Provider Demographics
NPI:1851972186
Name:MILLAN RIVERA, ADERIS (MSW)
Entity Type:Individual
Prefix:
First Name:ADERIS
Middle Name:
Last Name:MILLAN RIVERA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 2 BOX 7135
Mailing Address - Street 2:
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771-9782
Mailing Address - Country:US
Mailing Address - Phone:787-514-1577
Mailing Address - Fax:
Practice Address - Street 1:CARR. 183 RAMAL 917 KM 11 H 2
Practice Address - Street 2:BO. TEJAS SECTOR VISTA MAR
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771
Practice Address - Country:US
Practice Address - Phone:787-514-1577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-19
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR152931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical