Active NPIIndividual providerSole proprietor

Dr. Kenneth W Brewster III, MD

General Practice in Fajardo, Puerto Rico

NPI Number1508809708
Practice location
303 Ave General Valero, Fajardo, PR 00738-4844
Fax
754-206-8506
Last updated
September 2, 2026

Kenneth Willard Brewster is a General Practice based in Fajardo, PR. Kenneth Willard Brewster practices in Fajardo, PR and has the professional credentials of MD. The NPI Number for Kenneth Willard Brewster is 1508809708 and holds a License No. 16048 (PR). The current practice location address for Kenneth Willard Brewster is 303 Ave General Valero, Fajardo, PR 00738-4844 and can be reached out via phone at 787-655-0459 and via fax at 754-206-8506.

Provider Profile Details

NPI Number
1508809708
Provider Name
Kenneth Willard Brewster
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
303 Ave General Valero, Fajardo, PR 00738-4844
Phone Number
787-655-0459
Fax Number
754-206-8506
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 14, 2006
Last Update Date
September 2, 2026
Certification Date
September 2, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
303 Ave General Valero
Fajardo, PR 00738-4844
Zip
00738-4844
Phone Number
787-655-0459
Fax Number
754-206-8506
Fajardo, PR 00738Get directions →

Provider Business Mailing Address Details

Address
462 Paseo Hermoso
Canovanas, PR 00729-9891
City
Canovanas
State
PR
Zip
00729-9891
Phone Number
787-948-3435

License Information

License Number
16048
License State
PR
Taxonomy
General Practice · 208D00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kenneth W Brewster III, MD?

The NPI number of Dr. Kenneth W Brewster III, MD is 1508809708. It was assigned on June 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Kenneth W Brewster III, MD?

Dr. Kenneth W Brewster III, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 16048.

Where does Dr. Kenneth W Brewster III, MD practice?

The practice location is 303 Ave General Valero, Fajardo, PR 00738-4844. The office can be reached at 787-655-0459 (phone) or 754-206-8506 (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 1508809708 directly on the NPPES registry website.

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