Individual provider Active NPI

Lawrence James Sheplan Olsen, M.D.

  • Radiation Oncology Physician
  • San Antonio, TX
National Provider Identifier
1922272111
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
T1554 Issued in TX
Practice address
12446 West Ave Ste 200
San Antonio, TX 78216-2530
Phone
(787) 718-1812
Fax
(210) 899-1529
NPI assigned
Apr 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X T1554 TX Primary
Radiation Oncology Physician 2085R0001X 18420 PR

Addresses

Primary practice location

12446 West Ave Ste 200
San Antonio, TX 78216-2530

Mailing address

8169 Calle Concordia Ste 404
Ponce, PR 00717-1566
Phone (787) 718-1812

Other practice location 1

10 Calle Casia
San Juan, PR 00921-3200
Phone (787) 641-7582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130411000439 PR Practitioner - Radiation Oncology 8325284664 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18420PRMDRadiation Oncology Physician
T1554TXMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Precise Radiosurgery Solutions PSC Radiation Oncology CurrentSince Jul 7, 2020 Accepting new patients
Centro de Radioterapia Auxilio Mutuo, Inc. Radiation Oncology CurrentSince May 13, 2013 Accepting new patients
Precise Radiation Oncology Center PSC Radiation Oncology CurrentSince Jan 16, 2013 Accepting new patients
Caribbean Imaging and Radiation Treatment Center,Inc CurrentSince Oct 11, 2014 Accepting new patients

Locations

2225 Ponce Byp
Ste 103
Ponce, PR 00717
Phone (787) 842-2478

715 Ave Ponce de Leon
Stop 375
San Juan, PR 00917
Phone 7877582000 ext. 3216

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1922272111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8169 CALLE CONCORDIA STE 404",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171566",
            "telephone_number": "787-718-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12446 WEST AVE STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162530",
            "telephone_number": "787-718-1812",
            "fax_number": "210-899-1529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Calle Casia",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009213200",
            "country_code": "US",
            "telephone_number": "787-641-7582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPLAN OLSEN",
        "first_name": "LAWRENCE",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-17",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "T1554",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PR",
            "license": "18420",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.