Dr. Marc Ribas Puig

Dr. Marc Ribas Puig is a pulmonologist at the CASS Centre Hospitalier Andorre — the main public hospital of the Principality of Andorra — where he provides respiratory medicine consultations for both resident and visiting patients. With 12 years of specialist practice, Dr. Ribas Puig manages the full breadth of respiratory disease, with particular expertise in COPD, asthma, and obstructive sleep apnoea.

Andorra's small population of approximately 80,000 is served by a compact but modern healthcare system that blends Spanish and French medical traditions. The country's high altitude (ranging from 900 to over 2,000 metres) and active outdoor lifestyle create a specific patient population with unique respiratory needs, including altitude-related breathing challenges and exercise-induced bronchoconstriction in the skiing population.

Dr. Ribas Puig trained in Spain under the MIR (Médico Interno Residente) system, the rigorous national specialty training programme that underpins Spanish medical excellence. He is fluent in Catalan, Spanish, French, and English, making him accessible to Andorra's multilingual resident and tourist population.

Dr. Ribas Puig completed his Llicenciatura en Medicina at the Universitat de Barcelona — one of Spain's oldest and most respected medical schools. He completed his specialist training in Pneumologia (Pulmonology) through the Spanish MIR (Médico Interno Residente) residency programme at a university hospital in Catalonia, providing four years of intensive inpatient and outpatient respiratory medicine training.

He holds the European Respiratory Society Diploma and has completed additional training in sleep medicine and polysomnography interpretation. He maintains continuous professional development through the European Respiratory Society Congress and the Societat Catalana de Pneumologia annual meeting.

Dr. Ribas Puig's practice encompasses diagnostic and therapeutic pulmonology. He performs and interprets comprehensive pulmonary function testing including spirometry, body plethysmography, diffusion capacity (DLCO), and bronchoprovocation testing for asthma evaluation. He performs flexible bronchoscopy for airway inspection, bronchoalveolar lavage, and endobronchial biopsy.

In COPD management, he follows GOLD guideline-based therapy optimisation and pulmonary rehabilitation coordination. In asthma, he manages difficult-to-control asthma including referral assessment for biological therapies (anti-IL-5, anti-IL-4R, anti-IgE). In sleep medicine, he evaluates and interprets polysomnography studies for obstructive sleep apnoea and initiates and monitors CPAP therapy.

Andorra receives a significant volume of seasonal visitors — skiers in winter and hikers in summer — who may require respiratory consultation during their stay. Dr. Ribas Puig offers consultations in Catalan, Spanish, French, and English. The CASS hospital provides outpatient respiratory consultations that can be booked by visitors and expatriates.

For residents and regular visitors requiring ongoing respiratory management, video follow-up appointments are available to review spirometry results and adjust inhaler therapy without requiring an in-person visit. Patients from Spain and France who reside near the Andorran border may find Andorra's shorter waiting times attractive for non-urgent respiratory consultations.

Dr. Ribas Puig is a member of the Societat Catalana de Pneumologia (SOCAP) and the European Respiratory Society (ERS), and contributes to continuing medical education in respiratory medicine in Andorra. He has participated in ERS clinical research networks and contributed to regional respiratory health awareness initiatives. His multilingual capability and dual Catalan-Spanish medical training position him as one of Andorra's most versatile respiratory physicians.