Active NPI
Soma Medical Center PA 15
- Internal Medicine Physician
- Fort Pierce, FL
National Provider Identifier
1003761842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryNPI 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.