MARIANO AVILES
CIN: VP75369Z
Date of Birth: Feb. 2, 1936
Gender: Male
Created: July 26, 2026
Address:
609 METROPOLITAN AVE 4C
, BROOKLYN, NY 11211
Last Updated: July 26, 2026 10:06 AM
Latest Eligibility Snapshot
Date of Service: July 26, 2026
Medicaid Eligible:
Yes
Coverage: July 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: ANTHEM HP LLC PARTIAL MLTC
Recertification:
Yes — Oct. 31, 2026
NHTD:
No
Code 60:
No
Surplus:
Yes