Individual provider Active NPI

Selideth Amarilys Perez-Rivero, LM, CMP

  • Midwife
  • Saint Cloud, FL
National Provider Identifier
1194317164
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW399 Issued in FL
Practice address
751 19TH St
Saint Cloud, FL 34769-5310
Phone
(787) 360-9571
NPI assigned
Feb 10, 2021
Last updated
Jan 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X MW399 FL Primary

Addresses

Primary practice location

751 19TH St
Saint Cloud, FL 34769-5310

Mailing address

1533 Elmwood Ave
Kissimmee, FL 34744-4010
Phone (787) 360-9571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MW399FLMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
New Melody Birth, LLC Midwife CurrentSince Feb 14, 2021 Accepting new patients
Sacred Birth Midwifery Service, Inc Midwife PastSince Sep 1, 2022 Accepting new patients

Locations

751 19th St
Saint Cloud, FL 34769
Phone (787) 360-9571

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1194317164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 ELMWOOD AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444010",
            "telephone_number": "787-360-9571",
            "fax_number": "407-942-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 19TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347695310",
            "telephone_number": "787-360-9571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-RIVERO",
        "first_name": "SELIDETH",
        "middle_name": "AMARILYS",
        "credential": "LM, CMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "MW399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.