1720040819 NPI number — AERO JET INTERNATIONAL INC.

Table of content: (NPI 1720040819)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720040819 NPI number — AERO JET INTERNATIONAL INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AERO JET INTERNATIONAL INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1720040819
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/07/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1035 AVE ASHFORD
Provider Second Line Business Mailing Address:
SUITE C-1
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00907-1162
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-724-1694
Provider Business Mailing Address Fax Number:
787-721-0721

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
AVE JOSE A TONY SANTANA
Provider Second Line Business Practice Location Address:
CARR 575 SECT CENTRAL AIRPORT AVIATION SERVICES HANGAR
Provider Business Practice Location Address City Name:
CAROLINA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00983
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-724-1694
Provider Business Practice Location Address Fax Number:
787-721-0721
Provider Enumeration Date:
04/04/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MOJICA
Authorized Official First Name:
CARMEN
Authorized Official Middle Name:
Authorized Official Title or Position:
ASSISTANT MANAGER
Authorized Official Telephone Number:
787-724-1694

Provider Taxonomy Codes

  • Taxonomy code: 3416A0800X , with the licence number:  000406 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3416A0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)