Active NPI
Kenneth Aviles Fernandez, MD
- General Practice Physician
- San Juan, PR
National Provider Identifier
1912533787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 24834
- Practice address
- Avenida Ponce de Leon, Parada 37.5
San Juan, PR 00919 - Phone
- (787) 758-2000
- NPI assigned
- Mar 12, 2020
- Last updated
- Mar 11, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 24834 | PR | Primary |
Addresses
Primary practice location
Avenida Ponce de Leon, Parada 37.5
San Juan, PR 00919
Mailing address
HC 3 Box 3628
Florida, PR 00650-9692
Phone (787) 949-2961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24834 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1912533787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 3 BOX 3628",
"city": "FLORIDA",
"state": "PR",
"postal_code": "006509692",
"telephone_number": "787-949-2961",
"fax_number": "417-765-0144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVENIDA PONCE DE LEON, PARADA 37.5",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00919",
"telephone_number": "787-758-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVILES FERNANDEZ",
"first_name": "KENNETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-12",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "24834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Andres R Avila, MD
- Cesar Antonio Avila, PA
- Lynnette Avila, MD
- Teresita A. Aviles - Rodriguez, MD
- Aviles Burgos Medical Group & Hospitalist Services
- Jose A Aviles Maisonet, M.D.
- Gabriel Jesus Aviles Matias, RPT
- Richard Anthony Aviles Michel, PH.D, ABPDN
- Marianela Aviles Rodriguez, LND
- Kathelynn Janesse Aviles Wetherell
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.