MICOLIS PIMENTEL
CIN: SM84493E
Date of Birth: Dec. 11, 1957
Gender: Female
Created: Aug. 12, 2026
Address:
1084 HOME STREET 2C
, BRONX, NY 10459
Last Updated: Aug. 12, 2026 4:01 PM
Latest Eligibility Snapshot
Date of Service: Sept. 14, 2026
Medicaid Eligible:
Yes
Coverage: Sept. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: CENTERLIGHT HEALTHCARE PACE
Recertification:
Yes — Oct. 31, 2026
Code 60:
No
S1:
No