Organization · Type 2 NPI

Soma Medical Center, P.a.

Primary Care Clinic/Center · Port St. Lucie, FL

NPI number 1619765989 Active

Practice location

1170 SW Bayshore Blvd Ste 200
Port St. Lucie, FL 34983-2408

Call (564) 964-4577 Map

Mailing address

3129 S Congress Ave
Palm Springs, FL 33461-2551

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center Primary	261QP2300X	None listed

Primary Care Clinic/Center: Definition to come...

2 other providers at this address

Larry M. Mateu, APRNFamily Nurse Practitioner Port St. Lucie, FL NPI 1548183528
Luis Enrique FernandezGeneral Practice Physician Port St. Lucie, FL NPI 1063866234

Other primary care clinic/center providers in Port St. Lucie

See all in Port St. Lucie →

NPI record

NPI: 1619765989
Entity type: Organization (Type 2)
Issued: Apr 28, 2025
Last updated: Apr 28, 2025
Status: Active
Subpart: Yes of Soma Medical Center, P.a.

Other names

Soma Medical Center PA Port St. Lucie · doing business as

Authorized official

Rafael O Nunez, MD
Medical Director, President
(561) 964-4577

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1619765989

Soma Medical Center, P.a.'s National Provider Identifier is 1619765989, issued on Apr 28, 2025. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Port St. Lucie, FL. The record was last updated on Apr 28, 2025.