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ISLAND SURGICAL CENTER
NPI 1851574594
Surgery in Tamuning, GU

Active since December 17, 2007CLIA 65D2241309 · Waiver
GUAM MEDICAL PLAZA 633 GOVERNOR CARLOS CAMACHO ROAD, STE. 202, TAMUNING, GU 96913(671) 646-0443(671) 646-0440 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Island Surgical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ISLAND SURGICAL CENTER (NPI 1851574594) is a healthcare organization registered as a surgery in Tamuning, Guam and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through October 26, 2027 and lists Ricardo Brownlee Eusebio, Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1851574594
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameRICARDO B. EUSEBIO, M.D.
Location AddressGUAM MEDICAL PLAZA 633 GOVERNOR CARLOS CAMACHO ROAD, STE. 202Tamuning, GU 96913-3143
Mailing Address633 Governor Carlos Camacho Road, Ste. 202Tamuning, GU 96913-3143 · (671) 646-0443 · Fax (671) 646-0440
Phone(671) 646-0443
Fax(671) 646-0440
Organization SubpartNo
Authorized OfficialRicardo Brownlee EusebioSole Proprietor · (671) 646-0443
Enumeration DateDecember 17, 2007
Last NPPES UpdateMarch 7, 2023
✔ NPI 1851574594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in GU · M001017
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Other Names 1

Doing Business AsIsland Surgical Center

Other Identifiers 3

OtherM001017GU · Guam Medical License
Other10-M1017AGU · Guam Controlled Substance
Medicaid217GU

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 65D2241309

Island Surgical Center · Tamuning, GU
Active · expires Oct 26, 2027
CLIA Number65D2241309
Laboratory TypePhysician Office
Certificate Effective DateOctober 27, 2025
Certificate Expiration DateOctober 26, 2027
Laboratory DirectorDr. Ricardo B. Eusebio
Laboratory Phone(671) 646-0443
Laboratory LocationIsland Surgical Center171 Farenholt Ave, Tamuning, GU 96913
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ricardo B. Eusebio, M.D.'s NPI number?

The NPI number for Ricardo B. Eusebio, M.D. is 1851574594. It was assigned to this organization in the NPPES registry on December 17, 2007. The provider is doing business as Island Surgical Center.

Where is Ricardo B. Eusebio, M.D. located?

Ricardo B. Eusebio, M.D. is located at Guam Medical Plaza 633 Governor Carlos Camacho Road Ste. 202, Tamuning, GU 96913. The listed phone number is (671) 646-0443.

What is Ricardo B. Eusebio, M.D.'s specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Does Ricardo B. Eusebio, M.D. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 65D2241309) is associated with this NPI, valid through October 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ricardo B. Eusebio, M.D. was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.