Provider Demographics
NPI:1720040819
Name:AERO JET INTERNATIONAL INC.
Entity Type:Organization
Organization Name:AERO JET INTERNATIONAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOJICA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-724-1694
Mailing Address - Street 1:1035 AVE ASHFORD
Mailing Address - Street 2:SUITE C-1
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1162
Mailing Address - Country:US
Mailing Address - Phone:787-724-1694
Mailing Address - Fax:787-721-0721
Practice Address - Street 1:AVE JOSE A TONY SANTANA
Practice Address - Street 2:CARR 575 SECT CENTRAL AIRPORT AVIATION SERVICES HANGAR
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983
Practice Address - Country:US
Practice Address - Phone:787-724-1694
Practice Address - Fax:787-721-0721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-04
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0004063416A0800X
3416A0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
59360Medicare ID - Type Unspecified