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SKINPROS LLC
NPI 1881966901
Dermatology in Providence, RI

Active since February 05, 2012
1287 N MAIN ST, PROVIDENCE, RI 02904(401) 272-2724(401) 272-2784 Get Directions Write a Review

NPPES record last updated: December 13, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 13, 2019, Dec 6, 2019 (2 updates tracked since 2019).

About Skinpros Llc NPPES

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

SKINPROS LLC (NPI 1881966901) is a healthcare organization registered as a dermatology in Providence, Rhode Island and active in the NPI registry since February 2012. The organization lists Antonio Paulino Cruz, Owner/ Manager, as its authorized official.

NPPES Registry Identity

NPI1881966901
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSKINPROS LLC
Location Address1287 N MAIN STProvidence, RI 02904-1856
Mailing Address1287 N Main StProvidence, RI 02904-1856 · (401) 272-2724 · Fax (401) 272-2784
Phone(401) 272-2724
Fax(401) 272-2784
Organization SubpartNo
Authorized OfficialAntonio Paulino CruzOwner/ Manager · (401) 243-3675
Enumeration DateFebruary 5, 2012
Last NPPES UpdateDecember 13, 20192 updates tracked since enumeration
✔ NPI 1881966901 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.
1287 N MAIN ST, Providence, RI 02904
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Other Identifiers 1

MedicaidAC81611RI

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

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Skinpros LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Antonio Cruz, MD
Micrographic Dermatologic Surgery (MDS)
NPI 1063603553
1287 N MAIN ST
Providence, RI 02904
(401) 272-2724
✔ PECOSSame address
Stephen Glinick, MD
Dermatology
NPI 1255337671
593 EDDY ST APC-10
Providence, RI 02903
(401) 444-7959
✔ PECOS✔ Accepts Medicare3.1 mi
Erik Domingues, MD
Dermatology
NPI 1962713370
10 N MAIN ST STE 402
Fall River, MA 02720
(508) 974-3037
✔ PECOS16 mi
Katayun Adhami, M.D.
Micrographic Dermatologic Surgery (MDS)
NPI 1679867766
330 BROOKLINE AVE
Boston, MA 02215
(617) 667-7000
✔ PECOS✔ Accepts Medicare37 mi
Deborah Paul, MD
Dermatology
NPI 1700371960
8183 GOLDEN LINK BLVD
Macedonia, OH 44067
(330) 778-1278
✔ PECOS526 mi

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

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 LLC's NPI number?

The NPI number for Skinpros LLC is 1881966901. It was assigned to this organization in the NPPES registry on February 5, 2012.

Where is Skinpros LLC located?

Skinpros LLC is located at 1287 N Main St, Providence, RI 02904. The listed phone number is (401) 272-2724.

What is Skinpros LLC's specialty?

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

Is Skinpros LLC enrolled in Medicare?

Yes. Skinpros LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Skinpros LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Skinpros LLC. 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. The largest specialties are Dermatology (3) and Micrographic Dermatologic Surgery (MDS) (2). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Skinpros LLC was last updated on December 13, 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.