MEDICARE: DR. J'QUYRA DIONE MONCUR-BLUE DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NI0013X	Independent Medical Examiner Chiropractor	12487	FL
2	111N00000X	Chiropractor	12487	FL

General Provider Information

NPI Number	:	1336623719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. J'QUYRA DIONE MONCUR-BLUE DC

Provider Business Mailing Address
First Line	:	1001 N FEDERAL HWY STE 350
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-2404
Country	:	US
Telephone Number	:	305-528-2673
Fax Number	:

Provider Business Practice Location Address
First Line	:	3421 NW 188TH ST
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33056-2929
Country	:	US
Telephone Number	:	305-528-2673
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2018
Last Update Date	:	11/04/2025

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