Provider Demographics
NPI:1154036812
Name:NEW MELODY BIRTH, LLC
Entity type:Organization
Organization Name:NEW MELODY BIRTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LM
Authorized Official - Prefix:
Authorized Official - First Name:SELIDETH
Authorized Official - Middle Name:AMARILYS
Authorized Official - Last Name:PEREZ-RIVERO
Authorized Official - Suffix:
Authorized Official - Credentials:LM, CMP
Authorized Official - Phone:787-360-9571
Mailing Address - Street 1:751 19TH ST
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34769-5310
Mailing Address - Country:US
Mailing Address - Phone:787-360-9571
Mailing Address - Fax:
Practice Address - Street 1:751 19TH ST
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-5310
Practice Address - Country:US
Practice Address - Phone:787-360-9571
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-17
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty