Healthcare Provider Details

I. General information

NPI: 1336623719
Provider Name (Legal Business Name): J'QUYRA DIONE MONCUR-BLUE DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2018
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3421 NW 188TH ST
MIAMI GARDENS FL
33056-2929
US

IV. Provider business mailing address

1001 N FEDERAL HWY STE 350
HALLANDALE BEACH FL
33009-2404
US

V. Phone/Fax

Practice location:
  • Phone: 305-528-2673
  • Fax:
Mailing address:
  • Phone: 305-528-2673
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number12487
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number12487
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: