Organization
RICARDO B. EUSEBIO, M.D.
Active
Other names
Island Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO BROWNLEE EUSEBIO M.D. (SOLE PROPRIETOR)
(671) 646-0443
Entity
Organization
Contact information
Practice address
GUAM MEDICAL PLAZA 633 GOVERNOR CARLOS CAMACHO ROAD, STE. 202, TAMUNING, GU 96913-3143
(671) 646-0443
(671) 646-0440
Mailing address
633 GOVERNOR CARLOS CAMACHO ROAD, STE. 202, TAMUNING, GU 96913-3143
(671) 646-0443
(671) 646-0440
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M001017
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10-M1017A
GUAM CONTROLLED SUBSTANCE
GU
05
—
217
—
GU
01
—
M001017
GUAM MEDICAL LICENSE
GU
Enumeration date
12/17/2007
Last updated
03/07/2023
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