I want to highly recommend George (our labrador's) vet here in São Paulo. Luciana makes home visits (R150) for any issues you have. She's been to do general visits for George, vaccines, leg and joint problems etc. She also can prescribe holistic medicine for animals so if you are interested she can also give you a holistic prescription or a "normal" one, or both.
Luciana Leite Ribeiro dos Santos
Vet For Pet- Atendimento Veterinário Domiciliar