Provider Demographics
NPI:1336623719
Name:MONCUR-BLUE, J'QUYRA DIONE (DC)
Entity Type:Individual
Prefix:DR
First Name:J'QUYRA
Middle Name:DIONE
Last Name:MONCUR-BLUE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 NW 188TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33056-2929
Mailing Address - Country:US
Mailing Address - Phone:305-528-2673
Mailing Address - Fax:
Practice Address - Street 1:3421 NW 188TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33056-2929
Practice Address - Country:US
Practice Address - Phone:305-528-2673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-20
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12487111N00000X, 111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner
No111N00000XChiropractic ProvidersChiropractor