Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Omar Matos Wilson

Individual provider Case Manager/Care Coordinator · NPI 1578321667

Omar Matos Wilson is a Case Manager/Care Coordinator in Miramar, Florida. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

12036 SW 42nd St Apt 303
Miramar, FL 33025-7982
Phone: (305) 479-1145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1578321667
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 12, 2024
Last updated in NPPESMarch 12, 2024
Certification dateMarch 12, 2024
Mailing address12036 Sw 42nd St Apt 303, Miramar, FL 33025-7982

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