IndividualActive
Apolinar Medina, SOLE PROPIETOR
NPI 1063222941 · Driver · Bogota, NJ
Provider details
- NPI number
- 1063222941
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Credential
- SOLE PROPIETOR
- Sex
- Male
- Sole proprietor
- Yes
- License
- M21370556506692 (NJ)
Specialties & taxonomies
Other Service Providers
Practice location
214 E Fort Lee Rd
Bogota, NJ 07603-1382
Phone: (347) 260-8828
Approximate (ZIP-level) locationGet directions
Mailing address
214 E Fort Lee Rd
Bogota, NJ 07603-1382
Registry dates
- Enumerated
- 2025-01-13
- Last updated
- 2025-01-13
- Certified
- 2025-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.