Import Eligibility › Patient Detail

MANUEL GUADALAMAR

CIN: VR05948N

Active
Date of Birth: June 7, 1939
Gender: Male
Created: Aug. 12, 2026
Address: 541 WEST 204TH ST 2F , NEW YORK, NY 10034
Last Updated: Aug. 12, 2026 3:57 PM

Latest Eligibility Snapshot

Date of Service: Aug. 13, 2026
Medicaid Eligible: Yes
Coverage: Aug. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: VILLAGE SENIOR SERVICES CORP MAP
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