Basic Information
| Provider Information | |||||||||
| NPI: | 1346301702 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SOTO-TORRES | ||||||||
| FirstName: | LYDIA | ||||||||
| MiddleName: | ESTHER | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1116 SNIDER LN | ||||||||
| Address2: | |||||||||
| City: | SILVER SPRING | ||||||||
| State: | MD | ||||||||
| PostalCode: | 209054160 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3013841154 | ||||||||
| FaxNumber: | 3013845519 | ||||||||
| Practice Location | |||||||||
| Address1: | WALTER REED ARMY MEDICAL CENTER | ||||||||
| Address2: | 6900 GEORGIA AVENUE | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 203075001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2027827341 | ||||||||
| FaxNumber: | 2027823800 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/12/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | D0039482 | MD | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.