OrganizationActive
Prudencio G Tible MD PC
NPI 1053417675 · Clinic/Center · Seattle, WA
Prudencio G Tible MD PC is a Clinic/Center organization in Seattle, WA (NPI 1053417675).
Provider details
- NPI number
- 1053417675
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Prudencio Tible, President(206) 725-8043
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5023 S Barton Place
Seattle, WA 98118
Phone: (206) 725-8043
Fax: (206) 760-1359
Street-level locationGet directions
Mailing address
Po Box 18936
Seattle, WA 98118
Other names (DBA / former)
- Doing business as
- Ranier Beach Medical Clinic
Registry dates
- Enumerated
- 2006-09-15
- Last updated
- 2020-08-22
Frequently asked questions
- What is Prudencio G Tible MD PC's NPI number?
- Prudencio G Tible MD PC's National Provider Identifier (NPI) is 1053417675, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prudencio G Tible MD PC?
- Prudencio G Tible MD PC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Prudencio G Tible MD PC located?
- Prudencio G Tible MD PC's practice location on file with NPPES is 5023 S Barton Place, Seattle, WA 98118.
- What is Prudencio G Tible MD PC's phone number?
- The practice phone number listed in the NPPES registry for Prudencio G Tible MD PC is (206) 725-8043.
- Who is the authorized official for Prudencio G Tible MD PC?
- The authorized official listed on Prudencio G Tible MD PC's NPPES record is Prudencio Tible, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prudencio G Tible MD PC's NPI active?
- Yes — Prudencio G Tible MD PC's NPI (1053417675) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.