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

Active since February 01, 2011CLIA Certified · 3 labs
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: August 02, 2026.

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 3 active CLIA laboratory certificates 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
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

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

CLIA Laboratory Certificates CMS CLIA 3

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 10D2021512

Soma Medical Center # 4 · Lake Worth, FL
Active · expires Mar 14, 2027
CLIA Number10D2021512
Laboratory TypePhysician Office
Certificate Effective DateMarch 15, 2025
Certificate Expiration DateMarch 14, 2027
Laboratory DirectorMercedes Gadea Lopez
Laboratory Phone(561) 275-1155
Laboratory LocationSoma Medical Center # 4421 South Dixie Hwy, Lake Worth, FL 33460
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Certificate of Waiver 10D2324710

Soma Medical Center PA 4 · Port Saint Lucie, FL
Active · expires May 29, 2027
CLIA Number10D2324710
Laboratory TypePhysician Office
Certificate Effective DateMay 30, 2025
Certificate Expiration DateMay 29, 2027
Laboratory DirectorMercedes Del Carmen Gadea
Laboratory Phone(561) 275-1155
Laboratory LocationSoma Medical Center PA 41170 SW Bayshore Blvd Suite 100, Port Saint Lucie, FL 34983
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.

Nurse Practitioner (Pediatrics)
421 S DIXIE HWY
LAKE WORTH, FL 33460
Nurse Practitioner (Family)
421 S DIXIE HWY
LAKE WORTH, FL 33460
Nurse Practitioner (Pediatrics)
421 S DIXIE HWY
LAKE WORTH, FL 33460
Nurse Practitioner (Family)
421 S DIXIE HWY
LAKE WORTH, FL 33460
Nurse Practitioner (Family)
421 S DIXIE HWY
LAKE WORTH, FL 33460
Nurse Practitioner
421 S DIXIE HWY
LAKE WORTH, FL 33460
Nurse Practitioner (Family)
421 S DIXIE HWY
LAKE WORTH, FL 33460
Nurse Practitioner (Family)
421 S DIXIE HWY
LAKE WORTH, FL 33460

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Soma Medical Center, P. A #4 located?

Soma Medical Center, P. A #4 is located at 421 S Dixie Hwy, Lake Worth, FL 33460. The listed phone number is (561) 275-1155.

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

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

Does Soma Medical Center, P. A #4 hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Soma Medical Center, P. A #4 accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, AvMed and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Soma Medical Center, P. A #4 as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Soma Medical Center, P. A #4 was last updated on December 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.