Organization
SKINPROS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO PAULINO CRUZ MD (OWNER/ MANAGER)
(401) 243-3675
Entity
Organization
Contact information
Practice address
1287 N MAIN ST, PROVIDENCE, RI 02904-1856
(401) 272-2724
(401) 272-2784
Mailing address
1287 N MAIN ST, PROVIDENCE, RI 02904-1856
(401) 272-2724
(401) 272-2784
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AC81611
—
RI
Enumeration date
02/05/2012
Last updated
12/13/2019
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