OrganizationActive
Integrative Functional Medicine Wellness
NPI 1831953496 · Family Medicine Physician · Lansing, MI
Provider details
- NPI number
- 1831953496
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Luis Maduro, Owner(786) 945-5440
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
901 Brookside Dr Apt 105
Lansing, MI 48917-8210
Phone: (786) 945-5440
Street-level locationGet directions
Mailing address
901 Brookside Dr Apt 105
Lansing, MI 48917-8210
Registry dates
- Enumerated
- 2024-02-13
- Last updated
- 2024-02-13
- Certified
- 2024-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.