I help owners, investors, and medical groups stand up hyperbaric oxygen therapy facilities that are safe, compliant, and actually operable, from the chamber you buy to the day you open the doors.
The expensive mistakes happen before opening day: the wrong chamber for the use case, a compressed-air or oxygen plant that can't carry the load, missed NFPA 99 and AHJ requirements, no emergency protocols, no real intake or operating procedures. I close that gap, because I do this work every day, not on paper.
Engagements scale from a single advisory call to full owner's-representation through launch.
Monoplace vs. multiplace, pneumatic vs. electric, air vs. oxygen delivery, compressor and air-plant sizing. The decision that's hardest to undo, made right the first time.
NFPA 99 fire and gas requirements, AHJ and inspection readiness, oxygen storage and manifold design, and the documentation inspectors actually ask for.
Daily operating procedures, treatment profiles, intake and consent workflows, and emergency response plans built for real staff, not a binder nobody reads.
Owner-side coordination across architects, MEP, contractors, and medical-gas trades so the space gets built around how the program will actually run.
Hiring and training chamber operators and technicians, attendant qualification, and the operating rhythm that keeps a multi-chamber bay running safely.
Scheduling systems, patient flow, vendor management, and the readiness checklist that gets you from certificate of occupancy to treating patients.
I'm Roberto "Bobby" Ramirez. I run hyperbaric operations day to day and have taken a clinic from empty shell through build-out, permitting, equipment install, and launch. I know where the money gets wasted and where the safety corners get cut, because I'm the one who has to make the program work after the contractors leave.
My background is U.S. Navy nuclear and dive operations, where pressure systems, gas management, and procedure discipline aren't theory, they're how you come home. That's the standard I bring to a commercial hyperbaric program: safety first, documented, and built to be inspected.
I work with clinic owners, plastic surgery and aesthetics practices, wellness groups, and investors who want their facility done right the first time, not relearned through expensive mistakes.
A short call usually saves a lot more than it costs. Tell me where your project is and what you're trying to figure out.