Provider Demographics
NPI:1538053269
Name:GESTEIRA, LUCCA (MD)
Entity type:Individual
Prefix:MR
First Name:LUCCA
Middle Name:
Last Name:GESTEIRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:LUCCA
Other - Middle Name:RORIZ
Other - Last Name:GESTEIRA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:115 LINCOLN STREET
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702
Mailing Address - Country:US
Mailing Address - Phone:508-383-1572
Mailing Address - Fax:508-383-1103
Practice Address - Street 1:115 LINCOLN STREET
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702
Practice Address - Country:US
Practice Address - Phone:508-383-1572
Practice Address - Fax:508-383-1103
Is Sole Proprietor?:No
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program