Active NPI
San Benito Imaging Center LP
- Diagnostic Radiology Physician
- San Benito, TX
National Provider Identifier
1487754438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- SAN BENITO IMAGING CENTER LP
- Practice address
- 200 N Sam Houston Blvd
San Benito, TX 78586-4655 - Phone
- (956) 399-2666
- Fax
- (956) 399-2638
- NPI assigned
- Sep 22, 2006
- Last updated
- Jan 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Rudy Rivas
- Title
- Facility Director
- Phone
- (956) 399-2666
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary | |
| Diagnostic Ultrasound Physician | 2085U0001X | NU |
Addresses
Primary practice location
200 N Sam Houston Blvd
San Benito, TX 78586-4655
Mailing address
200 N Sam Houston Blvd
San Benito, TX 78586-4655
Phone (956) 399-2666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145921601 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120511000495 | TX | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 3779764055 | Practice locations: San Benito, TX |
National Provider Directory
National Provider DirectoryLocations
200 N Sam Houston Blvd
San Benito, TX 78586
Phone (956) 399-2666
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Edinburg, TX
- NPI 1770698771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767657600000",
"number": "1487754438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N SAM HOUSTON BLVD",
"city": "SAN BENITO",
"state": "TX",
"postal_code": "785864655",
"telephone_number": "956-399-2666",
"fax_number": "956-399-2638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N SAM HOUSTON BLVD",
"city": "SAN BENITO",
"state": "TX",
"postal_code": "785864655",
"telephone_number": "956-399-2666",
"fax_number": "956-399-2638"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN BENITO IMAGING CENTER LP",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-22",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A",
"authorized_official_last_name": "RIVAS",
"authorized_official_first_name": "RUDY",
"authorized_official_title_or_position": "FACILITY DIRECTOR",
"authorized_official_telephone_number": "956-399-2666",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "145921601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Benito, TX
- Gabriella Katarina Salinas
- Jamie Rocky Salinas, M.D.
- John Samaniego, OTR
- San Benito Adult Day Care Center
- San Benito Healthcare 1, LLC (Dolly Vinsant Memorial Hospital)
- San Benito Isd
- San Benito Medical Associates, PLLC
- San Benito RX LLC (Fry's Prescription Pharmacy)
- Delia Sanchez, RNC WHNP
- Frida Sanchez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.