OrganizationActive
Island Surgical Center, P.C.
NPI 1972033538 · Surgery Physician · Tamuning, GU
Provider details
- NPI number
- 1972033538
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ricardo Eusebio, Sole Director(671) 646-0443
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
171 Farenholt Ave
Tamuning, GU 96913-3207
Phone: (671) 646-0443
Fax: (671) 646-0440
Mailing address
171 Farenholt Ave
Tamuning, GU 96913-3207
Registry dates
- Enumerated
- 2017-06-15
- Last updated
- 2017-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.