Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Prudencio G Tible MD PC

Organization Clinic/Center · NPI 1053417675

Prudencio G Tible MD PC is a Clinic/Center in Seattle, Washington. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5023 S Barton Pl
Seattle, WA 98118
Phone: (206) 725-8043
Fax: (206) 760-1359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1053417675
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Prudencio Tible — President · (206) 725-8043
Other names Ranier Beach Medical Clinic
NPI enumeratedSeptember 15, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 18936, Seattle, WA 98118

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