SOMA MEDICAL CENTER, P. A #4
NPI 1184920613
Pediatrics in Lake Worth, FL

Q: What is Soma Medical Center, P. A #4's NPI number?

The NPI number for Soma Medical Center, P. A #4 is 1184920613. It was assigned to this organization in the NPPES registry on February 1, 2011.

Q: What is Soma Medical Center, P. A #4's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since February 01, 2011CLIA 10D2341052 · Waiver

421 S DIXIE HWY, LAKE WORTH, FL 33460(561) 275-1155(561) 275-1156 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: September 13, 2026.

On this page

About Soma Medical Center, P. A #4 NPPES

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

SOMA MEDICAL CENTER, P. A #4 (NPI 1184920613) is a healthcare organization registered as a pediatrics in Lake Worth, Florida and active in the NPI registry since February 2011. The organization holds a CLIA Waiver certificate valid through March 25, 2028 and lists Mercedes Gadea Lopez, Pediatrician, as its authorized official.

NPPES Registry Identity

NPI1184920613

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameSOMA MEDICAL CENTER, P. A #4

Location Address421 S DIXIE HWYLake Worth, FL 33460-4442

Mailing Address421 S Dixie HwyLake Worth, FL 33460-4442 · (561) 275-1155 · Fax (561) 275-1156

Phone(561) 275-1155

Fax(561) 275-1156

Organization SubpartYesParent: Soma Medical Center

Authorized OfficialMercedes Gadea LopezPediatrician · (561) 275-1155

Enumeration DateFebruary 1, 2011

Last NPPES UpdateDecember 11, 2019

✔ NPI 1184920613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in FL · ME102127

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

421 S DIXIE HWY, Lake Worth, FL 33460

Open in Google Maps ↗

Other Identifiers 1

Medicaid005584600FL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 10D2341052

Soma Medical Center, PA #4 · Fort Pierce, FL

Active · expires Mar 25, 2028

CLIA Number10D2341052

Laboratory TypePhysician Office

Certificate Effective DateMarch 26, 2026

Certificate Expiration DateMarch 25, 2028

Laboratory DirectorRafael O. Nunez Avila

Laboratory Phone(561) 275-1155

Laboratory LocationSoma Medical Center, PA #42504 Acorn Street Suite B, Fort Pierce, FL 34947

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 10

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

DR. KAITLAN ANDREA CASTILLO DNP

Nurse Practitioner (Pediatrics)