NPIMap

Organization Active NPI

Soma Medical Center, PA

Doing business as Rafael O. Nunez

  • Internal Medicine Physician
  • Palm Springs, FL
National Provider Identifier
1467499038
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SOMA MEDICAL CENTER, PA
Doing business as
Rafael O. Nunez
Practice address
3255 Forest Hill Blvd Ste 103
Palm Springs, FL 33406-5854
Phone
(561) 964-4577
Fax
(561) 964-7772
NPI assigned
Jun 1, 2006
Last updated
Jul 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Dr. Rafael O Nunez, MDNPI 1043208895
Title
Medical Director
Phone
(561) 329-8917

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Primary Care Clinic/Center 261QP2300X ME0076971 FL
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

3255 Forest Hill Blvd Ste 103
Palm Springs, FL 33406-5854

Mailing address

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

Other names 1

  • Rafael O. Nunez Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060329000517 FL Part B Supplier - Clinic/Group Practice 2062420227 Receives reassigned benefits from 27 practitioners
1 other NPI on this enrollment
Practice locations: Fort Pierce, FL; Royal Palm Beach, FL; Port St Lucie, FL; Palm Springs, FL; Lake Worth, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
10D0994980Soma Medical Center PA3255 Forest Hill Blvd Ste 103, West Palm Beach, FL 33406Certificate of waiverJan 7, 2028

National Provider Directory

National Provider Directory

Locations

330 S Dixie Hwy
Lake Worth Beach, FL 33460
Phone (561) 227-3993

1402 Royal Palm Beach Blvd
Ste 200
Royal Palm Beach, FL 33411
Phone (561) 907-4888

3255 Forest Hill Blvd
Ste 103104
West Palm Beach, FL 33406

3325 Forest Hill Blvd
Ste B
West Palm Beach, FL 33406
Phone (561) 227-2772

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFIECD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IFGECD

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 55

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.

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1467499038",
    "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",
            "fax_number": "561-964-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 FOREST HILL BLVD STE 103",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334065854",
            "telephone_number": "561-964-4577",
            "fax_number": "561-964-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMA MEDICAL CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "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": "561-329-8917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME0076971",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rafael O. Nunez",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rafael O. Nunez",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.