MEDICARE: DR. PRUDENCIO GALVEZ TIBLE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	MD00022189	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679663884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PRUDENCIO GALVEZ TIBLE MD

Provider Business Mailing Address
First Line	:	PO BOX 18936
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118
Country	:	US
Telephone Number	:	206-725-8043
Fax Number	:	206-760-1359

Provider Business Practice Location Address
First Line	:	5023 S BARTON PLACE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118
Country	:	US
Telephone Number	:	206-725-8043
Fax Number	:	206-760-1359

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1508591835 — REDEEMED BY THE BLOOD PENTECOSTAL CHURCH
Practice Location Address:

8318 RENTON AVE S
SEATTLE, WA
98118-4639

Practice Phone: 206-518-1921
Practice Fax:

1912675521 — MR. BAILEY CHRISTOPHER APON MSW, CSWA
Practice Location Address:

5802 RAINIER AVE S
SEATTLE, WA
98118-2706

Practice Phone: 206-723-1980
Practice Fax:

1841136819 — LIFE ADULT FAMILY HOME LLC
Practice Location Address:

8646 45TH AVE S
SEATTLE, WA
98118-4904

Practice Phone: 206-371-4822
Practice Fax:

1770958134 — UNIVERSAL HOME CARE LLC
Practice Location Address:

5811 RAINIER AVE S
SEATTLE, WA
98118-2705

Practice Phone: 206-434-6111
Practice Fax:

1609710292 — ATIKA AMAN KEDIR
Practice Location Address:

9061 SEWARD PARK AVE S APT 12-137
SEATTLE, WA
98118-5100

Practice Phone: 206-931-1165
Practice Fax:

1942144092 — LAUREN ELIZABETH SIFFERMAN LMHCA, ATR-P
Practice Location Address:

4501 RAINIER AVE S
SEATTLE, WA
98118-1656

Practice Phone: 206-660-4396
Practice Fax:

1578394961 — ALEXANDER GANN
Practice Location Address:

8444 RAINIER AVE S
SEATTLE, WA
98118-4655

Practice Phone: 253-833-7444
Practice Fax:

Directions to “ DR. PRUDENCIO GALVEZ TIBLE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.