Individual
LAURA MARIELIS HERNANDEZ-DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
13123 E 16TH AVE # 290, AURORA, CO 80045-7106
(720) 777-2738
(720) 777-7277
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
33411
MN
208000000X
Pediatrics Physician
77713
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TL.0011126
CO
Other
Enumeration date
02/27/2021
Last updated
04/27/2026
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