Active NPI
Soma Medical Center PA #8
- Internal Medicine Physician
- Palm Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SOMA MEDICAL CENTER PA #8
- Practice address
- 3325 Forest Hill Blvd Ste a
Palm Springs, FL 33406-5812 - Phone
- (561) 964-4577
- Fax
- (561) 275-7134
- NPI assigned
- Aug 16, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rafael Nunez, MD
- Title
- Owner
- Phone
- (561) 964-4577
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
3325 Forest Hill Blvd Ste a
Palm Springs, FL 33406-5812
Mailing address
3255 Forest Hill Blvd Ste 103
Palm Springs, FL 33406-5854
Phone (561) 964-4577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000853900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2246231 | Soma Medical Center PA 8 | Certificate of waiver | Dec 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
3325 Forest Hill Blvd
Ste A
West Palm Beach, FL 33406
Phone (561) 227-5597
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ABBFCD
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- West Palm Beach, FL
- NPI 1265020069
-
- Internal Medicine Physician
- West Palm Beach, FL
- NPI 1417938689
-
- Family Nurse Practitioner
- West Palm Beach, FL
- NPI 1245951607
-
- Internal Medicine Physician
- West Palm Beach, FL
- NPI 1043208895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689120000000",
"number": "1710652284",
"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 STE A",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334065812",
"telephone_number": "561-964-4577",
"fax_number": "561-275-7134"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOMA MEDICAL CENTER PA #8",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-16",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A",
"authorized_official_last_name": "NUNEZ",
"authorized_official_first_name": "RAFAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-964-4577",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000853900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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.