Individual ProviderSegundo VegaRegistered NurseNursing Service ProvidersPractice Address7506 Georgia Ave NW, Washington, DC 20012-1608(202) 291-6973(301) 266-1193PECOS EnrollmentBased on the most recent information from CMS, provider Segundo Vega does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1821750852Provider TypeIndividualFull NameVega, SegundoGenderMaleSole ProprietorYesEnumeration Date10/7/2021Last Updated10/7/2021Contact InformationPractice LocationPractice Address7506 Georgia Ave NW, Washington, DC 20012-1608Phone(202) 291-6973FaxUnlisted FaxMailing LocationMailing Address1119 Loxford Ter, Silver Spring, MD 20901-1130Phone(301) 266-1193FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicenseRN200003217District of Columbia