Healthcare Provider Details

I. General information

NPI: 1184216343
Provider Name (Legal Business Name): DGM PSYCHOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2021
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 CALLE BETANCES APT 10A
SAN JUAN PR
00917-3724
US

IV. Provider business mailing address

PASEO TRIO VEGABAJENO TORREVISTA APTS APTO 1104
VEGA BAJA PR
00693-5836
US

V. Phone/Fax

Practice location:
  • Phone: 787-630-5171
  • Fax:
Mailing address:
  • Phone: 787-630-5171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. DAMARIS GARCIA MERCADO
Title or Position: PRESIDENT
Credential: PHD
Phone: 787-630-5171