In 1893 he was in charge of Health Medicine of the Port of Panama for four years.
He travels to Paris and in 1898 he studies bacteriology and nervous diseases.
Then he settles down in Dublin where he obtains a diploma in bachelor's degree, which is now obstetrics.
He returned to Panama in 1901, in the middle of the thousand-day war, where his adherence to liberalism caused him problems.
After independence, he was a member of the National Constituent Convention.
In 1903, he was appointed a doctor in the service of policemen and prisoners of the old Hospital Santo Tomás, and since then he has been dedicated to the study of malaria.