HERNAN CABALLERODIAZ
CIN: SY34484R
Date of Birth: Oct. 9, 1949
Gender: Male
Created: Aug. 12, 2026
Address:
8418 102ND AVE
, OZONE PARK, NY 11416
Last Updated: Aug. 12, 2026 3:52 PM
Latest Eligibility Snapshot
Date of Service: Aug. 13, 2026
Medicaid Eligible:
Yes
Coverage: Aug. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: ELDERPLAN INC MAP
Recertification:
Yes — April 30, 2027
Code 60:
No
S1:
No
Eligibility History
| Date of Service | Status | Recert | Code 60 | S1 | Import | 271 |
|---|---|---|---|---|---|---|
| Aug. 13, 2026 | Eligible | ✓ | — | — | A Plus Details - A Plus CIN.csv | View |