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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Julio C Egusquiza, MD


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Veronica Etinger, MD

Chief, Section of Hospital Medicine
Director, Division of Hospital Medicine


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Maria E Franco, MD

President of the Medical Staff


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Ruben Gonzalez-Vallina, MD

Director, Gastroenterology Outpatient Initiative
NCPS Director, Community GI Initiatives


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Julie L Kantor, MD


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Ziad A Khatib, MD

Vice President of the Medical Staff
Director, Neuro Oncology Program


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Leopoldo Malvezzi, MD

Chief, Department of Pediatric Surgery
Director, Medical Trauma


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Monica M Payares-Lizano, MD

Pediatric Orthopedic Surgeon


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Rafael F Rivas-Chacon, MD

Director, Division of Rheumatology


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Ramesh C Sachdeva, MD

Senior Vice President and Chief Clinical Officer, Nicklaus Children's Health System


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Efren D Salinero, MD


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Pedro A Sanchez-Diaz, MD


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Christopher F Tirotta, MD

Chief, Department of Anesthesiology
Director, Cardiac Anesthesia


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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