Organization Active NPI

San Benito Imaging Center LP

  • Diagnostic Radiology Physician
  • San Benito, TX
National Provider Identifier
1487754438
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
145921601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120511000495 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 3779764055 Practice locations: San Benito, TX

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.