DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. APOLINAR ENRIQUE MEDINA SR., SOLE PROPIETOR

Active Sole Proprietor

MR. APOLINAR ENRIQUE MEDINA SR., SOLE PROPIETOR is a Driver healthcare provider located in BOGOTA, New Jersey. NPI 1063222941 is currently active in the NPPES registry. Verify at CMS.

Driver · BOGOTA, NJ

Registration Details

NPI Number
1063222941
Provider Type
Individual
Gender
Male
NPI Issued
Jan 13, 2025 (1.5937738954304 yrs)
Last Updated
Jan 13, 2025
License
M21370556506692 (NJ)
Sole Proprietor
Yes

Practice Information

Address
214 E FORT LEE RD
BOGOTA, NJ, 076031382
Browse NJ providers · Browse ZIP 07603
Phone
3472608828
Primary Specialty
Driver
172A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.