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Panama's Healthcare Revolution & Legal Airbnb Gold Rush: Your Complete 2024 Guide

Expat Life & Relocation13 views·December 15, 2025

Episode 6 is here and we're honored to welcome Dr. Alejandro Contreras from Pro Care Clinic and Liz Larroquette from ...

Panama's Healthcare Revolution & Legal Airbnb Gold Rush: Your Complete 2024 Guide

Panama is experiencing a dual revolution that's transforming expat life: a groundbreaking shift toward preventative healthcare and the emergence of legally compliant Airbnb investments that generate consistent returns. ProCare Clinic, founded in January 2023, represents the new wave of English-speaking, preventative-focused medical care, while developers are capitalizing on Panama's strict 45-day minimum rental law by creating branded hotel concepts that legally bypass restrictions and deliver superior ROI.

The Preventative Healthcare Revolution Changing Expat Medicine in Panama

Forget everything you know about traditional healthcare. Panama is witnessing an awakening in medical care that's flipping the script on how expats access and experience medicine. Dr. Alejandro Contreras and his partner Charles saw a massive gap in Panama's healthcare landscape during med school - nobody was helping healthy people stay healthy. Everyone was focused on crisis management, not prevention.

This realization sparked the creation of ProCare Clinic, which opened its doors in January 2023 with a radical mission: stop people from getting sick in the first place. According to Dr. Contreras, approximately 80% of diseases - including diabetes, obesity, and high cholesterol - are completely preventable with proper guidance and lifestyle interventions.

The clinic operates as both a preventative medicine center and a walk-in clinic, offering a uniquely American-style primary care physician model that's virtually non-existent in Panama. The entire staff speaks English fluently, and they've built a comprehensive ecosystem that includes ultrasounds, electrocardiograms, internal medicine doctors, urologists, surgeons, and dermatologists - all under one roof at competitive Central American prices.

What makes ProCare revolutionary isn't just the services - it's the philosophy. Dr. Contreras emphasizes that healthcare shouldn't be about rushing to the hospital when something breaks. It's about understanding your body's baseline, identifying potential issues through testing, and making lifestyle modifications before problems emerge. This includes everything from hydration levels and sleep patterns to alcohol consumption and exercise routines.

80% of major diseases like diabetes and obesity are preventable

Source: Dr. Alejandro Contreras, ProCare Clinic

NAD Therapy: Panama's Anti-Aging Secret Weapon

Here's where things get really exciting for the health-conscious expat crowd. ProCare Clinic is pioneering NAD (Nicotinamide Adenine Dinucleotide) therapy in Panama - a cutting-edge anti-aging treatment that's taking the wellness world by storm.

NAD is a co-enzyme naturally present in your body that's involved in every single process of cellular regrowth, mitochondrial function, and energy production. The problem? As we age, NAD levels decline dramatically, which is why you can't recover from a soccer match at 43 the way you did at 23. You feel the soreness, the muscle aches, the mental fog.

The solution is intravenous NAD therapy, which Dr. Contreras administers at ProCare. By introducing NAD directly into your bloodstream, you're essentially supercharging your body's ability to repair cells, boost energy levels, and enhance mental clarity. Research is showing promising results for DNA repair itself, though Dr. Contreras is quick to point out that NAD isn't magic - it works best when combined with proper sleep, hydration, nutrition, and exercise.

Austin Hess, COO of DoPanama, is a personal convert to NAD therapy at age 43, using it as part of his comprehensive anti-aging protocol alongside daily workouts and dietary improvements. For expats looking to maintain peak performance in Panama's tropical climate, NAD represents a science-backed tool that's accessible and affordable compared to US prices.

NAD levels decline with age, directly impacting cellular repair, energy production, and mental clarity

Source: Dr. Alejandro Contreras, ProCare Clinic

Why Finding an English-Speaking Doctor in Panama Is a Game-Changer

Let's talk about one of the most stressful aspects of moving to any foreign country: finding quality healthcare when you don't speak the language. Austin Hess nails it when he describes the challenge: "When you're in a country that you don't know the doctors, you don't know where to go, you don't know the language - it's hard to find a place where they can help you with everything."

This is where ProCare's model becomes invaluable. The clinic deliberately hired bilingual staff from reception to specialist physicians, eliminating the language barrier that causes so many expats to delay or avoid medical care. Dr. Contreras himself has extensive family in the United States and understands firsthand what it's like to navigate a healthcare system as a foreigner.

The clinic's approach goes beyond just translation - they're building what Dr. Contreras calls a "family" rather than a transactional doctor-patient relationship. They guide expats through the entire healthcare ecosystem, providing referrals to trusted specialists who also speak English, explaining test results in plain language, and offering continuity of care that's often missing in Panama's fragmented medical landscape.

For DoPanama clients, having a trusted English-speaking medical resource is non-negotiable. Austin Hess considers ProCare one of his most valuable referral partners because healthcare access directly impacts relocation success. When expats feel confident about their medical options, they settle faster and experience less anxiety about their life transition.

ProCare Clinic opened in January 2023 with 100% bilingual staff

Source: Dr. Alejandro Contreras, ProCare Clinic

Panama's Legal Airbnb Revolution: The 45-Day Rule That Changed Everything

Now let's shift gears to talk money - specifically, how Panama's strict rental regulations created an unexpected opportunity for savvy real estate investors. Here's the backstory: Panama experienced a massive construction boom, and property owners flooded third-party rental websites with short-term listings. There was zero regulation, which meant no hotel tax collection and chaos in the market.

The Panamanian government responded by effectively banning traditional Airbnb-style rentals. The law now prohibits rentals under 45 days unless the property is registered as a legal tourism accommodation and pays the required hotel taxes. Liz Larroquette from one of Panama's top developers (with over 170 buildings completed) explains that this regulation initially seemed like a death sentence for short-term rental investors.

But here's where it gets brilliant: developers pivoted to create "branded hotel concept" buildings and "Airbnb-approved" properties that comply with the law. These aren't ordinary apartments - they're professionally managed, hotel-style units with full kitchens, resort-level amenities, and on-site management that handles everything from guest bookings to maintenance.

The genius of this model is that it solves multiple problems simultaneously. Owners get the best ROI of short-term rentals without the headache of management. Guests get standardized quality, social areas, and services that individual Airbnb apartments lack. And the government gets its tax revenue from properly registered tourism properties.

Panama prohibits rentals under 45 days unless registered as legal tourism accommodation

Source: Panamanian rental regulation law

Why Branded Hotel Concepts Are Crushing Traditional Real Estate Investments

Liz Larroquette drops knowledge bombs about the global trend reshaping vacation rentals: "Worldwide now we had that big rage of Airbnb and everyone staying in Airbnbs, but what we kept hearing in the market was people are missing out on the social areas, the services, the standardization."

Branded hotel concepts combine the best of both worlds - the privacy and amenities of a full apartment (your own kitchen, living space, bedrooms) with the luxury and services of a resort (pool, gym, concierge, housekeeping, social areas). For investors, this translates to higher occupancy rates and premium nightly rates because you're offering a superior product.

The financial structure is what Austin Hess calls "Java and Mano" - turnkey. You purchase the unit, and professional on-site management handles literally everything: marketing, bookings, guest communication, cleaning, maintenance, tax compliance. Your only job is collecting money in your bank account, whether you're in Panama or halfway around the world.

This model is particularly attractive for the "Plan B" investor - people who aren't sure if they want to live in Panama full-time or just visit periodically. Maybe you'll use it 2-3 months per year while it generates income the rest of the time. Maybe you'll live there for two years, then travel the world for a year while your property covers its own costs. Life happens, plans change, and this flexible approach accommodates uncertainty while building equity.

Compare this to buying a traditional house that sits empty 8-10 months per year in the humidity with no one caring for it and zero income generation. The branded hotel concept wins on every metric: ROI, convenience, flexibility, and risk mitigation.

Developers have completed over 170 buildings in Panama focusing on legally compliant tourism accommodations

Source: Liz Larroquette, Panama developer representative

The DoPanama Difference: Your Complete Relocation Ecosystem

Here's what separates DoPanama from every other real estate company in Panama: they're not just selling you property - they're engineering your entire life transition. Austin Hess describes his "addiction for helping people" as the driving force behind building a comprehensive relocation ecosystem that addresses every friction point expats encounter.

Need to find top-tier doctors like ProCare? DoPanama connects you. Relocating pets, furniture, or vehicles? They handle it. Navigating visa and residency requirements with legal director Nalini Navarro Guardia? They guide you through every step. Finding the perfect school for your kids? They've got relationships. Connecting with the best real estate opportunities through in-house and affiliate agents? That's their core expertise.

The company operates with a licensed and bonded license (PJ-1430-2023) from offices in the Waldorf Astoria Hotel in Panama City - a location that signals their premium positioning and commitment to working with serious clients. Their team includes Austin Hess (COO and Lead Relocation Specialist), Nalini Navarro Guardia (President and Legal Director), and Adam Phillips (Content Director).

What Austin loves most is the long game - running into clients at restaurants 10 months or two years after their move and seeing them thriving. That's the ultimate validation that the relocation ecosystem worked. As he puts it: "Their vibe, their energy - they tell me about their life and how it's come to fruition here in Panama, and it's just like, wow, this is the high."

This philosophy extends to their developer partnerships. Working with Liz Larroquette and other top-tier developers means DoPanama clients access the absolute best inventory in Panama - projects that combine ideal locations, superior amenities, legal compliance, and professional management.

DoPanama operates as a licensed and bonded real estate company (PJ-1430-2023)

Source: DoPanama Real Estate & Relocation

Medical Tourism Meets Real Estate: Panama's Unique Investment Angle

Here's a brilliant intersection that most investors miss: Panama is simultaneously becoming a medical tourism hub AND a short-term rental powerhouse. These trends reinforce each other in powerful ways.

Patients traveling to Panama for medical procedures, dental work, cosmetic surgery, or wellness treatments like NAD therapy need quality accommodations. Branded hotel concept apartments with full kitchens and home-like amenities are perfect for medical tourists who need comfortable recovery spaces without hospital sterility or traditional hotel limitations.

Dr. Contreras mentions that ProCare serves many international patients seeking preventative care, testing, and treatments not readily available or affordable in their home countries. These medical tourists typically stay 3-7 days for comprehensive workups, follow-up appointments, and procedures. They need accommodations that support health and healing, which creates natural demand for the exact type of properties that branded hotel concepts offer.

For investors, this means a diversified guest base beyond typical vacation tourism. You're capturing leisure travelers, corporate stays (Panama City is Central America's financial hub), relocating expats who need temporary housing while searching for permanent homes, and medical tourists - all of whom value the same property attributes and are willing to pay premium rates for quality, location, and services.

The corporate stay market deserves special attention. Companies regularly send employees to Panama City for weeks or months at a time. These corporate clients have generous budgets and prioritize proximity to business districts, reliable internet, professional environments, and hotel-style services. Branded hotel concept apartments in A+ locations (Panama City financial district, near Waldorf Astoria, Costa del Este, etc.) are perfectly positioned to capture this lucrative segment.

Short-term rentals offer the best ROI in Panama real estate

Source: Liz Larroquette, Panama developer representative

How to Navigate Panama's Real Estate Market Without Speaking Spanish

One of Austin Hess's core insights is understanding how overwhelming it feels to invest in a foreign country where you don't speak the language, don't know the neighborhoods, can't assess property values, and have no idea which developers are reputable versus fly-by-night operations.

This is precisely why working with an established relocation company like DoPanama is essential rather than optional. They provide the connective tissue between you and Panama's complex real estate ecosystem. Their affiliate agent network means you're accessing top-performing local agents who know specific markets intimately - whether that's Panama City high-rises, beach communities like Coronado, mountain towns like Boquete, or island properties in Bocas del Toro.

The DoPanama team handles the translation (literally and figuratively). They translate Spanish documents, legal requirements, and developer promises into plain English. They translate your lifestyle preferences and investment goals into specific property recommendations. And they translate complex processes like due diligence, title insurance, closing procedures, and property management setup into simple, guided steps.

For branded hotel concept investments specifically, DoPanama connects you with developers like Liz Larroquette's company that have 170+ building track records and proven management systems. These aren't speculative projects - they're established operations with existing guests, revenue data, and professional teams that can show you exactly how the investment performs.

The consultation process starts with a conversation about your goals: Are you looking for Plan B flexibility? Maximum ROI? A place to live with rental income covering costs? Retirement in 5-10 years? Each scenario has optimal property types, locations, and financial structures. DoPanama's job is matching your specific situation to the right opportunity, not pushing whatever inventory generates the highest commission.

DoPanama's office is located in the Waldorf Astoria Hotel, Panama City

Source: DoPanama Real Estate & Relocation

Panama's convergence of world-class preventative healthcare and legally compliant Airbnb investments represents an unprecedented opportunity for expats and investors in 2024. Whether you're seeking medical care that prevents problems rather than just treating them, or real estate investments that generate consistent returns with zero management headaches, Panama has built the infrastructure to support both goals. The key is working with established partners like ProCare Clinic for healthcare and DoPanama Real Estate for property investments and relocation services. Don't navigate these complex decisions alone - reach out to the DoPanama team at +507 6443-3341 or visit dopanama.com to schedule your consultation. Your Plan B (or Plan A) awaits in one of the world's most exciting expat destinations.

Expert Insights

I think 80% of diseases are preventable—like diabetes, obesity, high cholesterol. Most of them you can prevent. The thing is that most of the people don't have a guideline or they don't have someone to guide them in order to prevent that.

Dr. Alejandro Contreras, Founder of ProCare Clinic

When you get to a new place, it's scary. You don't know anybody. So, we try to help them to guide them through all the process.

Dr. Alejandro Contreras, Founder of ProCare Clinic

The great thing about doing this concept is that you've got on-site management. So it's like Java and Mano, like key in the hand pretty much—you've got on-site management. When you're at home, you can be making money.

Liz Larroquette, Developer Representative

Frequently Asked Questions

Can I legally rent out my Panama property on Airbnb for less than 45 days?

No, Panama law prohibits rentals under 45 days unless your property is specifically registered as legal tourism accommodation and pays required hotel taxes. However, branded hotel concept developments are designed to legally comply with these regulations, allowing you to capture short-term rental income through professional management companies that handle registration and tax compliance.

Where can I find English-speaking doctors in Panama City?

ProCare Clinic in Panama City offers fully bilingual medical services with 100% English-speaking staff from reception to specialist physicians. They provide preventative medicine, walk-in clinic services, and specialists including internal medicine doctors, urologists, surgeons, and dermatologists, all under one roof. This eliminates the language barrier that prevents many expats from accessing quality healthcare.

What is NAD therapy and can I get it in Panama?

NAD (Nicotinamide Adenine Dinucleotide) therapy is an anti-aging treatment that involves intravenous administration of a co-enzyme that naturally declines with age. It helps with cellular repair, energy production, and mental clarity. ProCare Clinic in Panama City offers NAD therapy at Central American prices, significantly lower than US costs, making it accessible for expats seeking cutting-edge wellness treatments.

What is a branded hotel concept property in Panama?

Branded hotel concept properties are professionally managed apartment-style units that combine full kitchen and home amenities with resort-level services like housekeeping, concierge, pools, and gyms. These developments are registered as legal tourism accommodations, allowing them to legally offer short-term rentals in Panama while providing turnkey management for owners who want rental income without operational headaches.

How much does it cost to consult with DoPanama for relocation services?

Contact DoPanama at +507 6443-3341 or through dopanama.com to schedule your initial consultation. As a licensed real estate company (PJ-1430-2023), they provide comprehensive relocation services including property search, visa assistance through legal director Nalini Navarro Guardia, healthcare connections, pet relocation, and everything needed for a successful move to Panama.

Is preventative medicine in Panama cheaper than in the United States?

Yes, preventative medicine services at facilities like ProCare Clinic offer Central American pricing that is significantly more affordable than US healthcare costs, while maintaining high-quality standards with English-speaking, internationally trained physicians. Services include comprehensive blood work, preventative screenings, NAD therapy, and lifestyle medicine consultations at a fraction of US prices.

What neighborhoods in Panama City are best for legal Airbnb investments?

The best locations for legally compliant short-term rental investments are A+ areas like the financial district near Waldorf Astoria, Costa del Este, and other premium Panama City neighborhoods where corporate stays, medical tourists, and vacation travelers concentrate. Working with DoPanama's affiliate agent network helps you identify specific branded hotel concept developments in these high-demand areas with proven occupancy rates.

Can I use my Panama property part-time and rent it out when I'm not there?

Yes, this is exactly what branded hotel concept properties are designed for. You can use the property whenever you want (many owners spend 2-4 months per year there) while professional on-site management rents it to guests the rest of the time, generating income that often covers ownership costs. This 'Plan B' flexibility makes it ideal for people uncertain about full-time Panama living.

Key Statistics

80% of diseases including diabetes, obesity, and high cholesterol are preventable with proper guidance and lifestyle interventions

Source: Dr. Alejandro Contreras, ProCare Clinic (2024)

ProCare Clinic opened in January 2023 as Panama's first fully bilingual preventative medicine walk-in clinic

Source: Dr. Alejandro Contreras, ProCare Clinic (2023)

Panama prohibits rental agreements under 45 days unless the property is registered as legal tourism accommodation and pays hotel taxes

Source: Panamanian rental regulation law (2024)

Over 170 buildings have been completed by top Panama developers focusing on legally compliant tourism accommodations

Source: Liz Larroquette, Panama Developer Representative (2024)

Short-term rentals offer the best ROI in Panama real estate investment compared to long-term rentals

Source: Liz Larroquette, Panama Developer Representative (2024)

DoPanama operates as a licensed and bonded real estate company with registration number PJ-1430-2023

Source: DoPanama Real Estate & Relocation (2023)

Locations Mentioned

Panama CityWaldorf Astoria HotelCoronadoBoqueteBocas del ToroCosta del Este

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