MIGDALIA BAUTISTA
CIN: NC39806C
Date of Birth: Feb. 17, 1955
Gender: Female
Created: July 26, 2026
Address:
321 E 153 RD ST 3F
, BRONX, NY 10451
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:
No
NHTD:
No
Code 60:
No
Surplus:
Yes