Antonio P. Cruz
Dermatologist MOHS-Micrographic Surgeon
1287 N Main St
Providence
, Rhode Island 02904-1856
Antonio P. Cruz
Dermatologist MOHS-Micrographic Surgeon
1287 N Main St
Providence
, Rhode Island 02904-1856
(401) 272-2784
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Antonio P. Cruz
- 1287 N Main St
- Providence, RI
- Zip : 02904-1856
- Fax : (401) 272-2784
- Phone : (401) 272-2724
Second Address
- Antonio P. Cruz
- 1287 N Main St
- Providence, RI
- Zip : 02904-1856
- Fax : (401) 272-2784
- Phone : (401) 272-2724
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | 246717 | MA |
| N | 207N00000X | Dermatologist | MD13344 | RI |
| N | 207ND0101X | MOHS-Micrographic Surgeon | 246717 | MA |
| Y | 207ND0101X | MOHS-Micrographic Surgeon | MD13344 | RI |
National Provider Identifier
| NPI | 1063603553 |
|---|---|
| Provider Name | Antonio P. Cruz |
| First Address | Providence, RI 02904-1856 |
| Second Address | Providence, RI 02904-1856 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/08/2007 |
| Last Update Date | 14/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.