Rafael A. Ruiz-Ayala is a seasoned corporate attorney with an extensive track record as a trusted advisor to domestic and foreign for-profit, nonprofit, and public sector entities operating in a variety of industries, market segments and geographic locations. He has provided counsel to clients ranging from start-ups to public companies, including health care group practices, health and assisted living facilities, home health and telemedicine providers, and suppliers of medical equipment across the United States as well as owners and lenders of top-tier companies and public instrumentalities in Latin America. 

Rafael has considerable experience in the design and negotiation of sophisticated corporate and public finance transactions, mergers and acquisitions, joint ventures, partnerships and other strategic alliances on behalf of his clients, in the health industry with particular attention to corporate practice of medicine issues, Stark and the Anti-Kickback Statute, and the evolving federal and state regulatory frameworks shaping the industry. 

Fluent in both English and Spanish, Rafael will conduct his practice in both languages on cross-border matters as required by his clients or the particulars of a transaction. Throughout his career, he has effectively interfaced with multidisciplinary executive teams, government officials, and the public, both in the United States and abroad.

Consistent with his holistic approach to lawyering, Rafael offers his clients an ongoing relationship that allows him to provide them, during all stages of the business cycle, not only superior representation on sophisticated transactions and sensitive matters but also continuous assistance in successfully managing their relationships with relevant stakeholders, meeting their principal regulatory compliance obligations, and pro-actively assessing business and policy trends from a risk and strategic perspective while promptly responding to challenges via corrective action, process development, and organizational innovation.