Organization Active NPI

Soma Medical Center PA 11

  • Pediatrics Physician
  • Royal Palm Beach, FL
National Provider Identifier
1780461046
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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

Updated by the provider on Sep 11, 2023

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Former legal business name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.