Micheal Charl Amin Luca, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

BP10074485 Issued in TX

Practice address

4502 Medical Dr
San Antonio, TX 78229-4492

Phone

(210) 358-0062

NPI assigned

Jul 2, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Michael Luca Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1467023283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 WURZBACH RD APT 205",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403861",
            "telephone_number": "210-414-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294492",
            "telephone_number": "210-358-0062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7703 Floyd Curl Dr # Mc7742",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293901",
            "country_code": "US",
            "telephone_number": "210-567-2032",
            "fax_number": "210-567-2347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCA",
        "first_name": "MICHEAL",
        "middle_name": "CHARL AMIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "BP10074485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "LUCA",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mia Elizabeth Lubin, RBT
• Lubna Naeem MD PA
• Florisa Marie Lubrin, M.D.
• Allan Lubwama
• Jordyn Katherine Luca, LCDC-I
• Lia Lucaci
• Jonathan Lucan, M.D.
• Kimberly Anne Lucas Slimane, N.P.
• Anne Lucas
• Colbie M Lucas

• Surgery Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.