Medical Executive Committee

The Medical Executive Committee (MEC) acts as a medical review committee evaluating and improving the quality of health care rendered by all members of the Medical Staff of Nicklaus Children’s Hospital. The MEC establishes medical policies to govern the medical staff and also represents and acts for the Medical Staff as a whole, making recommendations to the Board of Directors. The Medical Executive Committee consists of active physicians on the medical staff of Nicklaus Children’s Hospital elected by their peers, and designated administrative representatives.


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Mayra F Capote, MD

President of the Alumni Association, Nicklaus Children's Hospital


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Anselmo Cepero-Akselrad, MD

Director, Division of Nephrology


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M. Antonella Denaro, DO

Director, Division of Emergency Medicine


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Ruben Gonzalez-Vallina, MD

Director, Gastroenterology Outpatient Initiative
PSA Director, Community GI Initiatives


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Ziad A Khatib, MD

Director, Neuro Oncology Program


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P Marcelo Laufer, MD

President of Medical Staff


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Sarah G Legorburu-Selem, MD


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Leopoldo Malvezzi, MD

Director, Medical Trauma


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Rafael F Rivas-Chacon, MD

Director, Division of Rheumatology


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Jose R Rosa-Olivares, MD

Chief Medical Information Officer


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Ramesh C Sachdeva, MD

Senior Vice President and Chief Clinical Officer, Nicklaus Children's Health System
Interim President, Pediatric Specialists of America


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Efren D Salinero, MD


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Pedro A Sanchez-Diaz, MD


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Stephen M Swirsky, DO

Pediatric Orthopedic Surgeon
Director, Sports Medicine
Assistant Chief, Department of Orthopaedic Surgery


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Balagangadhar Totapally, MD

Director, Division of Critical Care Medicine
Medical Director, Pediatric Intensive Care Unit
Director, Pediatric Critical Care Fellowship Program


Administrative Representatives

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Jefry L. Biehler, MD

Secretary, Board of Directors
Nicklaus Children's Hospital


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Jackie L. Gonzalez

Senior Vice President/Chief Nursing Officer
Nicklaus Children's Hospital