Individual
KENNETH AVILES FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
AVENIDA PONCE DE LEON, PARADA 37.5, SAN JUAN, PR 00919
(787) 758-2000
Mailing address
HC 3 BOX 3628, FLORIDA, PR 00650-9692
(787) 949-2961
(417) 765-0144
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35936
PR
208D00000X
General Practice Physician
Primary
24834
PR
Other
Enumeration date
03/12/2020
Last updated
03/11/2026
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