Provider Demographics
NPI:1245493733
Name:BRIBRIESCO, ALEJANDRO CANO (MD)
Entity type:Individual
Prefix:DR
First Name:ALEJANDRO
Middle Name:CANO
Last Name:BRIBRIESCO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9500 EUCLID AVE # J4-1
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-445-8140
Mailing Address - Fax:216-445-6191
Practice Address - Street 1:9500 EUCLID AVE # J4-1
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-445-8140
Practice Address - Fax:216-445-6191
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-06
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008015647208600000X
MO2010017357208600000X
OH35131402208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No208600000XAllopathic & Osteopathic PhysiciansSurgery