Fiesta Imaging, LP

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

FIESTA IMAGING, LP

Practice address

8706 Fredericksburg Rd Ste 103
San Antonio, TX 78240-1293

Phone

(210) 299-7600

Fax

(210) 299-7610

NPI assigned

Dec 14, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kenneth Lan

Title

Administrator

Phone

(210) 299-7600

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1750040028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8706 FREDERICKSBURG RD STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401293",
            "telephone_number": "210-299-7600",
            "fax_number": "210-299-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8706 FREDERICKSBURG RD STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401293",
            "telephone_number": "210-299-7600",
            "fax_number": "210-299-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIESTA IMAGING, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "LAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-299-7600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario A Fierro, MD
• Andrew Fierros, PHARM. D
• Melinda Gloria Fierros, M.D.
• Nicole Fierst
• Fiesta Eye Care PLLC
• Karen Elizabeth Fife, FNP
• Fifteen Lac Inc
• Miriam Figueroa Cardenas
• Figueroa Caregiving Services LLC (Home Helpers of San Antonio #58564)
• Valerie Figueroa Sanchez, DC

• Radiology Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.