Individual ProviderSusette Vazquez OtanoBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address7046 SW 110th Pl, Miami, FL 33173-2138(786) 586-2545PECOS EnrollmentBased on the most recent information from CMS, provider Susette Vazquez Otano does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 2:35 PM.Profile DetailsProvider ID1881493203Provider TypeIndividualFull NameVazquez Otano, SusetteGenderFemaleSole ProprietorYesEnumeration Date3/10/2025Last Updated3/10/2025Contact InformationPractice LocationPractice Address7046 SW 110th Pl, Miami, FL 33173-2138Phone(786) 586-2545FaxUnlisted FaxMailing LocationMailing Address7046 SW 110th Pl, Miami, FL 33173-2138Phone(786) 586-2545FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseRBT-25-413220Florida