Healthcare Provider Details

I. General information

NPI: 1245493733
Provider Name (Legal Business Name): ALEJANDRO CANO BRIBRIESCO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2008
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 10TH ST SE STE 225
CEDAR RAPIDS IA
52403-2419
US

IV. Provider business mailing address

202 10TH ST SE STE 225
CEDAR RAPIDS IA
52403-2419
US

V. Phone/Fax

Practice location:
  • Phone: 319-364-7101
  • Fax: 319-363-1993
Mailing address:
  • Phone: 563-676-4389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number2008015647
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number35131402
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number2010017357
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: