Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DIETRICH WERNER IDIAQUEZ, MD
ActiveDR. DIETRICH WERNER IDIAQUEZ, MD is a Anatomic Pathology & Clinical Pathology healthcare provider located in TAMPA, Florida. NPI 1578210779 is currently active in the NPPES registry. Verify at CMS.
Anatomic Pathology & Clinical Pathology · TAMPA, FL
Registration Details
- NPI Number
- 1578210779
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 7, 2022 (4.4689137015835 yrs)
- Last Updated
- Sep 5, 2025
- Licenses
-
152109 (FL)152109 (FL)
Practice Information
- Address
-
12902 USF MAGNOLIA DR DEPT OFTAMPA, FL, 336129416Browse FL providers · Browse ZIP 33612
- Phone
- 8137454673
- Fax
- 8134498618
- Primary Specialty
-
Anatomic Pathology & Clinical Pathology
207ZP0102X
- Additional Specialty
- Anatomic Pathology & Clinical Pathology
Other Anatomic Pathology & Clinical Pathology Providers in TAMPA, FL
| Name | Credential | NPI |
|---|---|---|
| JINJUN XIONG | MD | 1568452993 |
| DR. MICHAEL C MORGAN | MD | 1427037464 |
| DR. ANNE LOUISE CHAMPEAUX | M.D. | 1639159296 |
| DR. ROBERT F. RUFFOLO | D. O. | 1417928995 |
| DR. SIVASELVI GUNASEKARAN | M.D. | 1912979360 |
| DR. JULIE ELIZABETH VITKO | M. D. | 1851363204 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.