Organization Active NPI

Soma Medical Center, P.a.

  • Obstetrics & Gynecology Physician
  • West Palm Beach, FL
National Provider Identifier
1033782552
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SOMA MEDICAL CENTER, P.A.
Practice address
3325 Forest Hill Blvd
West Palm Beach, FL 33406-5812
Phone
(561) 964-4577
Fax
(561) 275-7134
NPI assigned
Jul 22, 2021
Last updated
Jul 22, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
SOMA MEDICAL CENTER, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Authorized official

Name
Rafael O Nunez, MDNPI 1043208895
Title
Medical Director
Phone
(561) 964-4577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

3325 Forest Hill Blvd
West Palm Beach, FL 33406-5812

Mailing address

3255 Forest Hill Blvd Ste 103
Palm Springs, FL 33406-5854
Phone (561) 964-4577

Other identifiers 1

IdentifierTypeStateIssuer
ME76971OtherFLMEDICAL LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Soma Medical Center PA9 organizations share this tax ID, including this one
Part of
Soma Medical Center PA

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3325 Forest Hill Blvd
West Palm Beach, FL 33406
Phone (561) 964-4577

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1033782552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 FOREST HILL BLVD STE 103",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334065854",
            "telephone_number": "561-964-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 FOREST HILL BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065812",
            "telephone_number": "561-964-4577",
            "fax_number": "561-275-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMA MEDICAL CENTER, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOMA MEDICAL CENTER, P.A.",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "561-964-4577",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME76971",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.