Organization Active NPI

Star Distribution USA Corp

  • Preferred Provider Organization
  • Hialeah, FL
National Provider Identifier
1063302479
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
STAR DISTRIBUTION USA CORP
Practice address
555 E 15TH St
Hialeah, FL 33010-3227
Phone
(561) 466-5478
NPI assigned
Jul 7, 2025
Last updated
Jul 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Authorized official

Name
Dr. David Ballestas, DONPI 1609969419
Title
Onwer
Phone
(321) 663-5478

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X NU Primary

Addresses

Primary practice location

555 E 15TH St
Hialeah, FL 33010-3227

Mailing address

555 E 15TH St
Hialeah, FL 33010-3227
Phone (561) 466-5478

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1063302479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E 15TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103227",
            "telephone_number": "561-466-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E 15TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103227",
            "telephone_number": "561-466-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR DISTRIBUTION USA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "BALLESTAS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ONWER",
        "authorized_official_telephone_number": "321-663-5478",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.