MEDICARE: ILIANA ROSA OTERO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT21154915	FL

General Provider Information

NPI Number	:	1861215527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ILIANA ROSA OTERO

Provider Business Mailing Address
First Line	:	2999 WINDSWEPT DR APT 108
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33462-2476
Country	:	US
Telephone Number	:	786-317-0100
Fax Number	:

Provider Business Practice Location Address
First Line	:	2999 WINDSWEPT DR APT 108
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33462-2476
Country	:	US
Telephone Number	:	786-317-0100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2024
Last Update Date	:	11/01/2024

Similar Medicare Providers

1821447574 — DR. AMANDA KATHERINE DUNCAN
Practice Location Address:

10532 TACARA DR APT 9105
FORT WORTH, TX
76244-2476

Practice Phone: 281-413-7582
Practice Fax:

1396834909 — WHITE DRUG CO OF JAMESTOWN INC
Practice Location Address:

323 5TH ST NE
DEVILS LAKE, ND
58301-2476

Practice Phone: 701-662-3022
Practice Fax: 701-662-2042

1255462933 — TAMMY LOUISE KING
Practice Location Address:

1960 CLIFF LAKE RD , SUITE 119
EAGAN, MN
55122-2476

Practice Phone: 651-287-1400
Practice Fax: 651-287-0110

1659627446 — MICHAEL JAMES DONNELLY PHARMD.
Practice Location Address:

323 5TH ST NE , SUITE # 2
DEVILS LAKE, ND
58301-2476

Practice Phone: 701-662-3022
Practice Fax: 701-662-2042

1386993269 — MRS. ALLISON JOY TERNES RPH
Practice Location Address:

323 5TH ST NE , SUITE 2
DEVILS LAKE, ND
58301-2476

Practice Phone: 701-662-3022
Practice Fax: 701-662-2042

1285250464 — MATTHEW VOLQUARDSEN
Practice Location Address:

323 5TH ST NE STE 2
DEVILS LAKE, ND
58301-2476

Practice Phone: 701-662-3022
Practice Fax:

Directions to “ ILIANA ROSA OTERO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.