Lavanda Holistic Clinic LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

LAVANDA HOLISTIC CLINIC LLC

Practice address

106 Calle Bailen
Dorado, PR 00646-5009

Phone

(787) 530-1401

NPI assigned

Jul 9, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Keily Matos, ND

Title

Owner

Phone

(787) 530-1401

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keily Matos Berrios, ND

  • Integrative Medicine Physician
  • Dorado, PR
  • NPI 1689391880
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1881512382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB QUINTAS DE DORADO",
            "address_2": "V17 CALLE AZAFRAN",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-530-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CALLE BAILEN",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006465009",
            "telephone_number": "787-530-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVANDA HOLISTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "MATOS",
        "authorized_official_first_name": "KEILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-530-1401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Laracuente LLC
• Laboratorio Teresita (Laboratorio Teresita Dorado)
• Sonia Laracuente
• Jainisse Laro Rodriguez, OD
• Mario E. Laureano
• Gedaliz Leon Ortolaza, MS, CCC/SLP
• Alejandra Leon Rivera, MD
• Leonardo Rodriguez
• Lets Team Up LLC
• Life Line Medical Corporation

• Health Service Clinic/Center in Dorado, PR
• Providers in Dorado, PR by specialty
• Health Service Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.