 13,008.82$ 13,008.82$

214 DIAGNÓSTICO Y TRATAMIENTO DE LA HEMORRAGIA DIGESTIVA_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 31/08/2016 PEPR471025MTCRRS07 7104482211 03-2017P 23/05/2017 13,428.87$ 13,428.87$

172 DIAGNÓSTICO Y TRATAMIENTO DE PIELONEFRITIS_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 29/08/2016 GACH620622MCSLRL07 7102039521 03-2017P 23/05/2017 9,527.01$ 9,527.01$




TABASCOREP1509093H6 29/08/2016 GEOA030722MCSRLNA3 7064700663 03-2017P 23/05/2017 11,203.20$ 11,203.20$




TABASCOREP1509093H6 28/08/2016 PEGG900525HCSRMR09 7127374532 03-2017P 23/05/2017 20,720.52$ 20,720.52$


TABASCOREP1509093H6 26/08/2016 AORJ800621MCSLDN05 7139197481 03-2017P 23/05/2017 16,222.35$ 16,222.35$


TABASCOREP1509093H6 25/08/2016 JIGJ921213HCSMMS09 7150526452 03-2017P 23/05/2017 16,222.35$ 16,222.35$


TABASCOREP1509093H6 25/08/2016 SAVW940623HCSNZL04 7163820611 03-2017P 23/05/2017 15,143.93$ 15,143.93$


TABASCOREP1509093H6 24/08/2016 AURC770314HTCGDR03 23168002062 03-2017P 23/05/2017 13,008.82$ 13,008.82$


TABASCOREP1509093H6 23/08/2016 VAMC500210HCSZRL01 7099463392 03-2017P 23/05/2017 9,895.47$ 9,895.47$

273 REDUCCIÓN DE LUXACIONES BAJO ANESTESIA POR MANIPULACIÓN_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 19/08/2016 SAPJ681119HTCRLQ09 4050817062 03-2017P 23/05/2017 6,580.18$ 6,580.18$


TABASCOREP1509093H6 23/08/2016 SAUC960627MCSLRN09 7143225511 03-2017P 23/05/2017 13,008.82$ 13,008.82$


TABASCOREP1509093H6 22/08/2016 CUNU351027HTCRRL09 7065000093 03-2017P 23/05/2017 9,699.61$ 9,699.61$


TABASCOREP1509093H6 21/08/2016 BAWI421005HTCSDS03 7115250221 03-2017P 23/05/2017 7,581.84$ 7,581.84$

237 DIAGNÓSTICO Y TRATAMIENTO DE HERNIA VENTRAL_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 22/08/2016 RUSE840324MCSZLL01 7163455351 03-2017P 23/05/2017 10,040.81$ 10,040.81$


TABASCOREP1509093H6 19/08/2016 VARA540802HTCLMN08 7053168222 03-2017P 23/05/2017 5,632.83$ 5,632.83$


TABASCOREP1509093H6 19/08/2016 DIGP460115HCSZMB09 7101809182 03-2017P 23/05/2017 8,315.28$ 8,315.28$


TABASCOREP1509093H6 19/08/2016 DIGP460115HCSZMB09 7101809182 03-2017P 23/05/2017 15,143.93$ 15,143.93$

ALICIA LOPEZ JIMENEZ

ANA MARIA VAZQUEZ MARTINEZ

ALICIA DOMÍNGUEZ SOLIS

ROSARIO PEREZ PEREZ

HILDA GALAN CRESPO

ANA KAREN GERARDO OLAN

GERMAN PEREZ GOMEZ

JANETH ALOR RODRÍGUEZ

JESUS JIMÉNEZ GÓMEZ

WALTER SÁNCHEZ VAZQUEZ

CRESCENCIO AGUILAR RODRÍGUEZ

CELSO VAZQUEZ MORENO

JOAQUIN SALVATIERRA PÉREZ

CONCEPCION DEL CARMEN SALVADOR URBINA

ULISES DE LA CRUZ NARVAEZ

JOSE ISIDRO BASTAR WADE

ELIZABETH RUIZ SOLIS

JOSÉ ÁNGEL VALLES ROMERO

PABLO DÍAZ GOMEZ

PABLO DÍAZ GOMEZ

53 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS


237 DIAGNÓSTICO Y TRATAMIENTO DE HERNIA VENTRAL_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 18/08/2016 VESR530420HCSLRS01 7104459262 03-2017P 23/05/2017 8,916.12$ 8,916.12$


TABASCOREP1509093H6 18/08/2016 VESR530420HCSLRS01 7104459262 03-2017P 23/05/2017 6,357.13$ 6,357.13$


TABASCOREP1509093H6 13/08/2016 RAMM911124MCSMNR06 7103594461 03-2017P 23/05/2017 14,273.34$ 14,273.34$


TABASCOREP1509093H6 12/08/2016 SAJD670415MTCNSL03 7064715281 03-2017P 23/05/2017 13,008.82$ 13,008.82$


TABASCOREP1509093H6 08/08/2016 SAPV750131MCSNRR04 7116069231 03-2017P 23/05/2017 15,143.93$ 15,143.93$


TABASCOREP1509093H6 08/08/2016 SAPV750131MCSNRR04 7116069231 03-2017P 23/05/2017 5,148.91$ 5,148.91$


TABASCOREP1509093H6 23/08/2016 DODB930508MCSMMT04 7130056471 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 23/08/2016 DIHJ950202MCSZRL03 7127875952 03-2017P 23/05/2017 12,092.62$ 12,092.62$


BILATERAL)_(2016)


TABASCOREP1509093H6 23/08/2016 DIHJ950202MCSZRL03 7127875952 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 22/08/2016 GUVM991029MCSTLR05 7160519192 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 03/08/2016 COGA010819MTCRRNA2 7053863825 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 11/08/2016 MEJI790608MCSNMD03 7053466571 03-2017P 23/05/2017 16,222.35$ 16,222.35$


TABASCOREP1509093H6 19/08/2016 OAGL870324MCSLRL03 7064765451 03-2017P 23/05/2017 7,582.21$ 7,582.21$

129DIAGNÓSTICO Y TRATAMIENTO DE TRASTORNOS AFECTIVOS (DEPRESIÓN TRASTORNO

AFECTIVO DE TIPO BIPOLAR TRASTORNOS AFECTIVOS PERSISTENTES)_(2016)


TABASCOREP1509093H6 16/08/2016 RARC830908MCSMMH03 7142096131 03-2017P 23/05/2017 4,595.25$ 4,595.25$

129DIAGNÓSTICO Y TRATAMIENTO DE TRASTORNOS AFECTIVOS (DEPRESIÓN TRASTORNO

AFECTIVO DE TIPO BIPOLAR TRASTORNOS AFECTIVOS PERSISTENTES)_(2016)


TABASCOREP1509093H6 16/08/2016 PECC810502MCSRXR03 7065343792 03-2017P 23/05/2017 4,454.13$ 4,454.13$

130DIAGNÓSTICO Y TRATAMIENTO DE TRASTORNOS DE ANSIEDAD (ANSIEDAD

GENERALIZADA TRASTORNOS DE PÁNICO REACCIÓN A..._(2016)


TABASCOREP1509093H6 11/08/2016 DIGS961126MCSZMM00 7150340181 03-2017P 23/05/2017 1,052.72$ 1,052.72$


TABASCOREP1509093H6 07/08/2016 MEJD951116MCSNMN03 7116812542 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 06/08/2016 SAGR010404MCSLMSA5 7163003592 03-2017P 23/05/2017 5,633.20$ 5,633.20$




TABASCOREP1509093H6 05/08/2016 DILL980204MCSZPR09 7163630131 03-2017P 23/05/2017 12,453.38$ 12,453.38$


TABASCOREP1509093H6 06/08/2016 DISA950314MCSZND01 7138691091 03-2017P 23/05/2017 12,092.62$ 12,092.62$

ROOSBET VELASCO SERRA

ROOSBET VELASCO SERRA

MARIA MARCELINA RAMOS MENDOZA

DOLORES SANTIAGO JESUS

VIRGINIA SANCHEZ PEREZ

VIRGINIA SANCHEZ PEREZ

BEATRIZ DOMINGUEZ DOMINGUEZ

JULIA DIAZ HERNANDEZ

JULIA DIAZ HERNANDEZ

MARGARITA GUTIERREZ VELAZQUEZ

ANDY CORDOVA GARCIA

IDIDA MENDEZ JIMENEZ

LILI OLAN GARCIA

CHRISTIAN GABRIELA RAMIREZ ROMERO

CAROLINA PEREZ CAÑAS

SIMONA YURIDIA DIAZ GOMEZ

DIANA LAURA MENDEZ JIMENEZ

ROSALINDA SALAS GOMEZ

LAURA ELENA DIAZ LOPEZ

AIDE MARVELY DIAZ SANCHEZ

54 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 07/08/2016 CAME761223MCSMRS02 7103747771 03-2017P 23/05/2017 10,143.61$ 10,143.61$


BILATERAL)_(2016)


TABASCOREP1509093H6 07/08/2016 CAME761223MCSMRS02 7103747771 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 07/08/2016 RUCN840906MCSZRT09 7160518741 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 09/08/2016 LXCA970901MCSPRN02 7151192601 03-2017P 23/05/2017 16,222.35$ 16,222.35$


TABASCOREP1509093H6 05/08/2016 LOJR971102MCSPMS06 7128800762 03-2017P 23/05/2017 7,582.21$ 7,582.21$


BILATERAL)_(2016)


TABASCOREP1509093H6 05/08/2016 LOJR971102MCSPMS06 7128800762 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 09/08/2016 SIPJ740415HCSLRR15 7131601112 03-2017P 23/05/2017 7,581.84$ 7,581.84$


TABASCOREP1509093H6 08/08/2016 RAAG360320MCSMGR01 7064955701 03-2017P 23/05/2017 16,222.35$ 16,222.35$

224 DIAGNÓSTICO Y TRATAMIENTO DE ENFERMEDAD DIVERTICULAR_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 06/08/2016 DUHJ710823HTSRRL01 7065282062 03-2017P 23/05/2017 13,229.69$ 13,229.69$


TABASCOREP1509093H6 09/08/2016 RATD991218MCSMRN07 7141959132 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 08/08/2016 GUJN941221MCSTMR09 7150095711 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 08/08/2016 OOSB980713MCSRNT06 7053246377 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 08/08/2016 PEPR860702MCSRRS00 7053782212 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 04/08/2016 CUDM920413MCSRZR04 7104359951 03-2017P 23/05/2017 10,143.61$ 10,143.61$


BILATERAL)_(2016)


TABASCOREP1509093H6 04/08/2016 CUDM920413MCSRZR04 7104359951 03-2017P 23/05/2017 4,929.57$ 4,929.57$

280 REDUCCIÓN QUIRÚRGICA DE FRACTURA DE TIBIA Y PERONÉ (DERECHO)_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 05/08/2016 MORP830209MCSNMT00 7117472291 03-2017P 23/05/2017 7,098.03$ 7,098.03$


CRÓNICA_(2016)


TABASCOREP1509093H6 05/08/2016 DIXA370415MTCSXN07 7053960282 03-2017P 23/05/2017 17,244.47$ 17,244.47$


TABASCOREP1509093H6 31/08/2016 GOPK000715MCSMRRA9 7128317962 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 31/08/2016 VAEC960131MCSZMN05 7160519111 03-2017P 23/05/2017 7,582.21$ 7,582.21$




TABASCOREP1509093H6 31/08/2016 RODI850417MVZJZR00 7117034791 03-2017P 23/05/2017 8,555.36$ 8,555.36$

MARIA ESTHER CAMAS MARTINEZ

MARIA ESTHER CAMAS MARTINEZ

NATIVIDAD RUIZ CERINO

ANA YELI LOPEZ DE LA CRUZ

ROSA ANGELICA LOPEZ JIMENEZ

ROSA ANGELICA LOPEZ JIMENEZ

JORGE SILVA PEREZ

GRACIELA RAMIREZ AGUILAR

JULIO DURAN HUERTA

DIANA ALICIA RAMIREZ TORRES

NORMA ALICIA GUTIERREZ JIMENEZ

BEATRIZ ORDOÑEZ SANCHEZ

ROSA PEREZ PEREZ

MARGARITA CRUZ DIAZ

MARGARITA CRUZ DIAZ

PATRICIA MONDRAGON RAMOS

MARIA ANTONIA DE DIOS NA

KARLA ICELA GOMEZ PEREZ

CANDELARIA VAZQUEZ EMETERIO

MARIA IRENE ROJAS DIAZ

55 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 23/08/2016 PEOG000423MCSRCDA2 7128690262 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 23/08/2016 AOTV921007MCSRRR08 7160099721 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 23/08/2016 JISV960214MCSMNL07 7142000821 03-2017P 23/05/2017 12,092.62$ 12,092.62$


BILATERAL)_(2016)


TABASCOREP1509093H6 18/08/2016 AULB890730MCSLPT03 7102504212 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 18/08/2016 AULB890730MCSLPT03 7102504212 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 17/08/2016 LASI940423MCSNNS01 7160458801 03-2017P 23/05/2017 71,172.47$ 71,172.47$


TABASCOREP1509093H6 04/08/2016 AALV860107HCSLPC01 7101806902 03-2017P 23/05/2017 11,998.47$ 11,998.47$


EL EMBARAZO_(2016)


TABASCOREP1509093H6 17/08/2016 CUCC750802MTCRSR08 7064733721 03-2017P 23/05/2017 5,267.36$ 5,267.36$


TABASCOREP1509093H6 17/08/2016 CUCC750802MTCRSR08 7064733721 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 17/08/2016 GOBM820924MCSMRR08 7103749211 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 04/08/2016 CUCM791216MCSRSR08 7102759181 03-2017P 23/05/2017 9,722.84$ 9,722.84$


TABASCOREP1509093H6 16/08/2016 PECA891212MCSRRB02 7088118091 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 03/08/2016 SAJC950901MVZNMR02 71634548201 03-2017P 23/05/2017 16,222.35$ 16,222.35$


TABASCOREP1509093H6 16/08/2016 RULG981130MCSZPR08 7090638372 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 16/08/2016 VALG881227MCSZPL04 7102085351 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 02/08/2016 MASP670223HCHRLD09 7142000112 03-2017P 23/05/2017 13,008.82$ 13,008.82$




TABASCOREP1509093H6 11/08/2016 ROCY980823MCSDRS01 7150409551 03-2017P 23/05/2017 6,606.35$ 6,606.35$


TABASCOREP1509093H6 09/08/2016 CUJP950922MCSRML00 7127372342 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 04/08/2016 CAVE871216MCSRLL00 7064970761 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 02/08/2016 AALE740507HCSVPN09 7064754751 03-2017P 23/05/2017 13,008.82$ 13,008.82$

MARIA GUADALUPE PEREZ OCAMPO

VIRGINIA ARCOS TORRES

VALERIA JIMENEZ SANCHEZ

MARIA BEATRIZ ALTUNAR LOPEZ

MARIA BEATRIZ ALTUNAR LOPEZ

ISAURA LAINES SANDOVAL

VICTOR MANUEL ALVAREZ LOPEZ

MARIA DEL CARMEN DE LA CRUZ CUSTODIO

MARIA DEL CARMEN DE LA CRUZ CUSTODIO

MARTHA GOMEZ BARBERY

MARIBEL CRUZ CASTELLANOS

ABIGAIL PEREZ CRUZ

CARMEN DEL ROSARIO DE LOS SANTOS JIMENEZ

GRISELDA RUIZ LOPEZ

GILBERTA VAZQUEZ LOPEZ

PEDRO MARTINEZ SALINAS

YASMIN RODRIGUEZ DE LA CRUZ

PILAR DE LA CRUZ JIMENEZ

MARIA ELENA CARDEÑO VELAZQUEZ

ENRIQUE AVALOS LOPEZ

56 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



(DERECHO)_(2016)


TABASCOREP1509093H6 01/08/2016 CUCD511210MCSRRL04 7053883521 03-2017P 23/05/2017 7,025.59$ 7,025.59$

182 DIAGNÓSTICO Y TRATAMIENTO DE AMENAZA DE ABORTO_(2016)RÉGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD DE

TABASCOREP1509093H6 09/08/2016 ROCY980823MCSDRS01 7150409551 03-2017P 23/05/2017 5,579.59$ 5,579.59$


BILATERAL)_(2016)


TABASCOREP1509093H6 08/08/2016 JUHB820812MCSRRL01 7128391031 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 08/08/2016 JUHB820812MCSRRL01 7128391031 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 06/08/2016 BABR840510MCSZZS02 7117031031 03-2017P 23/05/2017 10,143.61$ 10,143.61$


BILATERAL)_(2016)


TABASCOREP1509093H6 06/08/2016 BABR840510MCSZZS02 7117031031 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 05/08/2016 MECV941105MCSNHD02 7150525681 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 06/08/2016 DOGA841120MCSMMN07 7115250841 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 05/08/2016 CALM910310MCSSPL00 7160165231 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 05/08/2016 GECF941130MCSRRL07 7053462213 03-2017P 23/05/2017 10,143.61$ 10,143.61$


BILATERAL)_(2016)


TABASCOREP1509093H6 05/08/2016 GECF941130MCSRRL07 7053462213 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 06/08/2016 LEDS950804MCSVBR04 7142064691 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 07/08/2016 ROEL900817MCSDSR06 7115683751 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 06/08/2016 SAHL910510MCSNRR02 7087994362 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 06/08/2016 SAAD891101MTCLLY00 7160516651 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 05/08/2016 PEVA960105MCSRSM06 7150405491 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 07/08/2016 MEMC940321MCSNRN04 7160516982 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 06/08/2016 DIHA971120MCSZRD03 7163791951 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 04/08/2016 CUMG870908MCSRRD06 7088183001 03-2017P 23/05/2017 10,143.61$ 10,143.61$




TABASCOREP1509093H6 01/08/2016 EAVP840707MVZSLL04 7066333041 03-2017P 23/05/2017 8,555.36$ 8,555.36$

DELIA CRUZ CRUZ

YASMIN RODRIGUEZ DE LA CRUZ

BLANCA ROSA JUAREZ HERNANDEZ

BLANCA ROSA JUAREZ HERNANDEZ

ROSALBA BAEZ BAEZ

ROSALBA BAEZ BAEZ

VIDAURA MENDEZ CHAVEZ

ANA MARIA DOMINGUEZ GOMEZ

MELVA GLORIA CASTRO LOPEZ

FLOR DE MARIA GEORGANA CRUZ

FLOR DE MARIA GEORGANA CRUZ

MARIA SARA LEVET DEBEZE

LORENA RODRIGUEZ ESCUDERO

LAURA SANCHEZ HERNANDEZ

DEYSI SALVADOR ALEGRIA

AMELIA PEREZ VASCONCELOS

CINTHYA CRISTELL MENDOZA MIRANDA

ADELA DEL CARMEN DIAZ HERNANDEZ

GUADALUPE CRUZ MORENO

PILAR ESCALANTE VALDES

57 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



TABASCOREP1509093H6 03/08/2016 MALR790917MCSRPX01 7099670741 03-2017P 23/05/2017 10,143.61$ 10,143.61$


BILATERAL)_(2016)


TABASCOREP1509093H6 03/08/2016 MALR790917MCSRPX01 7099670741 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 03/08/2016 TESL830122MTCRNR09 7160520471 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 03/08/2016 MERG960406MCSNVB06 7142542871 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 03/08/2016 PEVC930404MCSRZT09 7099683932 03-2017P 23/05/2017 10,143.61$ 10,143.61$


TABASCOREP1509093H6 03/08/2016 SALO910815MCSNPF07 7150143401 03-2017P 23/05/2017 5,633.20$ 5,633.20$


TABASCOREP1509093H6 03/08/2016 FOCK960220MTCLRR08 7110137602 03-2017P 23/05/2017 13,194.92$ 13,194.92$


TABASCOREP1509093H6 03/08/2016 VACL000130MCSZRCA4 7151411802 03-2017P 23/05/2017 7,582.21$ 7,582.21$


TABASCOREP1509093H6 01/08/2016 CUHF831222MCSRRL08 7088126381 03-2017P 23/05/2017 1,708.18$ 1,708.18$


BILATERAL)_(2016)


TABASCOREP1509093H6 02/08/2016 AAPE920405MCSLRL09 7090276812 03-2017P 23/05/2017 4,929.57$ 4,929.57$


TABASCOREP1509093H6 02/08/2016 AAPE920405MCSLRL09 7090276812 03-2017P 23/05/2017 12,092.62$ 12,092.62$


TABASCOREP1509093H6 02/08/2016 GORA990114MCSMYD06 7053241832 03-2017P 23/05/2017 12,092.62$ 12,092.62$




TABASCOREP1509093H6 02/08/2016 VEMA870913MCSLXN01 7128796771 03-2017P 23/05/2017 10,504.37$ 10,504.37$

178 DIAGNÓSTICO Y TRATAMIENTO DE NEUMONÍA EN MENORES DE 18 AÑOS_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 28/10/2016 GIZA120223HCSRPHA2 7103092331 933 15/03/2017 158,686.74$ 158,686.74$

235 DIAGNÓSTICO Y TRATAMIENTO DE HERNIA INGUINAL (IZQUIERDO)_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 11/11/2016 LOLE151106HCSPPRXX 0705241389-09 934 15/03/2017 14,660.92$ 14,660.92$

200 DIAGNÓSTICO Y TRATAMIENTO DE LITIASIS DE VÍAS URINARIAS INFERIORES_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 18/05/2016 TESR631108MCSRLS05 7053684521 HRAECS2271 21/06/2017 400.78$ 400.78$

257 EXTIRPACIÓN DE LESIÓN CANCEROSA DE PIEL (NO INCLUYE MELANOMA)_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 31/05/2016 GAPC360703MCSRRL03 7053384941 HRAECS2271 21/06/2017 400.78$ 400.78$

256 DIAGNÓSTICO Y TRATAMIENTO DE HIPERPLASIA DE LA PRÓSTATA_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 07/12/2016 GAAE320210HCSRGD03 7031042872 HRAECS2271 21/06/2017 267.19$ 267.19$

211DIAGNÓSTICO Y TRATAMIENTO DE NEUROPATÍA PERIFÉRICA SECUNDARIA A

DIABETES_(2016)CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 14/12/2016 VITG640315HCSLRN04 7066816432 HRAECS2271 21/06/2017 174.97$ 174.97$


(COLPOPERINEOPLASTÍA)_(2016)CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 15/12/2016 AUGL660819MCSRRD06 7030448471 HRAECS2271 21/06/2017 267.19$ 267.19$

RUÑESA MARTINEZ LOPEZ

RUÑESA MARTINEZ LOPEZ

LORENA TREJO SANCHEZ

GABRIELA MENDOZA RIVERA

CATALINA PEREZ VAZQUEZ

OFELIA SANCHEZ LOPEZ

KARINA FLORES CERON

LUCERO DEL CARMEN VAZQUEZ DE LA CRUZ

FLOR CRUZ HERNANDEZ

ELENA ALVAREZ PARCERO

ELENA ALVAREZ PARCERO

ADRIANA GOMEZ REYES

ANABEL VELASCO MUÑOZ

AHROL IVAN GIRON ZAPATA

ERICK EDUARDO LOPEZ LOPEZ

ROSELIA TERCERO SALAS

CLEOTILDE GARCIA PEREZ

EDUARDO GARCIA AGUILAR

GONZALO VILLANUEVA TRINIDAD

LIDIA ARGUELLO GORDILLO

58 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS


208 TRATAMIENTO HOSPITALARIO DE HIPERTENSIÓN ARTERIAL_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 10/11/2016 REEI370312HCSYSS08 7150602351 HRAECS2268 21/06/2017 3,852.58$ 3,852.58$

116DIAGNÓSTICO Y TRATAMIENTO DE TUBERCULOSIS FARMACORRESISTENTE

(TAES)_(2016)CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 10/11/2016 OOSJ620806HCSCNS01 7131735391 HRAECS2268 21/06/2017 896.34$ 896.34$

283 ARTROPLASTÍA TOTAL DE RODILLA (DERECHO)_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 12/12/2016 AUPJ540926MCSGRS04 7141925501 HRAECS2269 21/06/2017 3,898.02$ 3,898.02$

211DIAGNÓSTICO Y TRATAMIENTO DE NEUROPATÍA PERIFÉRICA SECUNDARIA A

DIABETES_(2016)CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 13/12/2016 VITG640315HCSLRN04 7066816432 HRAECS2269 21/06/2017 262.46$ 262.46$

121 DIAGNÓSTICO Y TRATAMIENTO DE HIPERTIROIDISMO_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 13/12/2016 HEMI980913MCSRRS05 7164253421 HRAECS2269 21/06/2017 1,646.19$ 1,646.19$

123 DIAGNÓSTICO Y TRATAMIENTO DEL HIPOTIROIDISMO_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 13/12/2016 MEML830306MCSRXC05 7163256971 HRAECS2269 21/06/2017 3,454.79$ 3,454.79$

256 DIAGNÓSTICO Y TRATAMIENTO DE HIPERPLASIA DE LA PRÓSTATA_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 13/12/2016 GAAE320210HCSRGD03 7031042872 HRAECS2269 21/06/2017 400.78$ 400.78$


(COLPOPERINEOPLASTÍA)_(2016)CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 13/12/2016 AUGL660819MCSRRD06 7030448471 HRAECS2269 21/06/2017 400.78$ 400.78$

131DIAGNÓSTICO Y TRATAMIENTO DE TRASTORNOS PSICÓTICOS (EZQUIZOFRENIA

PSICÓTICOS Y EZQUIZOTÍPICO)_(2016)CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 15/12/2016 MOCB850726MCSRRL05 7163682621 HRAECS2269 21/06/2017 2,120.30$ 2,120.30$

287 DIAGNÓSTICO Y TRATAMIENTO QUIRÚRGICO DE CATARATAS (IZQUIERDO)_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 19/12/2016 VIRH520712HCSLJR05 7142915462 HRAECS2269 21/06/2017 4,257.54$ 4,257.54$

280 REDUCCIÓN QUIRÚRGICA DE FRACTURA DE TIBIA Y PERONÉ (DERECHO)_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 23/12/2016 GOMJ880829HCSRRR05 7141814793 HRAECS2269 21/06/2017 20,430.54$ 20,430.54$

287 DIAGNÓSTICO Y TRATAMIENTO QUIRÚRGICO DE CATARATAS (IZQUIERDO)_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 16/05/2016 JIAJ550408HCSMLS01 7053377804 HRAECS2270 21/06/2017 400.78$ 400.78$

200 DIAGNÓSTICO Y TRATAMIENTO DE LITIASIS DE VÍAS URINARIAS INFERIORES_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 16/05/2016 CAGE370810HCSLTF03 7089195482 HRAECS2270 21/06/2017 400.78$ 400.78$

287 DIAGNÓSTICO Y TRATAMIENTO QUIRÚRGICO DE CATARATAS (DERECHO)_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 22/07/2016 AOAT440204MCSCGR07 7142261831 HRAECS2270 21/06/2017 400.78$ 400.78$



123 DIAGNÓSTICO Y TRATAMIENTO DEL HIPOTIROIDISMO_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 05/10/2016 VEVA890109MCSLZB07 7103798251 HRAECS2270 21/06/2017 1,011.60$ 1,011.60$

283 ARTROPLASTÍA TOTAL DE RODILLA (IZQUIERDO)_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 06/10/2016 ZAJA460706MCSTMD02 7053212061 HRAECS2270 21/06/2017 267.19$ 267.19$

256 DIAGNÓSTICO Y TRATAMIENTO DE HIPERPLASIA DE LA PRÓSTATA_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 06/10/2016 OAAB390611HCSCRR01 7087732502 HRAECS2270 21/06/2017 267.19$ 267.19$

256 DIAGNÓSTICO Y TRATAMIENTO DE HIPERPLASIA DE LA PRÓSTATA_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 06/10/2016 OAAB390611HCSCRR01 7087732502 HRAECS2270 21/06/2017 267.19$ 267.19$

ISAC REYES ESCOBAR

JESUS ARIOSTO OCHOA SANTIZO

MARIA JOSEFA AGUILAR PEREZ

GONZALO VILLANUEVA TRINIDAD

ISELA GUADALUPE HERNANDEZ MORALES

LUCELY JANETH MERIDA MOO

EDUARDO GARCIA AGUILAR

LIDIA ARGUELLO GORDILLO

BELLA NURY MORALES CRUZ

HERMELINDO VILLATORO ROJAS

JORGE LUIS GORDILLO MARQUEZ

JESUS JIMENEZ ALTAMIRANO

EFRAIN CALDERON GUTIERREZ

TERESA DELFINA ACOSTA AGUILAR



ABDI LOIDA VELAZQUEZ VAZQUEZ

AIDA ZATO JIMENEZ

BERSABE OCAÑA ARCE

BERSABE OCAÑA ARCE

59 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



(TAES)_(2016)CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 12/10/2016 LOLA680409HCSPPN01 7103263441 HRAECS2270 21/06/2017 896.34$ 896.34$

209DIAGNÓSTICO Y TRATAMIENTO DE INSUFICIENCIA CARDÍACA AGUDA Y DEL EDEMA

AGUDO PULMONAR_(2016)CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 26/10/2016 SARL640919MCSNDZ00 7103475271 HRAECS2270 21/06/2017 267.19$ 267.19$

280 REDUCCIÓN QUIRÚRGICA DE FRACTURA DE TIBIA Y PERONÉ (DERECHO)_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 03/11/2016 RODO901024HCSMZM00 7131357231 HRAECS2270 21/06/2017 551.45$ 551.45$

251 HISTERECTOMÍA ABDOMINAL Y VAGINAL_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 03/11/2016 CUAE581110MCSRVS01 7064460722 HRAECS2270 21/06/2017 53.44$ 53.44$

286 DIAGNÓSTICO Y TRATAMIENTO DE ARRITMIAS CARDÍACAS_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 04/11/2016 RARC620813MCSMBL02 7116110821 HRAECS2270 21/06/2017 267.19$ 267.19$


(TAES)_(2016)CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 07/11/2016 GAMR590311HCSLGM02 7160120651 HRAECS2270 21/06/2017 896.34$ 896.34$


(TAES)_(2016)CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 07/11/2016 MECW870720HCSSRL05 7128364672 HRAECS2270 21/06/2017 896.34$ 896.34$

256 DIAGNÓSTICO Y TRATAMIENTO DE HIPERPLASIA DE LA PRÓSTATA_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 07/11/2016 MOSL511217HCSNLZ09 7088026671 HRAECS2270 21/06/2017 267.19$ 267.19$

256 DIAGNÓSTICO Y TRATAMIENTO DE HIPERPLASIA DE LA PRÓSTATA_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 07/11/2016 MOSL511217HCSNLZ09 7088026671 HRAECS2270 21/06/2017 267.19$ 267.19$

283 ARTROPLASTÍA TOTAL DE RODILLA (IZQUIERDO)_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 07/11/2016 MECE460916MCSZRD02 71637084431 HRAECS2270 21/06/2017 267.19$ 267.19$

283 ARTROPLASTÍA TOTAL DE RODILLA (DERECHO)_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 08/11/2016 GOOF350912HCSNCR05 7102952201 HRAECS2270 21/06/2017 267.19$ 267.19$

250 DIAGNÓSTICO Y TRATAMIENTO DE MIOMATOSIS UTERINA_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 08/11/2016 JUPT660730MCSRNR06 7164193021 HRAECS2270 21/06/2017 213.75$ 213.75$

251 HISTERECTOMÍA ABDOMINAL Y VAGINAL_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 08/11/2016 CALE811230MCSHPL03 7102488361 HRAECS2270 21/06/2017 53.44$ 53.44$

256 DIAGNÓSTICO Y TRATAMIENTO DE HIPERPLASIA DE LA PRÓSTATA_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 08/11/2016 OIBR320914HCSLRF09 7117080851 HRAECS2270 21/06/2017 267.19$ 267.19$

256 DIAGNÓSTICO Y TRATAMIENTO DE HIPERPLASIA DE LA PRÓSTATA_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 09/11/2016 HELG431009HCSRPR00 7102239842 HRAECS2270 21/06/2017 267.19$ 267.19$

280 REDUCCIÓN QUIRÚRGICA DE FRACTURA DE TIBIA Y PERONÉ (IZQUIERDO)_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 09/11/2016 PEMA980617MCSRRV01 7088026724 HRAECS2270 21/06/2017 551.45$ 551.45$

256 DIAGNÓSTICO Y TRATAMIENTO DE HIPERPLASIA DE LA PRÓSTATA_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 09/11/2016 HELG431009HCSRPR00 7102239842 HRAECS2270 21/06/2017 267.19$ 267.19$

280 REDUCCIÓN QUIRÚRGICA DE FRACTURA DE TIBIA Y PERONÉ (IZQUIERDO)_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 09/11/2016 PEMA980617MCSRRV01 7088026724 HRAECS2270 21/06/2017 267.19$ 267.19$

104DIAGNÓSTICO Y TRATAMIENTO DE LESIONES ESCAMOSAS INTRAEPITELIALES DE ALTO

GRADO_(2016)CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 12/11/2016 AEGC820706MCSRNL08 7131723021 HRAECS2270 21/06/2017 695.73$ 695.73$

280 REDUCCIÓN QUIRÚRGICA DE FRACTURA DE TIBIA Y PERONÉ (DERECHO)_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 19/11/2016 GOLE990205HCSNPD09 7104640802 HRAECS2270 21/06/2017 551.45$ 551.45$

ANTONIO LOPEZ LOPEZ

LUZ PATRICIA SANCHEZ RODAS

OMAR ROMERO DIAZ

EUSTOLIA DE LA CRUZ AVILA

CLARA LUZ RAMIRES ROBLES

RAMON GALVEZ MOGUEL

WILLIAM MEJIA CORTES

LAZARO MONTES SOLIS

LAZARO MONTES SOLIS

EUDELIA MEZA DE LA DCRUZ

FROYLAN GONZALEZ OCAMPO

MARIA TERESA JUAREZ PINO

MARIA ELOINA CHANAY LOPEZ

RAFAEL OLIVERA BRAVO

GEORGE HERNANDEZ LOPEZ

AVRIL ELIZABETH PEREZ MORALES

GEORGE HERNANDEZ LOPEZ

AVRIL ELIZABETH PEREZ MORALES

CIELO AREVALO GONZALEZ

EDUARDO DE JESUS GONZALEZ LOPEZ

60 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



(TAES)_(2016)CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 01/12/2016 ZUMD680703HCSNND06 7067048972 HRAECS2270 21/06/2017 896.34$ 896.34$

235 DIAGNÓSTICO Y TRATAMIENTO DE HERNIA INGUINAL (DERECHO)_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 01/12/2016 DOSP831020MCSMLL03 7065133341 HRAECS2270 21/06/2017 267.19$ 267.19$

280 REDUCCIÓN QUIRÚRGICA DE FRACTURA DE TIBIA Y PERONÉ (IZQUIERDO)_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 03/12/2016 UOPF811202HCSLZR02 7151203951 HRAECS2270 21/06/2017 551.45$ 551.45$

250 DIAGNÓSTICO Y TRATAMIENTO DE MIOMATOSIS UTERINA_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 03/12/2016 VICJ771225MCSCRS18 7127771461 HRAECS2270 21/06/2017 213.75$ 213.75$

256 DIAGNÓSTICO Y TRATAMIENTO DE HIPERPLASIA DE LA PRÓSTATA_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 03/12/2016 CATA480219HCSMBD00 7064280202 HRAECS2270 21/06/2017 267.19$ 267.19$

250 DIAGNÓSTICO Y TRATAMIENTO DE MIOMATOSIS UTERINA_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 03/12/2016 VICJ771225MCSCRS18 7127771461 HRAECS2270 21/06/2017 213.75$ 213.75$


GRADO_(2016)CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 05/12/2016 RAHD900919MCSMRL04 7088162472 HRAECS2270 21/06/2017 695.73$ 695.73$

283 ARTROPLASTÍA TOTAL DE RODILLA (IZQUIERDO)_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 05/12/2016 LORA520126MDFPYN02 7102668421 HRAECS2270 21/06/2017 267.19$ 267.19$


GRADO_(2016)CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 05/12/2016 RAHD900919MCSMRL04 7088162472 HRAECS2270 21/06/2017 1,731.87$ 1,731.87$


(TAES)_(2016)CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 05/12/2016 AALJ840107MCSLPS01 7077483711 HRAECS2270 21/06/2017 906.60$ 906.60$

251 HISTERECTOMÍA ABDOMINAL Y VAGINAL_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 07/12/2016 SALD650129MCSLPR09 7164269112 HRAECS2270 21/06/2017 53.44$ 53.44$


AGUDO PULMONAR_(2016)CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 07/12/2016 LOBE430914HDFPRN03 7099562971 HRAECS2270 21/06/2017 267.19$ 267.19$

283 ARTROPLASTÍA TOTAL DE RODILLA (IZQUIERDO)_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 12/12/2016 CEBC471104MCSLLR07 7116456271 HRAECS2270 21/06/2017 267.19$ 267.19$


AGUDO PULMONAR_(2016)CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 12/12/2016 OOGY530514MCSRRS01 7164269812 HRAECS2270 21/06/2017 267.19$ 267.19$


(TAES)_(2016)CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 14/12/2016 LOCR710920HCSPRS02 7102842324 HRAECS2270 21/06/2017 906.60$ 906.60$


(TAES)_(2016)CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 14/12/2016 MOLI620528MCSRPR04 7053384181 HRAECS2270 21/06/2017 906.60$ 906.60$


(TAES)_(2016)CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 14/12/2016 MOLI620528MCSRPR04 7053384181 HRAECS2270 21/06/2017 896.34$ 896.34$

283 ARTROPLASTÍA TOTAL DE RODILLA (IZQUIERDO)_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 15/12/2016 AEER560831HCSLSM02 7128098381 HRAECS2270 21/06/2017 267.19$ 267.19$

283 ARTROPLASTÍA TOTAL DE RODILLA (IZQUIERDO)_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 15/12/2016 AEER560831HCSLSM02 7128098381 HRAECS2270 21/06/2017 267.19$ 267.19$

283 ARTROPLASTÍA TOTAL DE RODILLA (IZQUIERDO)_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 16/12/2016 CETL551206MCSLLZ07 7053649381 HRAECS2270 21/06/2017 267.19$ 267.19$

DIDIER ZUNUN MENDEZ

PAOLA DOMINGUEZ SOLAR

FRANKLIN ULLOA DE PAZ

MARIA DE JESUS VICTORIO DE LA CRUZ

ADOLFO CAMAS TOVAR

MARIA DE JESUS VICTORIO DE LA CRUZ

DOLORES RAMIREZ HERNANDEZ

MARIA DE LOS ANGELES LOPEZ REYES

DOLORES RAMIREZ HERNANDEZ

JESUS AMANDA ALVAREZ LOPEZ

DORIS SALINAS LOPEZ

ENRIQUE LOPEZ BRITO

MARIA DEL CARMEN CELIS BLANCO

YSMELDA OROSCO GARCIA

ROSENDO LOPEZ CRUZ

IRMA MORALES LOPEZ

IRMA MORALES LOPEZ

RAMON HORACIO ALEGRIA ESCOBAR

RAMON HORACIO ALEGRIA ESCOBAR

LUZ MARIA CELAYA TOLEDO

61 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS


283 ARTROPLASTÍA TOTAL DE RODILLA (IZQUIERDO)_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 19/12/2016 MOOE611018HCSLRS00 7116510831 HRAECS2270 21/06/2017 267.19$ 267.19$

287 DIAGNÓSTICO Y TRATAMIENTO QUIRÚRGICO DE CATARATAS (IZQUIERDO)_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 19/12/2016 VIRH520712HCSLJR05 7142915462 HRAECS2270 21/06/2017 400.78$ 400.78$

283 ARTROPLASTÍA TOTAL DE RODILLA (IZQUIERDO)_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 19/12/2016 MOOE611018HCSLRS00 7116510831 HRAECS2270 21/06/2017 267.19$ 267.19$

279 REDUCCIÓN QUIRÚRGICA DE FRACTURA DE FÉMUR (IZQUIERDO)_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 20/12/2016 EOLR230830MCSSPS02 7030148347 HRAECS2270 21/06/2017 267.19$ 267.19$

287 DIAGNÓSTICO Y TRATAMIENTO QUIRÚRGICO DE CATARATAS (IZQUIERDO)_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 20/12/2016 MACL520713MCSDRL03 7066815881 HRAECS2270 21/06/2017 400.78$ 400.78$

279 REDUCCIÓN QUIRÚRGICA DE FRACTURA DE FÉMUR (IZQUIERDO)_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 20/12/2016 EOLR230830MCSSPS02 7030148347 HRAECS2270 21/06/2017 555.16$ 555.16$

238 DIAGNÓSTICO Y TRATAMIENTO DE COLECISTITIS Y COLELITIASIS_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 21/12/2016 AEIM740109MDFRBR07 7164115192 HRAECS2270 21/06/2017 174.97$ 174.97$

256 DIAGNÓSTICO Y TRATAMIENTO DE HIPERPLASIA DE LA PRÓSTATA_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 21/12/2016 MAEA550209HCSRSD03 7115338241 HRAECS2270 21/06/2017 267.19$ 267.19$

256 DIAGNÓSTICO Y TRATAMIENTO DE HIPERPLASIA DE LA PRÓSTATA_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 21/12/2016 MAEA550209HCSRSD03 7115338241 HRAECS2270 21/06/2017 267.19$ 267.19$

275 REDUCCIÓN QUIRÚRGICA DE FRACTURA DE HÚMERO (IZQUIERDO)_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 22/12/2016 ZACU800902HCSMLLXX 7115641582 HRAECS2270 21/06/2017 1,072.42$ 1,072.42$

276 REDUCCIÓN QUIRÚRGICA DE FRACTURA DE CÚBITO Y RADIO (DERECHO)_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 22/12/2016 ZACU800902HCSMLLXX 7115641582 HRAECS2270 21/06/2017 534.38$ 534.38$

286 DIAGNÓSTICO Y TRATAMIENTO DE ARRITMIAS CARDÍACAS_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 23/12/2016 RATS541023MCSMRL01 7065970921 HRAECS2270 21/06/2017 267.19$ 267.19$

238 DIAGNÓSTICO Y TRATAMIENTO DE COLECISTITIS Y COLELITIASIS_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 26/12/2016 VABS831129MCSLTL06 7164290181 HRAECS2270 21/06/2017 174.97$ 174.97$

276 REDUCCIÓN QUIRÚRGICA DE FRACTURA DE CÚBITO Y RADIO (IZQUIERDO)_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 27/12/2016 MIIG790701HCSRBL08 7085747542 HRAECS2270 21/06/2017 267.19$ 267.19$

276 REDUCCIÓN QUIRÚRGICA DE FRACTURA DE CÚBITO Y RADIO (IZQUIERDO)_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 27/12/2016 MIIG790701HCSRBL08 7085747542 HRAECS2270 21/06/2017 536.21$ 536.21$

286 DIAGNÓSTICO Y TRATAMIENTO DE ARRITMIAS CARDÍACAS_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 28/12/2016 PEVE541101HCSRNN03 7053000302 HRAECS2270 21/06/2017 267.19$ 267.19$

286 DIAGNÓSTICO Y TRATAMIENTO DE ARRITMIAS CARDÍACAS_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 28/12/2016 OUCA561216MCSZRN00 7020028281 HRAECS2270 21/06/2017 267.19$ 267.19$

286 DIAGNÓSTICO Y TRATAMIENTO DE ARRITMIAS CARDÍACAS_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 28/12/2016 PEVE541101HCSRNN03 7053000302 HRAECS2270 21/06/2017 308.28$ 308.28$

283 ARTROPLASTÍA TOTAL DE RODILLA (IZQUIERDO)_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 31/12/2016 CUVC371124MCSNLN01 7142803951 HRAECS2270 21/06/2017 267.19$ 267.19$

283 ARTROPLASTÍA TOTAL DE RODILLA (IZQUIERDO)_(2016) CENTRO REGIONAL DE ALTA ESPECIALIDAD DE CHIAPAS CRA061129675 31/12/2016 CUVC371124MCSNLN01 7142803951 HRAECS2270 21/06/2017 267.19$ 267.19$

ESTEBAN MOLANO ORTEGA

HERMELINDO VILLATORO ROJAS

ESTEBAN MOLANO ORTEGA

ROSA ESCOBAR LOPEZ

LILIA MADARIAGA CRUZ

ROSA ESCOBAR LOPEZ

MARGARITA CONCEPCION ARENAS IBARIAS

ADRIAN MARINA ESTRADA

ADRIAN MARINA ESTRADA

ULISES ZAMBRANO CLEMENTE

ULISES ZAMBRANO CLEMENTE

MARIA SALOME RAMOS TRINIDAD

SELENE LUZ VALERIANO BAUTISTA

GALO MIRANDA IBARRA

GALO MIRANDA IBARRA

ENRIQUE PEREZ VENTURA

ANGELA ADELAIDA OZUNA CRUZ

ENRIQUE PEREZ VENTURA

CONSULEO CUNDAPI VELAZQUEZ

CONSULEO CUNDAPI VELAZQUEZ

62 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS


287 DIAGNÓSTICO Y TRATAMIENTO QUIRÚRGICO DE CATARATAS (IZQUIERDO)_(2016) Hospital Regional de Alta Especialidad de la Península Yucatán HMI950125-HG8 07/06/2016 OORM380908HCSSMG05 7053804291 HRAEPY040517-1081 04/05/2017 4,257.54$ 4,257.54$

261 REPARACIÓN DE LABIO HENDIDO CON O SIN PALADAR HENDIDO_(2016) INSTITUTO NACIONAL DE PEDIATRÍA (INP) INP830420-3F7 21/07/2016 VIAE131002MCSLNMA8 7116417112 INP170417-1023 17/04/2017 11,865.33$ 11,865.33$

261 REPARACIÓN DE LABIO HENDIDO CON O SIN PALADAR HENDIDO_(2016) INSTITUTO NACIONAL DE PEDIATRÍA (INP) INP830420-3F7 12/07/2016 TUTV141103HCSRRCA5 7102382484 INP141116-724 14/11/2016 7,967.31$ 7,967.31$

246 ATENCIÓN DE CESÁREA Y PUERPERIO QUIRÚRGICO_(2016) SERVICIOS DE SALUD DE COAHUILA DE ZARAGOZA SSC961129CH3 18/09/2016 OEMA880605MCSRRD08 7075687571 C647 22/06/2017 15,990.64$ 15,990.64$

33 DIAGNÓSTICO Y TRATAMIENTO DE FARINGOAMIGDALITIS AGUDA_(2016)REGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD (ESTADO

DE MEXICO)RPS050318-L94 01/11/2016 AACG160710MTCLLSXX 7160547093 0005A 22/06/2017 476.35$ 476.35$

222 DIAGNÓSTICO Y TRATAMIENTO DE APENDICITIS_(2016)REGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD (ESTADO

DE MEXICO)RPS050318-L94 24/10/2016 MALJ061006HDFRPRA4 7110092473 0005A 22/06/2017 11,059.81$ 11,059.81$

148DIAGNÓSTICO Y TRATAMIENTO DEL SÍNDROME HIPERGLUCÉMICO HIPEROSMOLAR NO

CETÓSICO_(2016)

REGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD (ESTADO

DE MEXICO)RPS050318-L94 04/11/2016 SALJ880305HCSNPN01 7117084361 0005A 22/06/2017 15,639.61$ 15,639.61$

69DIAGNÓSTICO Y TRATAMIENTO DE MICOSIS SUPERFICIALES (EXCEPTO

ONICOMICOSIS)_(2016)


DE MEXICO)RPS050318-L94 11/10/2016 ROSA040822MCSBLDA7 7064637315 0005A 22/06/2017 166.47$ 166.47$

164 DIAGNÓSTICO Y TRATAMIENTO DEL TRAUMATISMO CRANEOENCEFÁLICO LEVE_(2016)REGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD (ESTADO

DE MEXICO)RPS050318-L94 25/09/2016 MOVJ000612HMCNRFA4 7150200342 0005A 22/06/2017 826.37$ 826.37$

169DIAGNÓSTICO Y TRATAMIENTO DE ESGUINCE DE MUÑECA Y MANO

(IZQUIERDO)_(2016)


DE MEXICO)RPS050318-L94 25/09/2016 MOVJ000612HMCNRFA4 7150200342 0005A 22/06/2017 775.31$ 775.31$

166 DIAGNÓSTICO Y TRATAMIENTO DE ESGUINCE CERVICAL_(2016)REGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD (ESTADO

DE MEXICO)RPS050318-L94 25/09/2016 MOVJ000612HMCNRFA4 7150200342 0005A 22/06/2017 1,183.79$ 1,183.79$

33 DIAGNÓSTICO Y TRATAMIENTO DE FARINGOAMIGDALITIS AGUDA_(2016)REGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD (ESTADO

DE MEXICO)RPS050318-L94 02/08/2016 MEPA880828MCSJRM07 7103926981 0005A 22/06/2017 476.35$ 476.35$


ESTADO DE SALUD_(2016)


DE MEXICO)RPS050318-L94 27/06/2016 RAPM760531HDFSRG08 7150929721 0005A 22/06/2017 291.47$ 291.47$

182 ATENCIÓN DEL PARTO Y PUERPERIO FISIOLÓGICOREGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD (ESTADO

DE MEXICO)RPS050318-L94 08/01/2016 EIHM890108MCSSRR03 7088329671 0005A 22/06/2017 7,553.69$ 7,553.69$

40 DIAGNÓSTICO Y TRATAMIENTO DE SÍNDROME DIARREICO AGUDOREGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD (ESTADO

DE MEXICO)RPS050318-L94 28/03/2016 CUTU850710HCSRLL07 7102727501 0005A 22/06/2017 1,148.20$ 1,148.20$

177 DIAGNÓSTICO Y TRATAMIENTO DE NEUMONÍA EN ADULTOSREGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD (ESTADO

DE MEXICO)RPS050318-L94 31/01/2016 AERR381028MCSRMS05 7101634391 0005A 22/06/2017 9,830.67$ 9,830.67$

238/51.11Colangiografía Retrograda Endoscópica/ Diagnóstico y tratamiento de colecistitis y

colelitiasisDr.Samuel León Carballo LECS-620720-DK3 12 DE MAYO GUDA580703MCSTZNO2 0711529516-1 643 22/06/2017 16,484.72$ 16,484.72$

238/51.11Colangiografía Retrograda Endoscópica/Diagnóstico y tratamiento de colecistitis y

colelitiasisDr.Samuel León Carballo LECS-620720-DK3 12 DE MAYO GOCS800706MCSRHL02 0706508923-1 643 22/06/2017 16,484.72$ 16,484.72$


colelitiasisDr.Samuel León Carballo LECS-620720-DK3 15 de mayo RUEC780926MCSZSN01 0709069077-1 643 22/06/2017 16,484.72$ 16,484.72$


colelitiasisDr.Samuel León Carballo LECS-620720-DK3 15 de mayo VEMO930417MCSLRD15 0711704537-1 643 22/06/2017 16,484.72$ 16,484.72$

MIGUEL OSORIO RAMOS

EMILY LUCIA VILLAREAL ANZA

VICTOR ERNESTO TRUJILLO TRUJILLO

ADRIANA DE JESUS ORTEGA MORALES

GISELLE GUADALUPE ALVARADO CALIX

JEREMIAS MARTINEZ LOPEZ

JUAN ANTONIO SANTIS LOPEZ

ADRIANA ROBLERO SOLIS

JAFET MONJARAZ VARGAS



AMANDA MEJIA PEREZ

MIGUEL ANGEL RASGADO PUERTO

MARISOL ESPINOSA HERNANDEZ

ULFRANO CRUZ TOLEDO

ROSELIA AREVALO RAMIREZ

Gutiérrez Díaz Anita

Gordillo Chacon Silvia.

Ruiz Esquivel Candelaria.

Velazquez Martinez Odeli.

63 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



colelitiasisDr.Samuel León Carballo LECS-620720-DK3 16 de mayo JIGJ930319MCSMTS01 0714316321-1 643 22/06/2017 16,484.72$ 16,484.72$


colelitiasisDr.Samuel León Carballo LECS-620720-DK3 17 de mayo JISA990508MCSMNL09 0704212349-5 643 22/06/2017 16,484.72$ 16,484.72$


colelitiasisDr.Samuel León Carballo LECS-620720-DK3 22 de mayo OAMG650312MCSCRD03 0708917244-2 643 22/06/2017 16,484.72$ 16,484.72$


colelitiasisDr.Samuel León Carballo LECS-620720-DK3 22 de mayo GOPA360615HCSMRN05 0706450055-2 643 22/06/2017 16,484.72$ 16,484.72$


colelitiasisDr.Samuel León Carballo LECS-620720-DK3 23 de mayo GOHA871021MCSRRN06 0712846334-1 643 22/06/2017 16,484.72$ 16,484.72$


colelitiasisDr.Samuel León Carballo LECS-620720-DK3 23 de mayo PEVV771014MCSRLL04 0707739546-1 643 22/06/2017 16,484.72$ 16,484.72$


colelitiasisDr.Samuel León Carballo LECS-620720-DK3 25 de mayo RACR670426HCSMRL02 0714197221-1 643 22/06/2017 16,484.72$ 16,484.72$


colelitiasisDr.Samuel León Carballo LECS-620720-DK3 26 de mayo VEHR570501MCSLLS09 0706465713-1 643 22/06/2017 16,484.72$ 16,484.72$


colelitiasisDr.Samuel León Carballo LECS-620720-DK4 30 de mayo GOPS980428HCSMRB01 0708868993-6 643 22/06/2017 16,484.72$ 16,484.72$


colelitiasisDr.Samuel León Carballo LECS-620720-DK3 03 de junio G0HA871021MCSRRN06 0714316321-1 643 22/06/2017 16,484.72$ 16,484.72$


colelitiasisDr.Samuel León Carballo LECS-620720-DK3 03 de junio CAMS911208HCSLTN04 0704212349-5 643 22/06/2017 16,484.72$ 16,484.72$


colelitiasisDr.Samuel León Carballo LECS-620720-DK3 03 de junio OETD980702MNERNRXX 0708917244-2 643 22/06/2017 16,484.72$ 16,484.72$


colelitiasisDr.Samuel León Carballo LECS-620720-DK3 4 de junio PEPJ580417MCSRRS09 0706450055-2 643 22/06/2017 16,484.72$ 16,484.72$


colelitiasisDr.Samuel León Carballo LECS-620720-DK3 4 de junio RASL920513MCSMLZ07 710382552-1 643 22/06/2017 16,484.72$ 16,484.72$


colelitiasisDr.Samuel León Carballo LECS-620720-DK3 5 de junio CUJL770208MCSRMZ05 0706568543-1 643 22/06/2017 16,484.72$ 16,484.72$


colelitiasisDr.Samuel León Carballo LECS-620720-DK3 6 de junio SAOJ710327HNLRRN02 0708799790-1 643 22/06/2017 16,484.72$ 16,484.72$


colelitiasisDr.Samuel León Carballo LECS-620720-DK3 7 de junio PESA670415MCSRND01 0710337016-1 643 22/06/2017 16,484.72$ 16,484.72$

256/60.29DIAGNOSTICO Y TRATAMIENTO HIPERPLASIA DE LA PROSTATA/OTRA

PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 05/05/2017 HEPJ560305HCSRRB00 0705405486-1 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 05/05/2017 SOVM540704HCSLSN02 0705304286-2 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 06/05/2017 MOGA510528HCSGML08 0711563603-1 86 21/06/2017 18,284.20$ 18,284.20$

HERNANDEZ PEREZ JUVENTINO

SOL VAZQUEZ MANUEL

MOGUEL GOMEZ ALFONSO DE LA CRUZ

Jimenez Gutiérrez Maria Jose.

Jiménez Sánchez Alma Rosa

Ocaña Marroquín María Gpe.

Gómez Pérez Antonio

Gordillo Hernández Ana Isabel

Pérez Velázquez Vilma Esther

Ramírez Cruz Raúl Marcelino

Velasco Hualus Rosa Leticia

Sebastián Gómez Pérez

Gordillo Hernández Ana

Calderón Mota Sonny Brian

Ortega Tunchez Darling Lizeth

Pérez Pérez María de Jesús

Ramírez Solís Luz Elba

Cruz Jiménez Lizbeth

Sariñana Ortíz Juan Martín

Aida Pérez Sánchez

64 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 06/05/2017 VEPA531001HCSNXD06 0710297571-1 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 07/05/2017 VAGS310503HCSLNL02 0714101763-1 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 07/05/2017 MOFA411201HCSRNN02 0706547872-1 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 12/05/2017 MOPF460424HCSLRD04 0715022876-2 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 12/05/2017 LOAA530626HCSPGN01 0706554533-3 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 13/05/2017 HEHA480703HCSRRL01 0705325975-2 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 13/05/2017 RAHE441026HCSMRV08 0705258109-1 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 14/05/2017 LONC430518HCSPXL04 0709983403-1 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 14/05/2017 SAGC460812HCSNMR01 0707607702-1 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 21/05/2017 CUVA561101HCSNZN01 0710423427-1 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 21/05/2017 MUHA520124HCSRRR02 0705313826-2 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 22/05/2017 MOPM300922HCSNRG05 0705258200-2 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 22/05/2017 VAGL610414HCSZRS03 0706656167-2 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 23/05/2017 MOGH450901HCSRRR09 0710506409-1 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 23/05/2017 MOMB330628HCSRCL08 0705391855-2 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 25/05/2017 MAGB610114HCSZTL02 0705357921-2 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 25/05/2017 VEGR471022HCSLRF07 0706416353-2 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 26/05/2017 OAJF631010HCSVMR00 0707440941-1 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 26/05/2017 ROGE400411HCSDRN06 0708775007-1 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 27/05/2017 RACG500110HGRYRN01 0716037735-2 86 21/06/2017 18,284.20$ 18,284.20$

VENTURA PIÑEIRO ADIEL

VALENCIA GONZALEZ SILVANO

MORENO FONSECA ANATALIO

FIDEL H. MOLINA PEREZ

LOPEZ AGUILAR ANTONIO

HERNANDEZ HERNANDEZ ALCIDES

BALDEMAR RAMOS HERNANDEZ

LOPEZ NUÑEZ CLISERIO

SANTIZ GOMEZ CARLOS

CUNDAPI VAZQUEZ JOSE ANGEL

MURIAS HERNANDEZ ARIOSTO

MONTOYA PEREZ MIGUEL

JOSE LUIS VAZQUEZ GORDILLO

MORALES GARCIA HERIBERTO

MORENO MACIAS BULMARO

MAZARIEGOS GUTIERREZ BULMARO

RAFAEL VELASCO GARCIA

OVALLE JIMENEZ FRANCISCO

RODRIGUEZ GARCIA ENRIQUE

RAYON CRUZ GONZALO

65 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 27/05/2017 CUAL390810HCSRGR03 078262822-2 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 28/05/2017 PEMA300615HCSRRR09 0703031518-2 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 28/05/2017 COZA580913HCSNXN09 0710510931-2 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 01/06/2017 FLCA350929HCSLRN04 0711566562-2 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 01/06/2017 VECP430629HCSLRD10 0709974408-1 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 02/06/2017 EAGA540421HCSSMR14 0716311197-2 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 02/06/2017 CUCJ510729HCSLRR04 0706682799-1 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 08/06/2017 HEMH520425HCSRNR04 0708854649-2 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 08/06/2017 DOXE520430HCSMXT07 0710485622-1 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 09/06/2017 MALD430414HCSRPG02 0709983500-1 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 09/06/2017 LOSR390428HCSTNF07 0710460326-1 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 10/06/2017 CACJ380916HCSMSR04 0713113771-2 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 10/06/2017 GOHS441101HCSNRL06 0711722284-01 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 15/06/2017 BACV500521HCSLRR01 0711677317-02 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 15/06/2017 MALF550830HCSRPL09 0710521329-2 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 16/06/2017 MAGE370313HCSDML05 0706689343-1 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 16/06/2017 MAVR510608HCSRLB00 0711640094-01 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 17/06/2017 GOMA380525HCSNNS01 0713177742-01 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 17/06/2017 PARO461225HCSNZS06 0716023308-01 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 18/06/2017 AAGJ401123HCSLMN07 0709991175-02 86 21/06/2017 18,284.20$ 18,284.20$

LORENZO CRUZ AGUILAR

ARTEMIO PEREZ MORALES

JOSE ANTONIO ZUÑIGA CONSTANTINO

ANTONIO FLORES CORDOVA

PEDRO A. VELASCO CORDOVA

ARTURO ESTRADA GOMEZ

JORGE CULEBRO DE LA CRUZ

HERMINIO HERNANDEZ MONTOYA

DOMINGUEZ SANCHEZ ETURIEL

DIEGO MARTINEZ LOPEZ

RAFAEL LOPEZ SANTIZ

CAMPUZZANO CASSINI JORGE

SALVADOR GONZALEZ HERNANDEZ

VIRGILIO BALCAZAR CORONEL

FELIX MARTINEZ LOPEZ

ELIACIN MADRIGAL GOMEZ

ROBERTO MARTINEZ VELAZQUEZ

ASUNCION GONZALEZ MONTERO

OSCAR DE JESUS PANIAGUA RUIZ

JUAN ALVAREZ GOMEZ

66 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS



PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 18/06/2017 SIFA501128HCSLNB03 0711001552-01 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 19/06/2017 MOCS451020HCSLLB03 0710296101-01 86 21/06/2017 18,284.20$ 18,284.20$


PROSTATECTOMIA TRANSURETRALCESAR ARMANDO PAREDES SOLIS PASC780110V96 19/06/2017 HEHF660923HCSRRR501 0710217879-02 86 21/06/2017 18,284.20$ 18,284.20$

184 ATENCIÓN DEL PARTO Y PUERPERIO FISIOLÓGICO_(2016) REGIMEN VERACRUZANO DE PROTECCION SOCIAL EN SALUD RVP170106-3K0 03/12/2016 CISG990828MVZHLB03 710449863 03SCEI 24/04/2017 5,633.20$ 5,633.20$

28DIAGNÓSTICO Y TRATAMIENTO DE ANEMIA FERROPRIVA Y POR DEFICIENCIA DE

VITAMINA B12_(2016)REGIMEN VERACRUZANO DE PROTECCION SOCIAL EN SALUD RVP170106-3K0 18/12/2016 AIPD480324MCSRXL01 7089438301 03SCEI 24/04/2017 313.35$ 313.35$


ESTADO DE SALUD_(2016)REGIMEN VERACRUZANO DE PROTECCION SOCIAL EN SALUD RVP170106-3K0 18/12/2016 AIPD480324MCSRXL01 7089438301 03SCEI 24/04/2017 291.47$ 291.47$

278 REDUCCIÓN QUIRÚRGICA DE FRACTURA DE CADERA (IZQUIERDO)_(2016) REGIMEN VERACRUZANO DE PROTECCION SOCIAL EN SALUD RVP170106-3K0 03/08/2016 GOGC280613MCSNMR05 7099786251 03SCEI 24/04/2017 30,029.95$ 30,029.95$

278 REDUCCIÓN QUIRÚRGICA DE FRACTURA DE CADERA (IZQUIERDO)_(2016) REGIMEN VERACRUZANO DE PROTECCION SOCIAL EN SALUD RVP170106-3K0 25/08/2016 GOGC280613MCSNMR05 7099786251 03SCEI 24/04/2017 562.90$ 562.90$

287 DIAGNÓSTICO Y TRATAMIENTO QUIRÚRGICO DE CATARATAS (DERECHO)_(2016) REGIMEN VERACRUZANO DE PROTECCION SOCIAL EN SALUD RVP170106-3K0 20/06/2016 VASE470521MCSZBN02 7091631221 03SCEI 24/04/2017 4,257.55$ 4,257.55$

181 DIAGNÓSTICO Y TRATAMIENTO DE ENFERMEDAD PÉLVICA INFLAMATORIA_(2016) REGIMEN VERACRUZANO DE PROTECCION SOCIAL EN SALUD RVP170106-3K0 02/06/2016 GAAJ890827MCSRLN00 7141925841 03SCEI 24/04/2017 1,590.35$ 1,590.35$


BILATERAL)_(2016)REGIMEN VERACRUZANO DE PROTECCION SOCIAL EN SALUD RVP170106-3K0 12/06/2016 TOJL861007MCSVMC03 7128010481 03SCEI 24/04/2017 4,929.57$ 4,929.57$

246 ATENCIÓN DE CESÁREA Y PUERPERIO QUIRÚRGICO_(2016) REGIMEN VERACRUZANO DE PROTECCION SOCIAL EN SALUD RVP170106-3K0 12/06/2016 TOJL861007MCSVMC03 7128010481 03SCEI 24/04/2017 10,143.61$ 10,143.61$


INTERRUPCIÓN LEGAL DEL EMBARAZO)_(2016)REGIMEN VERACRUZANO DE PROTECCION SOCIAL EN SALUD RVP170106-3K0 02/06/2016 CULP840624MVZRRL04 7160120721 03SCEI 24/04/2017 8,555.36$ 8,555.36$

184 ATENCIÓN DEL PARTO Y PUERPERIO FISIOLÓGICO_(2016) REGIMEN VERACRUZANO DE PROTECCION SOCIAL EN SALUD RVP170106-3K0 23/05/2016 DOSM981228MCSMLR09 7089312164 03SCEI 24/04/2017 9,531.22$ 9,531.22$

92MÉTODO DE PLANIFICACIÓN FAMILIAR TEMPORAL CON DISPOSITIVO

INTRAUTERINO_(2016)REGIMEN VERACRUZANO DE PROTECCION SOCIAL EN SALUD RVP170106-3K0 23/05/2016 DOSM981228MCSMLR09 7089312164 03SCEI 24/04/2017 675.56$ 675.56$


INTERRUPCIÓN LEGAL DEL EMBARAZO)REGIMEN VERACRUZANO DE PROTECCION SOCIAL EN SALUD RVP170106-3K0 27/02/2016 HEMO850228MCSRRL09 7160190241 03SCEI 24/04/2017 2,126.78$ 2,126.78$


INTERRUPCIÓN LEGAL DEL EMBARAZO)REGIMEN VERACRUZANO DE PROTECCION SOCIAL EN SALUD RVP170106-3K0 27/01/2016 MOPY861107MCSTZD05 7074096431 03SCEI 24/04/2017 8,555.36$ 8,555.36$


BILATERAL)REGIMEN VERACRUZANO DE PROTECCION SOCIAL EN SALUD RVP170106-3K0 27/01/2016 MOPY861107MCSTZD05 7074096431 03SCEI 24/04/2017 4,928.57$ 4,928.57$

219 LAPAROTOMÍA EXPLORADORA Régimen Estatal de Protección Social en Salud en Campeche. REP150914KD0 17/07/2013 LODL761215HCSPZC05 7052687771 53A 13,035.69$ 13,035.69$

83 DIAGNÓSTICO Y TRATAMIENTO DEL SÍNDROME DE COLON IRRITABLE Régimen Estatal de Protección Social en Salud en Campeche. REP150914KD0 30/08/2013 VIGD070729MCSLNYA2 7120141851 53A 331.47$ 331.47$

MARIA DEL CARMEN GONZALEZ GOMEZ

MARIA DEL CARMEN GONZALEZ GOMEZ

MARILINDA DOMINGUEZ SALES

OLGA ELVIRA HERNANDEZ MIRANDA

YADIRA ELIZABETH MOTA PAZ

YADIRA ELIZABETH MOTA PAZ

MARILINDA DOMINGUEZ SALES

GABRIELA CHIMA SALAZAR

MARIA DELMA ARRIOLA PEÑA

MARIA DELMA ARRIOLA PEÑA

JOSE ABUNDIO SILIAS FONSECA

SABEL MOLINA CUELLO

FRANCISCO HERNANDEZ HERNANDEZ

ENEIDA VAZQUEZ SOBERANO

JANETH YANELLI GARCIA ALARCON

LUCERO TOVAR JIMENEZ

LUCERO TOVAR JIMENEZ

PAULA LIZZETTE DE LA CRUZ LARA

LUCIO LÓPEZ DÍAZ

DEYSI VILLAMIL GONZÁLEZ

67 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS


220 APENDICECTOMÍA SERVICIOS DE SALUD DE SONORA SSS970311993 03/04/2014 DIMS761011HCSZNL07 7065494141 sp226 28/06/2017 10,087.65$ 10,087.65$

89MÉTODOS TEMPORALES DE PLANIFICACIÓN FAMILIAR:ANTICONCEPTIVOS

HORMONALES (AH)SERVICIOS DE SALUD DE SONORA SSS970311993 28/05/2014 VERV940111MCSLYR07 7117427722 sp226 28/06/2017 179.31$ 179.31$

243 LEGRADO UTERINO TERAPÉUTICO POR ABORTO COMPLETO E INCOMPLETO. SERVICIOS DE SALUD DE SONORA SSS970311993 28/05/2014 VERV940111MCSLYR07 7117427722 sp226 28/06/2017 9,854.60$ 9,854.60$

182 ATENCIÓN DEL PARTO Y PUERPERIO FISIOLÓGICO SERVICIOS DE SALUD DE SONORA SSS970311993 18/12/2014 JIPT781004MCSMRR06 7142695921 sp226 28/06/2017 10,651.26$ 10,651.26$


BILATERAL)SERVICIOS DE SALUD DE SONORA SSS970311993 18/12/2014 JIPT781004MCSMRR06 7142695921 sp226 28/06/2017 8,412.64$ 8,412.64$

205 MANEJO HOSPITALARIO DE CRISIS CONVULSIVASREGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD

(VERACRUZ)REP080206GM7 27/05/2013 RALJ520205HVZMGS05 7103319011 51 SCEI 25/04/2017 13,780.64$ 13,780.64$

206 MANEJO HOSPITALARIO DE HIPERTENSIÓN ARTERIAREGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD

(VERACRUZ)REP080206GM7 27/05/2013 RALJ520205HVZMGS05 7103319011 51 SCEI 25/04/2017 9,714.56$ 9,714.56$

182 ATENCIÓN DEL PARTO Y PUERPERIO FISIOLÓGICOREGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD

(VERACRUZ)REP080206GM7 23/07/2013 COPA920815MMNRNR04 7117298351 51 SCEI 25/04/2017 9,846.40$ 9,846.40$

186 ATENCIÓN DEL RECIÉN NACIDOREGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD

(VERACRUZ)REP080206GM7 23/07/2013 MACJ130723MVZRRHXX 7117298354 51 SCEI 25/04/2017 6,093.25$ 6,093.25$

91MÉTODOS TEMPORALES DE PLANIFICACIÓN FAMILIAR:DISPOSITIVO INTRAUTERINO

(DIU)

REGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD

(VERACRUZ)REP080206GM7 23/07/2013 COPA920815MMNRNR04 7117298351 51 SCEI 25/04/2017 338.21$ 338.21$

243 LEGRADO UTERINO TERAPÉUTICO POR ABORTO COMPLETO E INCOMPLETOREGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD

(VERACRUZ)REP080206GM7 07/08/2013 RUHS820602MCSDRL06 7128736041 51 SCEI 25/04/2017 9,854.60$ 9,854.60$

243 LEGRADO UTERINO TERAPÉUTICO POR ABORTO COMPLETO E INCOMPLETO.REGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD

(VERACRUZ)REP080206GM7 27/10/2013 LXCA771023MCSPHN03 7139364201 51 SCEI 25/04/2017 9,854.60$ 9,854.60$


(VERACRUZ)REP080206GM7 09/12/2013 AUAE850815MVZSNL07 7139174821 51 SCEI 25/04/2017 9,846.40$ 9,846.40$

113 DIAGNÓSTICO Y TRATAMIENTO DEL ASMA EN NIÑOSREGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD

(VERACRUZ)REP080206GM7 09/12/2013 SIRI160302HCSLDKA0 7129011122 51 SCEI 25/04/2017 506.42$ 506.42$

186 ATENCIÓN DEL RECIÉN NACIDOREGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD

(VERACRUZ)REP080206GM7 08/12/2013 CAAR131208MVZNSNXX 7139174824 51 SCEI 25/04/2017 6,093.25$ 6,093.25$


(VERACRUZ)REP080206GM7 15/01/2014 CUJM941107MCSRMR03 7115906852 29 SCEI 25/04/2017 9,846.40$ 9,846.40$

91MÉTODOS TEMPORALES DE PLANIFICACIÓN FAMILIAR:DISPOSITIVO INTRAUTERINO

(DIU)


(VERACRUZ)REP080206GM7 15/01/2014 CUJM941107MCSRMR03 7115906852 29 SCEI 25/04/2017 338.21$ 338.21$

146 ESTABILIZACIÓN EN URGENCIAS DEL PACIENTE DIABÉTICOREGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD

(VERACRUZ)REP080206GM7 04/03/2014 AASY900101MCSRLLXX 7089353561 29 SCEI 25/04/2017 1,563.94$ 1,563.94$

996 ESTABILIZACIÓN DE URGENCIASREGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD

(VERACRUZ)REP080206GM7 31/03/2014 CUVL960211HCSRLS00 7117289072 29 SCEI 25/04/2017 2,357.00$ 2,357.00$

219 LAPAROTOMÍA EXPLORADORAREGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD

(VERACRUZ)REP080206GM7 26/07/2014 CUVL960211HCSRLS00 7075743121 29 SCEI 25/04/2017 14,567.46$ 14,567.46$

MAURICIA CRUZ JIMENEZ

YOLANDA ARRAZOLA SOLORZANO

JOSÉ LUIS CRUZ VILLATORO

KORITZA VAZQUEZ GARCIA

SILVIA RUEDA HERNÁNDEZ

ANA DILIA LÓPEZ CHAVEZ

ELSA ASUNCIÓN ANDRADE

IKER CYRUS SILVA RODRIGUEZ

RN MARIA CANELA ASUNCION

MAURICIA CRUZ JIMENEZ

TERESA JIMENEZ PÉREZ

JESÚS RAMÍREZ LAGUNEZ

JESÚS RAMÍREZ LAGUNEZ

ARACELI CORTYEZ PANTOJA

JAHAIRA MARTINEZ CORTEZ

ARACELI CORTYEZ PANTOJA

SALVADOR DÍAZ MÉNDEZ

VIRGINIA VELÁZQUEZ REYNOSO

VIRGINIA VELÁZQUEZ REYNOSO

TERESA JIMENEZ PÉREZ

68 DE 69




DATOS FACTURA

NOMBRE


INFORME SUBROGADOS


243DIAGNÓSTICO Y TRATAMIENTO DEL ABORTO INCOMPLETO.(NO INCLUYE

INTERRUPCIÓN LEGAL DEL EMBARAZO)


(VERACRUZ)REP080206GM7 28/08/2014 NAHC880205MCSRRN06 7090766781 29 SCEI 25/04/2017 11,180.37$ 11,180.37$

140DIAGNÓSTICO Y TRATAMIENTO DE FOCOS INFECCIOSOS BACTERIANOS AGUDOS EN LA

CAVIDAD BUCAL


(VERACRUZ)REP080206GM7 18/09/2014 HESH780903HCSRNL00 7065363922 29 SCEI 25/04/2017 466.91$ 466.91$

243

DIAGNÓSTICO Y TRATAMIENTO DEL ABORTO INCOMPLETO.(NO INCLUYE

INTERRUPCIÓN LEGAL DEL EMBARAZO)REGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD

(VERACRUZ)REP080206GM7 13/12/2014 NAGZ850213MCSVNN09 7101797931 29 SCEI 25/04/2017 11,180.37$ 11,180.37$

91 MÉTODO DE PLANIFICACIÓN FAMILIAR TEMPORAL CON DISPOSITIVO INTRAUTERINOREGIMEN ESTATAL DE PROTECCION SOCIAL EN SALUD

(VERACRUZ)REP080206GM7 13/12/2014 NAGZ850213MCSVNN09 7101797931 29 SCEI 25/04/2017 675.56$ 675.56$

TOTAL 12,739,648.72$

ZINNIA ESTHER NAVARRETE GONZÁLEZ

ZINNIA ESTHER NAVARRETE GONZÁLEZ

CANDELARIA NARCÍA HERNÁNDEZ

HILDE ALFONSO HERNÁNDEZ SÁNCHEZ

LIC. JAIRO CÉSAR GUILLÉN RAMÍREZ DR. MIGUEL ÁNGEL AVENDAÑO HERRERA

DIRECTOR DE ADMINISTRACIÓN Y FINANZAS DEL INSTITUTO DE SALUD DIRECTOR GENERAL DEL REGIMEN ESTATAL DE PROTECCIÓN SOCIAL EN SALUD

69 DE 69

régimen estatal de protección social en salud informe del ... · 184 atenciÓn del parto y...

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