Organization Active NPI

Golden Sun Medical Group LLC

  • General Practice Physician
  • Miami Springs, FL
National Provider Identifier
1336013960
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
GOLDEN SUN MEDICAL GROUP LLC
Practice address
4471 NW 36TH St Ste 243
Miami Springs, FL 33166-7289
Phone
(786) 969-8071
NPI assigned
Oct 6, 2025
Last updated
Oct 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Idalia Gomez
Title
Owner
Phone
(786) 969-8071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

4471 NW 36TH St Ste 243
Miami Springs, FL 33166-7289

Mailing address

4471 NW 36TH St Ste 243
Miami Springs, FL 33166-7289

National Provider Directory

National Provider Directory

Locations

4471 NW 36th St
Ste 243
Miami Springs, FL 33166
Phone (786) 238-7716

NPI Registry JSON

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1336013960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4471 NW 36TH ST STE 243",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331667289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4471 NW 36TH ST STE 243",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331667289",
            "telephone_number": "786-969-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN SUN MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "IDALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-969-8071"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.