PRESTIGE EMERGENCY ROOM - POTRANCO LLC
NPI 1063051159
Clinic/Center - Emergency Care in San Antonio, TX

Active since January 06, 2020CLIA Certified · 2 labs
738 W LOOP 1604 N, SAN ANTONIO, TX 78251(210) 504-4837 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2025, Mar 17, 2020, Jan 6, 2020 (3 updates tracked since 2020).

About Prestige Emergency Room - Potranco Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRESTIGE EMERGENCY ROOM - POTRANCO LLC (NPI 1063051159) is a healthcare organization registered as an emergency care in San Antonio, Texas and active in the NPI registry since January 2020. The organization holds 2 active CLIA laboratory certificates and lists Erasmo Reyes, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1063051159
Entity TypeOrganization
Primary Taxonomy261QE0002X
Legal Business NamePRESTIGE EMERGENCY ROOM - POTRANCO LLC
Location Address738 W LOOP 1604 NSan Antonio, TX 78251-3350
Mailing Address2810 N Loop 1604 W Ste 110San Antonio, TX 78248-2230
Organization SubpartNo
Authorized OfficialErasmo ReyesCo-owner · (361) 446-5002
Enumeration DateJanuary 6, 2020
Last NPPES UpdateAugust 4, 20253 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
NPI 1063051159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Emergency CareAmbulatory Health Care Facilities
Taxonomy Code261QE0002X
738 W LOOP 1604 N, San Antonio, TX 78251

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 45D2104727

Prestige Emergency Room LLC · San Antonio, TX
Active · expires Mar 1, 2028
CLIA Number45D2104727
Laboratory TypeFree Standing Emer Rm
Certificate Effective DateMarch 2, 2026
Certificate Expiration DateMarch 1, 2028
Laboratory DirectorDr. Luis Chapa
Laboratory Phone(210) 504-4837
Laboratory LocationPrestige Emergency Room LLC2810 N Loop 1604 W, Suite 110, San Antonio, TX 78248
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 45D2183073

Prestige Emergency Room - Potranco · San Antonio, TX
Active · expires Jun 1, 2027
CLIA Number45D2183073
Laboratory TypeIndependent
Certificate Effective DateJune 2, 2025
Certificate Expiration DateJune 1, 2027
Laboratory DirectorDr. Luis Chapa
Laboratory Phone(210) 504-4837
Laboratory LocationPrestige Emergency Room - Potranco738 W Loop 1604 N, San Antonio, TX 78251
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Emergency Care)
738 W LOOP 1604 N
SAN ANTONIO, TX 78251
Physician Assistant
738 W LOOP 1604 N
SAN ANTONIO, TX 78251

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prestige Emergency Room - Potranco LLC's NPI number?

The NPI number for Prestige Emergency Room - Potranco LLC is 1063051159. It was assigned to this organization in the NPPES registry on January 6, 2020.

Where is Prestige Emergency Room - Potranco LLC located?

Prestige Emergency Room - Potranco LLC is located at 738 W Loop 1604 N, San Antonio, TX 78251. The listed phone number is (210) 504-4837.

What is Prestige Emergency Room - Potranco LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Emergency Care, with taxonomy code 261QE0002X.

Does Prestige Emergency Room - Potranco LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Prestige Emergency Room - Potranco LLC was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.