Provider Demographics
NPI:1437957263
Name:WEBER-HYATT, MILAGROS (IBCLC)
Entity type:Individual
Prefix:
First Name:MILAGROS
Middle Name:
Last Name:WEBER-HYATT
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16036 SPANGLER PEAK RD
Mailing Address - Street 2:
Mailing Address - City:RAMONA
Mailing Address - State:CA
Mailing Address - Zip Code:92065-4237
Mailing Address - Country:US
Mailing Address - Phone:909-717-0522
Mailing Address - Fax:
Practice Address - Street 1:16036 SPANGLER PEAK RD
Practice Address - Street 2:
Practice Address - City:RAMONA
Practice Address - State:CA
Practice Address - Zip Code:92065-4237
Practice Address - Country:US
Practice Address - Phone:909-717-0522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY879393163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant