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Alejandro Quirós Moreno

Alejandro Quirós Moreno

General Practitioner & Senior Full-Stack Engineer | Healthcare Technology Consultant
San Jose, San Jose, CR
+506 8647-7683
alequiros.md@gmail.com
Spanish, English

Background

About

About

Dual-qualified Physician and Senior Full-Stack Engineer specializing in high-performance healthcare AI systems. Expert in bridging clinical workflows with technical architecture, building comprehensive EMRs, and deploying autonomous AI agents. Proficient in reviewing and implementing cutting edge research papers.

Core Technologies: Python, TypeScript, React, FastAPI, MongoDB, PostgreSQL, AWS, Docker, Railway, Vercel.

Key Focus: Bridging the gap between medical needs and engineering solutions, optimizing clinical workflows, and ensuring rigorous healthcare compliance and AI safety.

Work Experience

Work Experience

  • R&D Lead, DevOps and Founding Engineer, Pendium Health

    Jan, 2023 - Present

    Architected and deployed HIPAA-compliant infrastructure and AI systems for healthcare startups.

    • Startup acquired by Canadian EMR Arya EMR (Apollo Health Inc.).

    • Developed clinical RAG systems boosting retrieval accuracy by 40% using Chain of Abstraction and LlamaIndex.

    • Built auto-scaled FastAPI streaming architecture supporting 2k+ daily requests with <200ms latency.

    • Led cloud migration to Dockerized microservices on AWS (EC2, ECR, ELB) with GitHub Actions CI/CD.

    • Reduced deployment downtime by 90% and accelerated release cycles from 12 hours to 10 minutes.

  • Doctor of Medicine, CCSS Costa Rica

    Jan, 2024 - Dec, 20241 year

    Provided comprehensive medical care in high-pressure hospital and outpatient settings.

    • Managed chronic diseases and emergencies in Internal Medicine, Cardiology, and Nephrology.

    • Performed surgical preparations and assist duties in Urology and General Surgery.

    • Delivered pediatric emergency care and high-risk prenatal care.

    • Applied clinical experience to identify gaps in EMR workflows and medical data systems.

Projects Experience

Projects Experience

  • parallel-codex, Open Source

    Jun, 2024 - Present

    Multi-agent coding system with MCP server implementation and git worktree management

    • Published production package on PyPI.

    • Implements Model Context Protocol (MCP) server architecture.

    • Advanced interleaved inference for code generation.

    • Git worktree management for parallel development.

  • Bicura, Healthcare Technology Consulting

    Jan, 2023 - Present

    Comprehensive Electronic Medical Records system with ICD-11 integration and FHIR standards. Currently deployed at Santa Monica Clinic in Cartago, Costa Rica.

    • Built full EMR system from scratch with clinical workflow integration, including calendar and scheduling modules.

    • Developing AI-enabled appointment coordination and RAG-based clinical decision support.

    • Implemented robust cybersecurity practices and scalable infrastructure to ensure patient data safety.

    • Implemented ICD-11 classification and medical coding systems.

    • FHIR-compliant data structures for healthcare interoperability.

  • TAI

    Jan, 2022 - Dec, 202211 months

    Local speech-to-text platform for medical lecture transcription.

    • Self-hosted speech-to-text pipeline with Flask frontend.

    • Delivered structured notes from lecture videos for medical students.

  • G-LAMP IoT Prototype

    Jan, 2017 - Dec, 20171 year

    IoT prototype designed for the Intel Innovation Fest.

    • Intel Innovation Fest 2017 Finalist

Skills

Skills

  • AI & Machine Learning

    RAG

    LLM Infrastructure

    Llamaindex

    OpenAI API

    Vision Language Models

    Medical AI

    AI Safety

    Clinical Validation

  • AI-Assisted Development

    Gemini CLI

    Codex CLI

    Cursor

    Cline

    Copilot

    Aider

  • Backend Development

    Python

    FastAPI

    Node.js

    TypeScript

    API Design

    Webhooks

    WhatsApp API Integration

    Microservices

    JSON-RPC

    REST

  • Frontend Development

    React

    TypeScript

    Modern JavaScript

    UI/UX

    Full-Stack Development

  • Database & Data Engineering

    MongoDB

    PostgreSQL

    Database Design

    Data Modeling

    Healthcare Data Schemas

  • Cloud & DevOps

    AWS (EC2, Lambda, Route 53)

    Docker

    Railway

    Vercel

    CI/CD

    GitHub Actions

  • Healthcare Informatics

    ICD-11

    FHIR

    HL7

    EMR Systems

    Clinical Workflows

    Medical AI Safety

    Regulatory Compliance

Education

Education

  • General Medicine and Surgery, Doctor of Medicine, Universidad Latina de Costa Rica

    Jan, 2020 - Jan, 2024

    Rotations at Tier 3 hospitals (HCG, HMP, HSJD)

    Graduated in record time with 100% course completion.

  • Software Engineering, Self-Study, Self-Taught Software Engineering

    Jan, 2020 - Present

    Distributed systems & Cloud Architecture

    LLM Infrastructure (AWS, Railway, Vercel)

    AI Development Tools (Cursor, Aider, Codex CLI)

Certificates

Certificates

  • Cisco IT Essentials, Cisco

    Issued on: Dec 01, 2019

Awards

Awards

  • Intel Innovation Fest 2017 Finalist , Intel

    Awarded on: Dec 31, 2017

    G-LAMP IoT prototype

Publications

Publications

  • parallel-codex Documentation , GitHub

    Published on: Jun 01, 2024

    Technical documentation for MCP server implementation and multi-agent coding systems.

Interests

Interests

  • Music

  • Hiking

  • Gaming

  • Continuous Learning

References

References

  • Dr. Omri Nachmani

    Alejandro has the ability to go from 0 to scalable deployments. His work at Pendium Health, a recently acquired startup by a Canadian company has proved to be Alejandro's milestone while he was working shoulder on shoulder with myself, at the same time he was going through his General Medicine and Surgery internship as well.