Organization Active NPI

Medical & Mental Services Inc

  • Community/Behavioral Health Agency
  • Hialeah, FL
National Provider Identifier
1184488447
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MEDICAL & MENTAL SERVICES INC
Practice address
777 E 25TH St
Suite 212
Hialeah, FL 33013-3834
Phone
(786) 683-1865
NPI assigned
Feb 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hodelin Aquino Gomez
Title
President
Phone
(786) 683-1865

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

777 E 25TH St
Suite 212
Hialeah, FL 33013-3834

Mailing address

777 E 25TH St Ste 507
Hialeah, FL 33013-3834
Phone (786) 683-1865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240712003817 FL Part B Supplier - Clinic/Group Practice 1052856176 Receives reassigned benefits from 6 practitioners
Practice locations: Hialeah, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2323311Medical & Mental Services Inc777 E 25TH St Ste 212, Hialeah, FL 33013Certificate of waiverMay 4, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1184488447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST STE 507",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133834",
            "telephone_number": "786-683-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST",
            "address_2": "SUITE 212",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133834",
            "telephone_number": "786-683-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL & MENTAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "AQUINO GOMEZ",
        "authorized_official_first_name": "HODELIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-683-1865"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.