Tomás Estrada Palma, with their first-born child, Tomás Douglas Estrada-Palma III, born on May 12, 1911 in New York.
Tomás Douglas Estrada-Palma III had three more children, Patrick Carroll Estrada-Palma, Candita Margaret Estrada-Palma, and Kathleen Riordan Estrada-Palma.