Skinpros International PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SKINPROS INTERNATIONAL PLLC

Practice address

1675 Gar Hwy
Swansea, MA 02777-3901

Phone

(508) 490-5959

Fax

(508) 490-5960

NPI assigned

Nov 26, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Antonio Cruz, MDNPI 1063603553

Title

Owner/President

Phone

(401) 272-2724

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Antonio P. Cruz, MD

  • MOHS-Micrographic Surgery Physician
  • Providence, RI
  • NPI 1063603553

  Dermatology, MA

  Medicare reassignment NPD Authorized official
• Katayun S Adhami, M.D.

  • MOHS-Micrographic Surgery Physician
  • Boston, MA
  • NPI 1679867766
  Medicare reassignment NPD
• Caila Marie Nunes

  • Physician Assistant
  • Lincoln, RI
  • NPI 1922709245

  MA

  Medicare reassignment
• Mark A Trott, PA

  • Physician Assistant
  • Providence, RI
  • NPI 1205892924

  MA

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1710523618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 GAR HWY",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027773901",
            "telephone_number": "508-490-5959",
            "fax_number": "508-490-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 GAR HWY",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027773901",
            "telephone_number": "508-490-5959",
            "fax_number": "508-490-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKINPROS INTERNATIONAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "401-272-2724",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Jessica Silva, RN
• Kerri Ann Silva, RN,BSN
• Nicholas Oliver Silva
• Nancy Moten Singer, M.D.
• Melody Skinner, LSWA
• Paul David Slusarz, DMD
• Casey Smith
• Matthew Snyder
• Sharon Solomon, PT
• South Bay Mental Health Center

• Dermatology Physician in Swansea, MA
• Providers in Swansea, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.