JOSE L DAVILAJR
CIN: YS92632H
Date of Birth: Nov. 26, 1968
Gender: Male
Created: Aug. 12, 2026
Address:
1415 ROWLAND ST 2R
, BRONX, NY 10461
Last Updated: Aug. 12, 2026 3:54 PM
Latest Eligibility Snapshot
Date of Service: Aug. 13, 2026
Medicaid Eligible:
Yes
Coverage: Aug. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: SRH CHN LEAD HEALTH HOME LLC
Recertification:
No
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 |