Organization Active NPI

Soma Medical Center PA 15

  • Internal Medicine Physician
  • Fort Pierce, FL
National Provider Identifier
1003761842
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SOMA MEDICAL CENTER PA 15
Practice address
2504 Acorn Street
Suite a
Fort Pierce, FL 34947
Phone
(772) 837-7800
Fax
(772) 837-7801
NPI assigned
Feb 26, 2026
Organization subpart
Yes
Parent organization
SOMA MEDICAL CENTER, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Rafael O Nunez, MD
Title
President
Phone
(561) 964-4577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2504 Acorn Street
Suite a
Fort Pierce, FL 34947

Mailing address

2504 Acorn St Ste a
Fort Pierce, FL 34947-4746
Phone (772) 837-7800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1772064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1003761842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 ACORN ST STE A",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474746",
            "telephone_number": "772-837-7800",
            "fax_number": "772-837-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 ACORN STREET",
            "address_2": "SUITE A",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "34947",
            "telephone_number": "772-837-7800",
            "fax_number": "772-837-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMA MEDICAL CENTER PA 15",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOMA MEDICAL CENTER, P.A.",
        "enumeration_date": "2026-02-26",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-964-4577",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.