Antonio Paul Cruz (NPI# 1063603553, PAC ID# 1951595362) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1063603553 |
| PAC ID by PECOS | 1951595362 |
| Professional Enrollment ID | I20101029000996 |
| Full Name | Antonio Paul Cruz |
| Organization Legal Name | SKINPROS, LLC |
| Address |
1287 N Main St Providence RI 02904-1856 |
| Phone Number | 4012722724 |
| Gender | M |
| Medical School | BROWN UNIVERSITY PROGRAM IN MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 8921260951 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 1287 N Main St, Providence, RI 02904-1856 | 4012722724 | SKINPROS, LLC |
| Organization Legal Name | SKINPROS, LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Trott | Physician Assistant | Skinpros, LLC | 1287 N Main St, Providence, RI 02904-1856 |
| Stephen E Glinick | Dermatology | Skinpros, LLC | 1287 N Main St, Providence, RI 02904-1856 |
| Stephen R Cullen | Physician Assistant | Skinpros, LLC | 1287 N Main St, Providence, RI 02904-1856 |
| Stephanie M Dadario | Physician Assistant | Skinpros, LLC | 1287 N Main St, Providence, RI 02904-1856 |
| Elizabeth A Welch | Dermatology | Skinpros, LLC | 1287 N Main St, Providence, RI 02904-1856 |
| Street Address |
1287 N MAIN ST |
| City | PROVIDENCE |
| State | RI |
| Zip | 02904-1856 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Trott | Physician Assistant | Skinpros, LLC | 1287 N Main St, Providence, RI 02904-1856 |
| Stephen E Glinick | Dermatology | Skinpros, LLC | 1287 N Main St, Providence, RI 02904-1856 |
| Stephen R Cullen | Physician Assistant | Skinpros, LLC | 1287 N Main St, Providence, RI 02904-1856 |
| Stephanie M Dadario | Physician Assistant | Skinpros, LLC | 1287 N Main St, Providence, RI 02904-1856 |
| Elizabeth A Welch | Dermatology | Skinpros, LLC | 1287 N Main St, Providence, RI 02904-1856 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert B Patterson | Vascular Surgery | 486 Silver Spring St, Providence, RI 02904-1556 | |
| Nishit Shah | Colorectal Surgery (proctology) | University Surgical Associates, Inc. | 208 Collyer St, Suite 302, Providence, RI 02904-1560 |
| Laurel A Gay | Physician Assistant | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Adam Klipfel | Colorectal Surgery (proctology) | University Surgical Associates, Inc. | 208 Collyer St, Suite 302, Providence, RI 02904-1560 |
| Fredric V Christian | Cardiovascular Disease (cardiology) | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Roger D Raymond | Cardiovascular Disease (cardiology) | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Michelle Kristen Finkelman | Nurse Practitioner | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Olivia Macaskill | Nurse Practitioner | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Susan P Emaus | Physician Assistant | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Kenneth S Korr | Cardiovascular Disease (cardiology) | The Miriam Hospital | 208 Collyer St, Providence, RI 02904-1560 |
| Find all physicians in zip 02904 | |||
| City | PROVIDENCE |
| Zip Code | 02904 |
| Specialty | DERMATOLOGY |
| City + Specialty | PROVIDENCE + DERMATOLOGY |
Please comment or provide details below to improve the information on Antonio Paul Cruz.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.