Provider Demographics
NPI:1295626422
Name:BUTRON, RYAN
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:BUTRON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5158 ADAIR OAK DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32829-8223
Mailing Address - Country:US
Mailing Address - Phone:202-677-7208
Mailing Address - Fax:
Practice Address - Street 1:5158 ADAIR OAK DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32829-8223
Practice Address - Country:US
Practice Address - Phone:904-274-3588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic