Organization Active NPI

Prestige Emergency Room

  • Emergency Care Clinic/Center
  • San Antonio, TX
National Provider Identifier
1205212313
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Authorized official

Name
Dr. Erasmo A Reyes, MDNPI 1275858201
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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2104727Prestige Emergency Room LLC2810 N Loop 1604 W, Suite 110, San Antonio, TX 78248AccreditationMar 1, 2028

National Provider Directory

National Provider Directory

Locations

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.

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

Verify at the official NPI Registry.