| Doctor Name: | MR. JOSE ANGEL RODRIGUEZ |
| NPI Number: | 1003142233 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | |
| Business Practice Address: | 305 East 161st C/o Montefiore Bronx, NY - 10451 |
| Business Phone Number: | 7184103561 |
| Business Fax Number: | 7184103629 |
| Mailing Address: | 305 East 161st, C/o Mintefiore BRONX |
| State: | NY |
| Postal Code: | 10451 |
| Phone Number: | 7184103561 |
| Fax Number: | 7184103629 |
| NPI Enumeration Date: | 10/22/2009 |
| NPI Last Update Date: | 01/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |