ELENA DIAZ
CIN: XZ62216Z
Date of Birth: Nov. 19, 1965
Gender: Female
Created: Aug. 12, 2026
Address:
414 W48TH STREET 3A
, NEW YORK, NY 10036
Last Updated: Aug. 12, 2026 3:55 PM
Latest Eligibility Snapshot
Date of Service: Sept. 14, 2026
Medicaid Eligible:
Yes
Coverage: Sept. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: ANTHEM HP LLC PARTIAL MLTC
Recertification:
Yes — Oct. 31, 2026
Code 60:
No
S1:
Yes