ISMAEL SERRANOREYES
CIN: VG19373Q
Date of Birth: Sept. 29, 1945
Gender: Male
Created: Aug. 12, 2026
Address:
3137 MILES AVE
, BRONX, NY 10465
Last Updated: Aug. 12, 2026 4:07 PM
Latest Eligibility Snapshot
Date of Service: Sept. 14, 2026
Medicaid Eligible:
Yes
Coverage: Sept. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: ANTHEM HP LLC MAP
Recertification:
Yes — Oct. 31, 2026
Code 60:
No
S1:
No