Healthcare Provider Details

I. General information

NPI: 1093444572
Provider Name (Legal Business Name): SARA DENISE PEREZ-PUJOLS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2022
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11818 ROCK LANDING DR STE 101
NEWPORT NEWS VA
23606-4394
US

IV. Provider business mailing address

34 MIDFIELD RD
NEW CASTLE DE
19720-3562
US

V. Phone/Fax

Practice location:
  • Phone: 757-595-3900
  • Fax:
Mailing address:
  • Phone: 302-784-4255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberC7-0018029
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: