Antonio P Cruz, MD
Dermatology, MOHS-Micrographic Surgery in Providence, Rhode Island
1063603553- Practice location
- 1287 N Main St, Providence, RI 02904-1856
- Phone
- 401-272-2724
- Fax
- 401-272-2784
- Last updated
- October 14, 2020
Antonio P. Cruz is a Dermatology, MOHS-Micrographic Surgery based in Providence, RI. Antonio P. Cruz practices in Providence, RI and has the professional credentials of MD. The NPI Number for Antonio P. Cruz is 1063603553 and holds a License No. 246717 (MA). The current practice location address for Antonio P. Cruz is 1287 N Main St, Providence, RI 02904-1856 and can be reached out via phone at 401-272-2724 and via fax at 401-272-2784.
Provider Profile Details
- NPI Number
- 1063603553
- Provider Name
- Antonio P. Cruz
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1287 N Main St, Providence, RI 02904-1856
- Phone Number
- 401-272-2724
- Fax Number
- 401-272-2784
- Primary Taxonomy
- Dermatology, MOHS-Micrographic Surgery · 207ND0101X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 8, 2007
- Last Update Date
- October 14, 2020
- Certification Date
- October 14, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1287 N Main St
Providence, RI 02904-1856 - City
- Providence
- State
- Rhode Island
- Zip
- 02904-1856
- Phone Number
- 401-272-2724
- Fax Number
- 401-272-2784
Provider Business Mailing Address Details
- Address
- 1287 N Main St
Providence, RI 02904-1856 - City
- Providence
- State
- RI
- Zip
- 02904-1856
- Phone Number
- 401-272-2724
- Fax Number
- 401-272-2784
License Information
- License Number (1)
- 246717
- License State (1)
- MA
- Taxonomy (1)
- Dermatology, MOHS-Micrographic Surgery · 207ND0101X
- License Number (2)
- MD13344
- License State (2)
- RI
- Taxonomy (2)
- Dermatology, MOHS-Micrographic Surgery · 207ND0101X · Primary
- License Number (3)
- MD13344
- License State (3)
- RI
- Taxonomy (3)
- Dermatology · 207N00000X
- License Number (4)
- 246717
- License State (4)
- MA
- Taxonomy (4)
- Dermatology · 207N00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dermatology, MOHS-Micrographic Surgery providers near Providence, RI
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- Patrick J Main, PMHNPNurse Practitioner, Psych/Mental Health · NPI 1952122996
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Frequently Asked Questions
What is the NPI number of Antonio P Cruz, MD?
The NPI number of Antonio P Cruz, MD is 1063603553. It was assigned on August 8, 2007 and is currently active in the NPPES registry.
What is the specialty of Antonio P Cruz, MD?
Antonio P Cruz, MD is registered under the primary taxonomy Dermatology, MOHS-Micrographic Surgery (code 207ND0101X), licensed in MA under license number 246717.
Where does Antonio P Cruz, MD practice?
The practice location is 1287 N Main St, Providence, RI 02904-1856. The office can be reached at 401-272-2724 (phone) or 401-272-2784 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063603553 directly on the NPPES registry website.