Active NPI
Jose Maria Fierro, M.D.
- Internal Medicine Physician
- Goodyear, AZ
National Provider Identifier
1922068717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 29818
- Practice address
- 14519 W Hillside St
Goodyear, AZ 85395-8224 - Phone
- (623) 536-6328
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 29818 | AZ | Primary |
| Pediatrics Physician | 208000000X | 29818 | AZ |
Addresses
Primary practice location
14519 W Hillside St
Goodyear, AZ 85395-8224
Mailing address
14519 W Hillside St
Goodyear, AZ 85395-8224
Phone (623) 536-6328
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 711318 | Medicaid | AZ |
Other names 1
- Jose Maria Fierro-Cueto
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29818 | AZ | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442448000000",
"number": "1922068717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14519 W HILLSIDE ST",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853958224",
"telephone_number": "623-536-6328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14519 W HILLSIDE ST",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853958224",
"telephone_number": "623-536-6328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIERRO",
"first_name": "JOSE",
"middle_name": "MARIA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2015-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "29818",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "29818",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "711318",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOSE",
"last_name": "FIERRO-CUETO",
"middle_name": "MARIA",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.