KENNETH AVILES FERNANDEZ MD – NPI #1912533787
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

KENNETH AVILES FERNANDEZ is a physician located in SAN JUAN, PR. NPPES has assigned the NPI number 1912533787 to KENNETH AVILES FERNANDEZ on March 12, 2020. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was last updated on Mar 11, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KENNETH AVILES FERNANDEZ below.

NPI Profile for
KENNETH AVILES FERNANDEZ

NPI Number
1912533787
Enumeration Date

(more than 6 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KENNETH AVILES FERNANDEZ
Credentials
MD
Primary location
AVENIDA PONCE DE LEON, PARADA 37.5
SAN JUAN, PR 00919
Phone: (787) 758-2000 Fax:
Mailing address
HC 3 BOX 3628
FLORIDA, PR 00650-9692
Phone: (787) 949-2961 Fax: (417) 765-0144
Sole Proprietor
No
Updated
Certification Date
Mar 11, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
PR 24834

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.