| Organization Name: | SAN BENITO IMAGING CENTER LP |
| NPI Number: | 1487754438 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RUDY RIVAS (FACILITY DIRECTOR) |
| Mailing Address: | 200 N Sam Houston Blvd San Benito |
| State: | TX US |
| Postal Code: | 785864655 |
| Phone Number: | 9563992666 |
| Fax Number: | 9563992638 |
| NPI Enumeration Date: | 09/22/2006 |
| NPI Last Update Date: | 04/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085U0001X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Ultrasound |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |