NPIMap

Organization Active NPI

Soma Medical Center, P.a.

  • Primary Care Clinic/Center
  • Port St Lucie, FL
National Provider Identifier
1619765989
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SOMA MEDICAL CENTER, P.A.
Practice address
1170 SW Bayshore Blvd Ste 200
Port St Lucie, FL 34983-2408
Phone
(564) 964-4577
NPI assigned
Apr 28, 2025
Organization subpart
Yes
Parent organization
SOMA MEDICAL CENTER, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1170 SW Bayshore Blvd Ste 200
Port St Lucie, FL 34983-2408

Mailing address

3129 S Congress Ave
Palm Springs, FL 33461-2551
Phone (564) 964-4577

Other names 1

  • Soma Medical Center PA Port St. Lucie Doing business as

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

1170 SW Bayshore Blvd
Ste 200
Port St Lucie, FL 34983
Phone (564) 964-4577

3255 Forest Hill Blvd
#103
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.

NPI Registry JSON

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

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1619765989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 S CONGRESS AVE",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334612551",
            "telephone_number": "564-964-4577",
            "fax_number": "561-964-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 SW BAYSHORE BLVD STE 200",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349832408",
            "telephone_number": "564-964-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMA MEDICAL CENTER, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOMA MEDICAL CENTER, P.A.",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR, PRESIDENT",
        "authorized_official_telephone_number": "561-964-4577",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soma Medical Center PA Port St. Lucie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.