01 Minimally invasive surgery
Spine
Herniated discs, sciatica, low-back and neck pain, degenerative disease, trauma and spinal tumors.
- Sciatica & radicular pain
- Herniated disc
- Degenerative disease
- Spinal trauma
- Tumors
Neurosurgery in Panama
Precision that restores quality of life.
Brain, skull base and spine surgery with minimally invasive technique and intraoperative monitoring — less pain, fewer complications and a faster return to daily life.
- 7
- locations in Panama
- ES · EN
- bilingual care
- Skull base
- subspecialty · Brazil
International insurance
- AETNA
- BUPA
- CIGNA
- Blue Cross
- ASSA
- MAPFRE
- TRICARE
- VA
- + others · US Veterans
Areas of expertise
Four focuses, one surgical standard.
The nervous system is treated as a whole. Each area combines accurate diagnosis, world-class technology and tailored surgery.
02 Endoscopic brain surgery
Brain & skull base
Brain tumors, hydrocephalus, endoscopic skull-base surgery, epilepsy and cerebrovascular disease.
- Brain tumors
- Hydrocephalus
- Headaches
- Epilepsy
- Stroke / cerebrovascular disease
- Head trauma
03 Decompression & microsurgery
Peripheral nerves
Carpal tunnel syndrome, trigeminal neuralgia, hemifacial spasm and nerve tumors.
- Carpal tunnel syndrome
- Trigeminal neuralgia
- Hemifacial spasm
- Nerve tumors
04 International patients
Follow-up & medical tourism
Second opinions, travel coordination and full-cycle care for international patients and insurers.
- Second opinion
- Travel coordination
- Insurance-based care
- Post-op follow-up
Endoscopic skull-base surgery Subspecialty trained in Brazil
About Dr. Andrés Almendral
“Saving lives and restoring independence is what drives me to give 200%.”
Neurosurgeon with a subspecialty in endoscopic skull-base and brain surgery, trained in Brazil, and spine surgeon. He has lectured at neurosurgery teaching sessions.
His practice relies on minimally invasive techniques and intraoperative monitoring, reducing bleeding, post-operative pain and complications so each patient returns to daily life as soon as possible.
- Brain & skull base Endoscopy and microsurgery
- Spine Minimally invasive
- Integrated team Neurophysiology and supporting specialists
Training & credentials
International training
- Skull Base Fellowship — Curitiba, Brazil (WFN)
- Endoscopic endonasal skull-base & pituitary surgery — Pittsburgh, USA
- Cleveland Spine Review — Cleveland Clinic, USA
- Microsurgical neuroanatomy — São Paulo, Brazil
Current appointments
- Chief of Neurosurgery — Caja de Seguro Social
- Full Professor of Neuroanatomy — University of Panama
Education
- Doctor of Medicine — University of Panama
Memberships
- AANS
- NASBS
- AOSpine
- MISS
- APNC
Diagnosis and safety
Data-driven decisions, surgery with a safety net.
In-house neurophysiology studies for precise diagnosis, and monitoring during surgery to protect your functions.
- Electroencephalogram (EEG)
- Electromyography
- Nerve conduction studies
- Evoked potentials
- Intraoperative monitoring
On video
Testimonials & education.
Hear real patients and learn about your condition in Dr. Almendral’s videos.
Patient testimonials
Patient testimonials
Meet Dr. Almendral
Sciatica
Herniated cervical disc
Meningiomas & tumors
Head trauma
@dr.andresalmendral Cases, tips and education · 4.9k followers
Networks
We work with the leading insurers
National and international insurance accepted, with a complete neurological exam for children and adults.
Local insurers
- Aseguradora ANCÓN
- ASSA
- Bupa
- Blue Cross Blue Shield
- MAPFRE
- Mercantil Seguros
- Pan-American Life (PALIG)
- Redbridge
- Asoc. Jubilados del Área Canalera
- Sagicor
- SURA
- Vivir
- WorldWide Medical
International insurance
- Aetna
- AFSPA
- AIG
- AIG Travel Guard
- Allianz Care
- AP Companies
- April International
- Argos Assistance
- ASA
- Assist Card
- AXA
- Best Doctors Insurance
- BigTree Medical
- BMI
- Cigna
- Continental Assist
- Claria
- Europ Assistance
- Euro-Center
- GeoBlue
- GlobalExcel
- GMC Insurance
- GMMI
- Groupe Henner
- International SOS
- IMC Insurance
- MD Abroad
- MSH International
- NAGICO
- Optima
- HM Worldwide
- WTA by HAS
- Trawick International
- UnitedHealthcare
- Universal Assistance
- VUMI
Where we practice
7 locations across Panama.
From Panama City to Chiriquí and Colón, open Monday to Saturday.
01
The Panama Clinic Ciudad de Panamá
Torre B, Piso 25 — Consultorio 2524
02
Hospital Chiriquí David, Chiriquí
Nueva torre de consultorios, Nivel mezzanine
03
Clínica Hospital San Fernando Ciudad de Panamá
Torre de especialidades 306 — Vía España
04
Hospital Paitilla Ciudad de Panamá
Planta baja, consultorios médicos de especialidades
05
Centro Médico Caribe Colón
Consultorios de especialidades
06
Pacífica Salud — Hospital Town Center Costa del Este
Torre Bambú, Piso 5 — Consultorio 508 D
07
Hospital Nacional Ciudad de Panamá
Torre de especialidades, Piso 8 — Consultorio 8
Frequently asked questions
What patients ask most
What does Dr. Andrés Almendral treat?
Brain, skull base, spine and peripheral nerve surgery, using minimally invasive technique and endoscopy. He treats tumors, herniated discs, sciatica, hydrocephalus, trigeminal neuralgia, carpal tunnel syndrome, trauma and more.
Which hospitals does he practice at?
Across 7 locations: The Panama Clinic, Hospital San Fernando, Hospital Paitilla, Hospital Nacional, Pacífica Salud (Town Center, Costa del Este), Hospital Chiriquí (David) and Centro Médico Caribe (Colón).
Does he treat international patients?
Yes. Bilingual care (Spanish and English), international insurance, and coordination for medical tourism and second opinions.
Which insurance does he accept?
International plans such as AETNA, BUPA, CIGNA and Blue Cross, plus the main local insurers. Message us on WhatsApp to confirm your coverage.
How do I book an appointment?
Via WhatsApp for a fast reply, or by calling our phones. Care is by availability.
What is minimally invasive surgery?
Techniques that aim for the best outcome with the least trauma: less bleeding, less post-operative pain and a faster recovery, supported by intraoperative monitoring.
When should I see a neurosurgeon?
For persistent pain that does not improve with treatment, neurological symptoms (weakness, numbness, difficulty walking), or after trauma. If you notice warning signs, seek care promptly.
Does he practice outside Panama City?
Yes, also in David (Chiriquí) and Colón.
Take the first step
Your diagnosis deserves an expert second look.
Book a consultation or request a second opinion. By availability — message us on WhatsApp or call.