Marissa Jacqueline Mauricio, PHARMD

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

PS65135 Issued in FL

Practice address

14400 Commerce Way
Miami Lakes, FL 33016-1508

Phone

(210) 630-9175

NPI assigned

Mar 20, 2023

Last updated

Jul 9, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1811699309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14400 COMMERCE WAY",
            "address_2": "MIAMI",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "330164165",
            "telephone_number": "210-630-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14400 COMMERCE WAY",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161508",
            "telephone_number": "210-630-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURICIO",
        "first_name": "MARISSA",
        "middle_name": "JACQUELINE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2025-07-09",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "FL",
            "license": "PS65135",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PU9576",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matmed LLC (Miami Wellness)
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• Garrett Matthews
• Maximum Care Home Health, Inc. (Home Healthy)
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• Maxmed Inc
• Maxwell Foundation Inc (MGM Behavioral)
• Maya Research Center Inc

• Ambulatory Care Pharmacist in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Ambulatory Care Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.