Individual provider · Type 1 NPI
Apolinar Enrique Medina Sr., SOLE PROPIETOR
Driver · Bogota, NJ
NPI number
1063222941
Active
Practice location
214 E Fort Lee Rd
Bogota, NJ 07603-1382
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | M21370556506692 (NJ) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1063222941
Apolinar Enrique Medina Sr., SOLE PROPIETOR's National Provider Identifier is 1063222941, issued on Jan 13, 2025. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Bogota, NJ. The record was last updated on Jan 13, 2025.