RAFAEL REYES
CIN: YQ57727J
Date of Birth: April 15, 1978
Gender: Male
Created: Aug. 13, 2026
Address:
2865 KINGSBRIDGE TERRRACE 5L
, BRONX, NY 10463
Last Updated: Aug. 13, 2026 3:14 PM
Latest Eligibility Snapshot
Date of Service: Sept. 14, 2026
Medicaid Eligible:
Yes
Coverage: Sept. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: SRH CHN LEAD HEALTH HOME LLC
Recertification:
Yes — Oct. 31, 2026
Code 60:
No
S1:
Yes