Individual
DR. KENNETH WILLARD BREWSTER III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
PLAZA DEL CARMEN MALL # 24 CARR 172, CAGUAS, PR 00725
(787) 286-6060
Mailing address
CARR 718 KM 2.2 BO. PASTO SECTOR PLAYITA, P. O. BOX 536, AIBONITO, PR 00705
(787) 735-0624
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16048
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16048
MEDICAL LICENSE
PR
Enumeration date
06/14/2006
Last updated
07/08/2007
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