SKINPROS INTERNATIONAL PLLC
NPI 1710523618
Dermatology in Swansea, MA

Active since November 26, 2019CLIA 22D2181974 · Certificate of Compliance
1675 GAR HWY, SWANSEA, MA 02777(508) 490-5959(508) 490-5960 Get Directions Write a Review

NPPES record last updated: December 12, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 12, 2019, Nov 26, 2019 (2 updates tracked since 2019).

About Skinpros International Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SKINPROS INTERNATIONAL PLLC (NPI 1710523618) is a healthcare organization registered as a dermatology in Swansea, Massachusetts and active in the NPI registry since November 2019. The organization holds a CLIA Certificate of Compliance certificate valid through June 28, 2027 and lists Antonio Cruz, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1710523618
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSKINPROS INTERNATIONAL PLLC
Location Address1675 GAR HWYSwansea, MA 02777-3901
Mailing Address1675 Gar HwySwansea, MA 02777-3901 · (508) 490-5959 · Fax (508) 490-5960
Fax(508) 490-5960
Organization SubpartNo
Authorized OfficialAntonio CruzOwner/president · (401) 272-2724
Enumeration DateNovember 26, 2019
Last NPPES UpdateDecember 12, 20192 updates tracked since enumeration
✔ NPI 1710523618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
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.
1675 GAR HWY, Swansea, MA 02777

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Skinpros International Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Skinpros International PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Micrographic Dermatologic Surgery (MDS)
NPI 1063603553
1287 N MAIN ST
Providence, RI 02904
(401) 272-2724
✔ PECOS11 mi
Dermatology
NPI 1679867766
330 BROOKLINE AVE
Boston, MA 02215
(617) 667-7000
✔ PECOS✔ Accepts Medicare40 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 22D2181974

Skinpros International PLLC · Swansea, MA
Active · expires Jun 28, 2027
CLIA Number22D2181974
Laboratory TypePhysician Office
Certificate Effective DateJune 29, 2025
Certificate Expiration DateJune 28, 2027
Laboratory DirectorDr. Antonio P. Cruz
Laboratory Phone(508) 490-5959
Laboratory LocationSkinpros International PLLC1675 Gar Highway, Swansea, MA 02777
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Skinpros International PLLC's NPI number?

The NPI number for Skinpros International PLLC is 1710523618. It was assigned to this organization in the NPPES registry on November 26, 2019.

Where is Skinpros International PLLC located?

Skinpros International PLLC is located at 1675 Gar Hwy, Swansea, MA 02777. The listed phone number is (508) 490-5959.

What is Skinpros International PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Skinpros International PLLC enrolled in Medicare?

Yes. Skinpros International PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Skinpros International PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Skinpros International PLLC, in Dermatology and Micrographic Dermatologic Surgery (MDS). A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Skinpros International PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 22D2181974) is associated with this NPI, valid through June 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Skinpros International PLLC was last updated on December 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.