Individual provider Active NPI

Rosa N Benavidez Saldivar

  • Speech-Language Pathologist
  • San Antonio, TX
National Provider Identifier
1043876089
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
118159 Issued in TX
Practice address
9410 Dugas Dr Ste 118
San Antonio, TX 78245-1869
Phone
(210) 447-7041
NPI assigned
May 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X TX
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X 118159 TX Primary

Addresses

Primary practice location

9410 Dugas Dr Ste 118
San Antonio, TX 78245-1869

Mailing address

10650 Culebra Rd Ste 104-140
San Antonio, TX 78251-4949
Phone (210) 583-4534

Other practice location 1

10650 Culebra Rd Ste 104-140
San Antonio, TX 78251-4949
Phone (210) 583-4534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
118159TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech and Language Therapy Services, PLLC Speech-Language Pathologist CurrentSince Mar 5, 2023 Accepting new patients
Occupational Therapy Rehabilitation LLC CurrentSince Mar 5, 2023 Accepting new patients

Locations

10650 Culebra Rd
Ste 104140
San Antonio, TX 78251
Phone (210) 538-4401

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1043876089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10650 CULEBRA RD STE 104-140",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514949",
            "telephone_number": "210-583-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9410 DUGAS DR STE 118",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782451869",
            "telephone_number": "210-447-7041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10650 Culebra Rd Ste 104-140",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782514949",
            "country_code": "US",
            "telephone_number": "210-583-4534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENAVIDEZ SALDIVAR",
        "first_name": "ROSA",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "118159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.