VICTORIANO A TAVERA
CIN: TX09519Z
Date of Birth: March 29, 1952
Gender: Male
Created: Aug. 12, 2026
Address:
113 TEN EYCK WALK 3A
, BROOKLYN, NY 11206
Last Updated: Aug. 12, 2026 4:07 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:
Yes — Dec. 31, 2026
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 |