| Doctor Name: | DR. KENNETH WILLARD BREWSTER |
| NPI Number: | 1508809708 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 16048 |
| Business Practice Address: | Plaza Del Carmen Mall # 24 Carr 172 Caguas, PR - 00725 |
| Business Phone Number: | 7872866060 |
| Business Fax Number: | |
| Mailing Address: | Carr 718 Km 2.2 Bo. Pasto Sector Playita, P. O. Box 536 AIBONITO |
| State: | PR |
| Postal Code: | 00705 |
| Phone Number: | 7877350624 |
| Fax Number: | |
| NPI Enumeration Date: | 06/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 16048 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |