SKINPROS LLC NPI 1881966901

NPI Information

  • NPI: 1881966901
  • Provider Name: SKINPROS LLC
  • Classification: Dermatology - 207N00000X
  • Entity Type: Organization
  • CLIA Number: 41D2041523
  • Address: 1287 N MAIN ST
    PROVIDENCE, RI
    ZIP 02904
  • Phone: (401) 272-2724

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NPI Details

SKINPROS LLC is a dermatology in Providence, RI. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. SKINPROS LLC NPI is 1881966901. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1287 N MAIN ST
PROVIDENCE, RI
ZIP 02904-856
Phone: (401) 272-2724
Fax: (401) 272-2784

The provider's authorized official is Antonio Paulino Cruz .
The authorized official title is Owner/ Manager and has the following contact phone number (401) 243-3675.

The CLIA number assigned to this NPI record is 41D2041523 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/5/2012 and was last updated on 12/13/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AC81611MEDICAIDRHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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