Organization
GOMEZ BEHAVIORAL SOLUTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAILYN HERNANDEZ (OWNER/ OFFICER)
(786) 228-7801
Entity
Organization
Contact information
Practice address
1150 NW 72ND AVE STE 350, MIAMI, FL 33126-1947
(786) 228-7801
(786) 533-8000
Mailing address
1150 NW 72ND AVE STE 350, MIAMI, FL 33126-1947
(786) 228-7801
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
11/28/2023
Last updated
03/31/2025
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