Ricardo B. Eusebio, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

M001017 Issued in GU

Legal business name

RICARDO B. EUSEBIO, M.D.

Doing business as

Island Surgical Center

Practice address

Guam Medical Plaza 633 Governor Carlos Camacho Road
Ste. 202
Tamuning, GU 96913-3143

Phone

(671) 646-0443

Fax

(671) 646-0440

NPI assigned

Dec 17, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ricardo Brownlee Eusebio, M.D.NPI 1679795603

Title

Sole Proprietor

Phone

(671) 646-0443

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Island Surgical Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ricardo Brownlee Eusebio, MD

  • Surgery Physician
  • Tamuning, GU
  • NPI 1679795603
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1851574594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 GOVERNOR CARLOS CAMACHO ROAD",
            "address_2": "STE. 202",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133143",
            "telephone_number": "671-646-0443",
            "fax_number": "671-646-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GUAM MEDICAL PLAZA 633 GOVERNOR CARLOS CAMACHO ROAD",
            "address_2": "STE. 202",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133143",
            "telephone_number": "671-646-0443",
            "fax_number": "671-646-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO B. EUSEBIO, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "EUSEBIO",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "BROWNLEE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "671-646-0443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GU",
            "license": "M001017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GUAM CONTROLLED SUBSTANCE",
            "identifier": "10-M1017A",
            "state": "GU"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GUAM MEDICAL LICENSE",
            "identifier": "M001017",
            "state": "GU"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217",
            "state": "GU"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yuri E Resuma, LPN
• Retina Center of Guam, LLC
• Casiana Lenae Ceraos Reyes
• Joseph Rhodes
• Miran Ribati, M.D.
• Gina Ridolfo, PT, DPT
• Theresa Renee Rivera, NMT
• Jessie Catane Roa, P.T.
• Katy Annette Roberts, DPT
• Amylie Rojas, MD

• Surgery Physician in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Surgery Physician in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.