Healthcare Provider Details

I. General information

NPI: 1851215933
Provider Name (Legal Business Name): INTEGRATED HEALTH MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 AVE LUIS MUNOZ MARIN
CAGUAS PR
00725-6184
US

IV. Provider business mailing address

CALLE 1 H14 URB BRASILIA
VEGA BAJA PR
00693-4651
US

V. Phone/Fax

Practice location:
  • Phone: 787-342-6120
  • Fax:
Mailing address:
  • Phone: 787-342-6120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: LIZBETTE LUGO
Title or Position: OWNER
Credential: MD
Phone: 787-342-6120