Anyway, as promised:
I see from top to bottom, left to right, and the best I can do with these old eyes:
Combat Medical Badge
Bronze Star, Purple Heart (OLC)
Presidential Unit Citation, Meritorious Unit Commendation, Army Good Conduct Medal
National Defense Service Medal, Vietnam Service Medal, Public Health Service Regular Corps Ribbon
Republic of Vietnam Gallantry Cross with Palm, Republic of Vietnam Civil Action Medal, Republic of Vietnam Campaign Medal
Commissioned Officers Association, Association of Military Surgeons of the United States, Reserve Officers Association
Airborne, Special Forces
Source: USPHS Rackbuilder. Plugged in, they do come out a bit different, but I think Admiral Carmona is wearing them properly.
My heartburn in this is the bottom row of ribbons. Some professional military organizations are authorized by Congress to mint and present "medals." I myself am a member of the Association of Military Surgeons of the United States (AMSUS) and somewhere have the AMSUS membership medal; but we (Army) don't wear it. The PHS does wear "membership" medals.