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DR. DIETRICH WERNER IDIAQUEZ MD NPI 1578210779


NPI Information

NPI: 1578210779
Provider Name: DR. DIETRICH WERNER IDIAQUEZ, MD
Classification: Pathology - 207ZP0102X
Entity Type: Individual

Specialization: Anatomic Pathology & Clinical Pathology

PECOS Registration: Yes

Address:
12902 USF MAGNOLIA DR DEPT OF
TAMPA, FL
ZIP 33612
Phone: (902) 789-0518
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DR. Dietrich Werner Idiaquez, MD is an anatomic pathology and clinical pathology pathology in Tampa, FL with 29 years of experience. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. DR. Dietrich Werner Idiaquez, MD NPI is 1578210779. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12902 USF MAGNOLIA DR DEPT OF
TAMPA, FL
ZIP 33612-416
Phone: (902) 789-0518

The NPI 1578210779 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/7/2022 and was last updated on 3/7/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZH0000XPathologyHematology152109FLORIDANo
2207ZP0102XPathologyAnatomic Pathology & Clinical Pathology152109FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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