| Medical & Mental Services Inc | |
|
777 E 25th St Suite 212 Hialeah FL 33013-3834 | |
| (786) 683-1865 | |
| Not Available |
| Full Name | Medical & Mental Services Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 777 E 25th St, Hialeah, Florida |
| Authorized Official Name and Position | Hodelin Aquino Gomez (PRESIDENT) |
| Authorized Official Contact | 7866831865 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical & Mental Services Inc 777 E 25th St Ste 507 Hialeah FL 33013-3834 Ph: (786) 683-1865 | Medical & Mental Services Inc 777 E 25th St Suite 212 Hialeah FL 33013-3834 Ph: (786) 683-1865 |
| NPI Number | 1184488447 |
|---|---|
| Provider Enumeration Date | 02/07/2024 |
| Last Update Date | 01/30/2025 |
| Medicare PECOS PAC ID | 1052856176 |
|---|---|
| Medicare Enrollment ID | O20240712003817 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184488447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Francisca S Gonzalez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306477187 PECOS PAC ID: 8628420858 Enrollment ID: I20240123003482 |
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