Active NPI
Prestige Emergency Room
- Emergency Care Clinic/Center
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Care Clinic/Center
- Legal business name
- PRESTIGE EMERGENCY ROOM
- Practice address
- 2810 N Loop 1604 W
Suite 110
San Antonio, TX 78248 - Phone
- (210) 504-4837
- Fax
- (210) 504-4937
- NPI assigned
- Jul 31, 2015
- Last updated
- Aug 4, 2025
- 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
- Dr. Erasmo A Reyes, MD
- Title
- Managing Owner
- Phone
- (361) 446-5002
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Care Clinic/Center | 261QE0002X | NU | Primary |
Addresses
Primary practice location
2810 N Loop 1604 W
Suite 110
San Antonio, TX 78248
Mailing address
1150 N Loop 1604 W
Suite 108-466
San Antonio, TX 78248-4503
Phone (210) 504-4837
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1205212313. Details of each certification follow.
Hospital certification: CCN 670174
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- PRESTIGE EMERGENCY ROOM
- Certification status
- Terminated Voluntary: merger or closure, May 11, 2023
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Apr 27, 2020
- Last certification
- Apr 27, 2020
- Beds
- 1
- Ownership / control type
- Private (not for profit)
- Facility address
- 2810 N Loop 1604 W, Suite 110
San Antonio, TX 78248
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2104727 | Prestige Emergency Room LLC | Accreditation | Mar 1, 2028 |
National Provider Directory
National Provider DirectoryLocations
1150 N Loop 1604 W
Ste 108466
San Antonio, TX 78248
2810 N Loop 1604 W
Ste 110
San Antonio, TX 78248
Phone (210) 504-4837
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Emergency Medicine Physician
- Corpus Christi, TX
- NPI 1275858201
-
- Emergency Medicine Physician
- Corpus Christi, TX
- NPI 1942449673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754265600000",
"number": "1205212313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 N LOOP 1604 W",
"address_2": "SUITE 108-466",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782484503",
"telephone_number": "210-504-4837",
"fax_number": "210-504-4937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 N LOOP 1604 W",
"address_2": "SUITE 110",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78248",
"telephone_number": "210-504-4837",
"fax_number": "210-504-4937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESTIGE EMERGENCY ROOM",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-31",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A",
"authorized_official_last_name": "REYES",
"authorized_official_first_name": "ERASMO",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGING OWNER",
"authorized_official_telephone_number": "361-446-5002",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": "NU",
"license": null,
"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 Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.