Ayes received his Doctor of Dental Surgery degree in 1995 from Dental School at National University of Honduras and has practiced dentistry for the past 14 years in Honduras. His most recent position was with the Baxter Institute and JMA Clinic in Honduras as the General Supervisor. Ayes was a professor and preceptor for the last year residency students from the National Dental School. He coordinated the activities for the 4th year Student International Rotation from Virginia College of Osteopathic Medicine. In 2007, Ayes finished a MBA in Project Management. He received a certification from the National Institutes of Health in the course "Human Participant Protections Education for Research Teams." Ayes also received a certification in Human Resource Administration from the National Autonomous University of Mexico and a certificate in Social Community Management from the International Development Bank and National University of Honduras.
Ayes served on the Board of Directors for the National Dental Association in Honduras for 6 years. During this time, he was the Vice President of this association. He also served on the first editorial board for the official Scientific Magazine of the National Dental Association in Honduras.