Provider Demographics
NPI:1669926143
Name:CHILDREN'S AIR AMBULANCE INTERNATIONAL, INC.
Entity type:Organization
Organization Name:CHILDREN'S AIR AMBULANCE INTERNATIONAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GUILLERMO
Authorized Official - Middle Name:
Authorized Official - Last Name:TEJADA
Authorized Official - Suffix:
Authorized Official - Credentials:CCEMT-P
Authorized Official - Phone:917-202-8622
Mailing Address - Street 1:1550 W CYPRESS CREEK RD
Mailing Address - Street 2:HANGER 18
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-1802
Mailing Address - Country:US
Mailing Address - Phone:954-200-6977
Mailing Address - Fax:
Practice Address - Street 1:1550 W CYPRESS CREEK RD
Practice Address - Street 2:HANGER 18
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-1802
Practice Address - Country:US
Practice Address - Phone:954-200-6977
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-12
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAIR6483416A0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport