About Us
Specialized Healthcare Solutions for Maritime Industry
At Anchor Health Consulting, we specialize in delivering tailored healthcare solutions for the cruise and maritime industry. Led by Dr. Ruben Parejo, a seasoned emergency physician and cruise ship medical expert, we help cruise lines navigate complex healthcare operations with integrity, experience, and insight. Our proven track record includes successfully guiding clients through compliance, legal preparedness, and medical team excellence, so you can focus on providing a safe, exceptional experience for your passengers and crew.
Our Mission
Enhancing Health and Safety Standards at Sea
To anchor every client’s success in safety, compassion, and expertise. We aim to raise the standard of healthcare at sea by helping cruise companies reduce risk, optimize care, and empower their onboard medical teams with world-class knowledge and tools.


Our Specialized Offerings
Navigating Complex Healthcare Operations
Explore our comprehensive range of specialized services designed to navigate the complex healthcare operations of the maritime industry. From medical team excellence to legal preparedness, we are dedicated to ensuring health and safety standards at sea.
Incident & Emergency Response Training
Training onboard medical teams for a wide range of health emergencies, ensuring preparedness for all scenarios at sea.
Medical Staff Training & Mentorship
Elevating the skills and confidence of onboard medical teams with hands-on workshops and ongoing mentorship.
Expert Testimony & Medical Record Review
Offering credible, experienced review of medical records and expert witness testimony for cruise-related legal cases.
Health Technology Integration & Optimization
Advising on medical equipment, telehealth solutions, and digital health tools to enhance onboard patient care.
Cruise Ship Medical Compliance & Audit Support
Guiding cruise lines in meeting international maritime health regulations, including CLIA and CDC standards.
Lawsuit Preparation & Risk Mitigation
Providing strategic advice and case support to minimize legal exposure, leveraging proven expertise with nearly two decades of successful case outcomes.
Health & Safety Program Design
Developing custom health, hygiene, and infectious-disease prevention programs that protect passengers and crew.
Medical Policy Development & Review
Crafting, updating, and refining medical protocols, procedures, and policies tailored to the cruise and maritime industry.

Tailored Healthcare Solutions
Benefit from our tailored healthcare solutions, specifically designed to meet the unique needs of the maritime industry, ensuring the health and safety of all on board.
Experience and Insight
Rely on our experience and insight to navigate the complexities of maritime healthcare operations, providing the expertise needed to ensure a safe and secure environment at sea.


Compliance and Legal Support
Ensure compliance and legal standards are met with our comprehensive support, guiding you through the regulatory landscape of maritime healthcare.
Passenger and Crew Well-being
Prioritize the well-being of passengers and crew with our specialized healthcare solutions, delivering a secure and healthy environment on board.

Dr. Ruben Parejo, MD
Dr. Ruben Parejo is one of the most respected voices in cruise and maritime medicine today.
With over two decades of frontline and executive-level medical experience, Dr. Parejo has led healthcare operations for major cruise lines, served as a senior shipboard physician in international waters, and practiced emergency medicine across diverse global settings.
Now, as Chair of the Cruise Medicine Section at the American College of Emergency Physicians (ACEP), he plays a pivotal role in shaping the standards and future of medical care at sea.
He is the founder of Anchor Health Consulting, a Miami-based firm delivering expert advisory, training, and strategic guidance to cruise lines, maritime operators, offshore platforms, and global health organizations. Whether optimizing onboard protocols, building emergency response systems, or conducting international health audits, Dr. Parejo brings unmatched clinical insight and operational intelligence.
Fluent in English and Spanish, Dr. Parejo is a trusted bridge between medical excellence and maritime precision. His clients value not just his expertise but his calm under pressure, cultural agility, and deep understanding of what it takes to deliver world-class care in remote and high-stakes environments.