Provider Demographics
NPI:1992529465
Name:SOTO-PENA, CRISTINA ESMIRNA
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:ESMIRNA
Last Name:SOTO-PENA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1512 SANGLOE PL
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-1820
Mailing Address - Country:US
Mailing Address - Phone:434-444-8064
Mailing Address - Fax:
Practice Address - Street 1:1512 SANGLOE PL
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-1820
Practice Address - Country:US
Practice Address - Phone:434-444-8064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-12
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter