Active NPI
Soma Medical Center PA 11
- Pediatrics Physician
- Royal Palm Beach, FL
National Provider Identifier
1780461046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- SOMA MEDICAL CENTER PA 11
- Practice address
- 1402 Royal Palm Beach Blvd Ste 700
Royal Palm Beach, FL 33411-1699 - Phone
- (561) 650-5636
- Fax
- (561) 720-2528
- NPI assigned
- Sep 11, 2023
- 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
- Dr. Rafael O Nunez, MD
- Title
- Owner
- Phone
- (561) 964-4577
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
1402 Royal Palm Beach Blvd Ste 700
Royal Palm Beach, FL 33411-1699
Mailing address
1402 Royal Palm Beach Blvd Ste 700
Royal Palm Beach, FL 33411-1699
Phone (561) 650-5636
Other names 1
- Soma Medical Center PA 11
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694390400000",
"number": "1780461046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 ROYAL PALM BEACH BLVD STE 700",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334111699",
"telephone_number": "561-650-5636",
"fax_number": "561-720-2528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 ROYAL PALM BEACH BLVD STE 700",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334111699",
"telephone_number": "561-650-5636",
"fax_number": "561-720-2528"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOMA MEDICAL CENTER PA 11",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-11",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A",
"authorized_official_last_name": "NUNEZ",
"authorized_official_first_name": "RAFAEL",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-964-4577",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Soma Medical Center PA 11",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Royal Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.