TEOFILA JIMENEZ
CIN: UP33817V
Date of Birth: Oct. 13, 1940
Gender: Female
Created: Aug. 13, 2026
Address:
530 WEST 136TH ST 44
, NEW YORK, NY 10031
Last Updated: Aug. 13, 2026 3:17 PM
Latest Eligibility Snapshot
Date of Service: Aug. 14, 2026
Medicaid Eligible:
Yes
Coverage: Aug. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: COORDINATED BEHAVIORAL CARE INC
Recertification:
No
Code 60:
No
S1:
No
Eligibility History
| Date of Service | Status | Recert | Code 60 | S1 | Import | 271 |
|---|---|---|---|---|---|---|
| Aug. 14, 2026 | Eligible | — | — | — | Expert Census Referrals - CIN_IMPORT (1).csv | View |