Provider Demographics
NPI:1013967165
Name:TULUCA MEDICAL PC
Entity Type:Organization
Organization Name:TULUCA MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LUCIANO
Authorized Official - Middle Name:
Authorized Official - Last Name:TULUCA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-281-8900
Mailing Address - Street 1:2114 WILLIAMSBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1600
Mailing Address - Country:US
Mailing Address - Phone:347-281-8900
Mailing Address - Fax:347-281-8899
Practice Address - Street 1:2114 WILLIAMSBRIDGE RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1600
Practice Address - Country:US
Practice Address - Phone:347-281-8900
Practice Address - Fax:347-281-8899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2013-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWCW051Medicare PIN
NYA400011475Medicare PIN
NY6793730001Medicare NSC