Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SOMA MEDICAL CENTER PA 15
NPI 1003761842
Internal Medicine in Fort Pierce, FL

Active since February 26, 2026CLIA Certified · 7 labs
2504 ACORN STREET, SUITE A, FORT PIERCE, FL 34947(772) 837-7800(772) 837-7801 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Soma Medical Center Pa 15 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOMA MEDICAL CENTER PA 15 (NPI 1003761842) is a healthcare organization registered as an internal medicine in Fort Pierce, Florida and active in the NPI registry since February 2026. The organization holds 7 active CLIA laboratory certificates and lists Rafael O Nunez, President, as its authorized official.

NPPES Registry Identity

NPI1003761842
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOMA MEDICAL CENTER PA 15
Location Address2504 ACORN STREET, SUITE AFort Pierce, FL 34947
Mailing Address2504 Acorn St Ste AFort Pierce, FL 34947-4746 · (772) 837-7800 · Fax (772) 837-7801
Fax(772) 837-7801
Organization SubpartYesParent: Soma Medical Center, P.a.
Authorized OfficialRafael O NunezPresident · (561) 964-4577
Enumeration DateFebruary 26, 2026
Last NPPES UpdateJuly 8, 2026
NPPES CertifiedJuly 8, 2026
NPI 1003761842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2504 ACORN STREET, Fort Pierce, FL 34947

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 7

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2260468

Soma Medical Center PA · Royal Palm Beach, FL
Active · expires May 18, 2028
CLIA Number10D2260468
Laboratory TypePhysician Office
Certificate Effective DateMay 19, 2026
Certificate Expiration DateMay 18, 2028
Laboratory DirectorRafael O. Nunez Avila
Laboratory Phone(561) 964-4577
Laboratory LocationSoma Medical Center PA1402 Royal Palm Beach Blvd Building 200 Ste 201, Royal Palm Beach, FL 33411
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D0994980

Soma Medical Center PA · West Palm Beach, FL
Active · expires Jan 7, 2028
CLIA Number10D0994980
Laboratory TypePhysician Office
Certificate Effective DateJanuary 8, 2026
Certificate Expiration DateJanuary 7, 2028
Laboratory DirectorRafael O. Nunez
Laboratory Phone(561) 964-4577
Laboratory LocationSoma Medical Center PA3255 Forest Hill Blvd Ste 103, West Palm Beach, FL 33406
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2324718

Soma Medical Center PA · Port Saint Lucie, FL
Active · expires May 29, 2027
CLIA Number10D2324718
Laboratory TypePhysician Office
Certificate Effective DateMay 30, 2025
Certificate Expiration DateMay 29, 2027
Laboratory DirectorRafael O. Nunez Avila
Laboratory Phone(561) 964-4577
Laboratory LocationSoma Medical Center PA1170 SW Bayshore Blvd Suite 200, Port Saint Lucie, FL 34983
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2299648

Soma Medical Center PA 14 · Palm Springs, FL
Active · expires Feb 22, 2028
CLIA Number10D2299648
Laboratory TypePhysician Office
Certificate Effective DateFebruary 23, 2026
Certificate Expiration DateFebruary 22, 2028
Laboratory DirectorRafael O. Nunez Avila
Laboratory Phone(561) 964-4577
Laboratory LocationSoma Medical Center PA 143145 S Congress Ave Suite A, Palm Springs, FL 33461
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2246227

Soma Medical Center PA #9 · West Palm Beach, FL
Active · expires Dec 21, 2027
CLIA Number10D2246227
Laboratory TypePhysician Office
Certificate Effective DateDecember 22, 2025
Certificate Expiration DateDecember 21, 2027
Laboratory DirectorJohn Orrego
Laboratory Phone(561) 964-4577
Laboratory LocationSoma Medical Center PA #93325 Forest Hill Blvd - Ste B, West Palm Beach, FL 33406
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2246231

Soma Medical Center PA 8 · West Palm Beach, FL
Active · expires Dec 21, 2027
CLIA Number10D2246231
Laboratory TypePhysician Office
Certificate Effective DateDecember 22, 2025
Certificate Expiration DateDecember 21, 2027
Laboratory DirectorJohn Lopera
Laboratory Phone(561) 964-4577
Laboratory LocationSoma Medical Center PA 83325 Forest Hill Blvd - Ste A, West Palm Beach, FL 33406
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
2504 ACORN STREET, SUITE A
FORT PIERCE, FL 34947

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003761842, enumerated as an "organization" on February 26, 2026.

The provider is located at 2504 ACORN STREET SUITE A FORT PIERCE, FL 34947 and the phone number is (772) 837-7800.

Internal Medicine with taxonomy code 207R00000X.