Natalio Debs Elías, MD

Resident – 1982-1986 – – University of Puerto Rico Affiliated Hospitals – General Surgery Residency 1987-1989 – Southern Illinois University School of Medicine Springfield, Illinois Plastic & Reconstructive Surgery 1988-1989 – Southern Illinois University School of Medicine Springfield, Illinois Chief Resident Plastic & Reconstructive Surgery MD- 1977-1981 – University of Puerto Rico Medicine BS – 1973-1977 – University of Puerto Rico Biology – Tri-Beta Biology Honor Society

– The American Board of Plastic Surgery Plastic Surgery, 1994 – Certificate of Added Qualification Hand Surgery, given by the America Board of Medical Specialty, 2015

– American Society of Plastic and Reconstructive Surgery – American Cleft Palate- Craniofacial Association – Puerto Rico College of Physicians – Plastic Surgery Chapter PR College of Physicians – Hand Surgery Chapter PR College of Physicians – Sociedad Cirugía Plástica de Puerto Rico – Asociaci6n Medica de Puerto Rico

AWARDS – “Familiar Polyposis in Three Puerto Rican Families” Medical Association of Puerto Rico The Purdue Frederick Co. Scientific Research Award Honorable Mention San Juan, Puerto Rico, November 11, 1985 – “Leech Therapy for Microvascular Venous Obstruction” Laboratory Model and Case Reports: 38th Annual Meeting Illinois Chapter of the American College of Surgeons Patton Award- Second Place Galena, Illinois, April 1988 – “Deltoid Muscle Transfer for Elbow Extension” American Society for Surgery of the Hand Poster Exhibit Award Baltimore, Maryland, September, 1988 HONORS – 1996-1998, President Puerto Rico Hand Society – 1999-Present, Member of Comité de Fondismo de Puerto Rico – 2002-2008, Co-founder, Vice-President and Board of Directors Puerto Rico Mutual Defense Company – 2003-Present, Board of Directors of the Teodoro Moscoso Bridge World’s Best 10k Race – 2005-2008, Delegate Hand Surgery Chapter, Puerto Rico College of Physicians – 2005-2010, President Puerto Rico Plastic Surgery Society – 2005-2011, President Plastic Surgery Chapter, Puerto Rico College of Physicians – 2007-Present, Board of Directors of SER (Sociedad de Educación y Rehabilitación de Puerto Rico) – 2008-2010, President of Foundation Rostro – 2008-Present, Member Foundation HIMA San Pablo – 2009-Present, Member Medicare Contractor Advisory Committee – 2009-Present, Director ex officio Puerto Rico Medical Defense Insurance Company – 2010-Present, Ad Honorum Professor School of Dental Medicine, University of Puerto Rico – 2010-Present, President & Founder of the Foundation Rostro, Cuerpo & Alma- Niños Especiales – 2011, President Medical Faculty Hospital HIMA San Pablo Bayamon – 2012-2019, Ad Honorum School of Medicine, University of Puerto Rico – 2019-Present, Auxiliary Professor School of Medicine-, University of Puerto Rico: Department of Surgery – 2015-Present, Associate Professor –“Clinical Educator” at the Department of Surgery, Universidad Central del Caribe

– 1996-1998, President Puerto Rico Hand Society – 1999-Present, Member of Comité de Fondismo de Puerto Rico – 2002-2008, Co-founder, Vice-President and Board of Directors Puerto Rico Mutual Defense Company – 2003-Present, Board of Directors of the Teodoro Moscoso Bridge World’s Best 10k Race – 2005-2008, Delegate Hand Surgery Chapter, Puerto Rico College of Physicians – 2005-2010, President Puerto Rico Plastic Surgery Society – 2005-2011, President Plastic Surgery Chapter, Puerto Rico College of Physicians – 2007-Present, Board of Directors of SER (Sociedad de Educación y Rehabilitación de Puerto Rico) – 2008-2010, President of Foundation Rostro – 2008-Present, Member Foundation HIMA San Pablo – 2009-Present, Member Medicare Contractor Advisory Committee – 2009-Present, Director ex officio Puerto Rico Medical Defense Insurance Company – 2010-Present, Ad Honorum Professor School of Dental Medicine, University of Puerto Rico – 2010-Present, President & Founder of the Foundation Rostro, Cuerpo & Alma- Niños Especiales – 2011, President Medical Faculty Hospital HIMA San Pablo Bayamon – 2012-2019, Ad Honorum School of Medicine, University of Puerto Rico – 2019-Present, Auxiliary Professor School of Medicine-, University of Puerto Rico: Department of Surgery – 2015-Present, Associate Professor –“Clinical Educator” at the Department of Surgery, Universidad Central del Caribe

– Cruz, N.I, Debs, N. and Fiol, R.E. “Evaluation of Fibrin Glue in Rat Sciatic Nerve Repairs” Plastic Reconstructive Surgery 1986 Sep; 78(3):369-73.PubMed PMID:3526370. – Feller, A.M., Roth, A.C., Russell, RC., Eagleton, B., Suchy , H. and Debs, N. “The Effects of Oxygen Free Radicals Scavengers on Muscle Survival and Functions Following Limb Ischemia and Reperfusion” Ann of Plastic Surg. 1989 Apr; 22(4):321-31.PubMed PMID:2539767. – E. Clyde Smoot, III, Natalio Debs, Dennis Banducci, Michelle Poole and Allan Roth “Leech Therapy and Bleeding Wound Techniques to Relieve Venous Congestion” Journal of Reconstructive Microsurgery 1990 Jul;6(3):245-50.PubMed PMID:2292786. – E. Clyde Smoot, III, Kucan J.O., Roth A, Mody N., and Debs, N. In vitro toxicity testing for antibacterials against human keratinocytes. Plastic Reconstr Surg. 1991 May;87(5):917-24. PubMed PMID:2017501.

– Community based Participatory Research Assessment Study for Children with Special Needs: Cleft Lip and Palate (CL/P) Overall goal: The specific aim of this project is to assess the existing clinical infrastructure, the interdisciplinary integration, teaching, and collaborative research with community participation to identify the barriers and limitations that currently exist in the health care delivery system to the effective treatment and management of patients with Cleft Lip and/or Palate (CL/P) in Puerto Rico. This study is part of a more ambitious project whose long-term goal is to build the basis to create a permanent Center of Excellence for Children with “Special Needs”. Role: Principal Investigator (ongoing) – “Risk factors in 0-21 year olds presenting Cleft Lip and/or Palate (CL/P) at the University of Puerto Rico School of Dental Medicine (2007-2014)”: Pilot Study Overall goal: To explore the distribution of socio-demographic behavioral and other risk factors among CL/P patients seeking treatment at the Center for Craniofacial Disorders (CCD) at the University of Puerto Rico School of Dental Medicine (UPRSDM). Principal Investigator: Maria Ilse Salcedo Role: Co-investigator (ongoing) – Oral Clefts Malformations in Puerto Rican Children: Genetic Risk Factors and Maternal Exposures The purpose of this study is to examine the association between Methylenetetrahydofolate reductase (MTHFR) C677T polymorphism and oral clefts risk in Puerto Ricans. Principal Investigator: Carmen Buxó Role: Co-investigator (ongoing)

– Voluntary Plastic Surgical Expedition Cleft lip and palate reconstructions and burn scars revisions with Dr. E. Clyde Smoot, III at Florencia and Pitalito, Colombia, February 5-17, 1989. – Voluntary pro bono work since 1991-present, initially as part of the Proyecto MIRA “Mil Imagenes Rehacer con Amor” with Dr. Robert L. Walton and Dr. Carlos Girod at Hospital Dr. Federico Trilla Hospital, Universidad de Puerto Rico at Carolina and continuation of this effort as part of the San Jorge Children Foundation taking care of children with congenital deformities and acquired post traumatic defects in their surgeries and postoperative care. – Voluntary work since 1999-present, actively sponsoring and promoting the development of young running athletes with Comité Fondismo de Puerto Rico. (Cross Country National Team). – Voluntary work from 2003-Present, organizing the medical logistics, Anti-doping, participation of young runners, and other aspects of the Teodoro Moscoso World’s Best 10K and a member of the Board of Directors. – Voluntary pro bono work with the Shriners of Boston & Philadelphia in Puerto Rico taking care of children with musculoskeletal disorders and burns from 2007-Present. – Member of the Board of Directors of “SER” de Puerto Rico, a non-profit organization that provides services to children with developmental and learning disabilities from 2007-Present. – Member Fundación HIMA San Pablo, a non-profit organization that promotes development of young physicians and health issues from 2008-Present. – Past president “Rostro” Foundation, a non-profit organization that helps children with craniofacial, cleft lip/palate disorders from 2008-2010. – Member: Medicare Contractor Advisory Committee from 2009-Present. President “ROSTROS, CUERPOS Y ALMAS DE NINOS ESPECIALES” Foundation (FRCANE), a non-profit organization that helps children with special needs, 2010-Present. – Founder of the Community Advocacy Group for Children with Special Needs, “Comunidad de Niños Especiales de Puerto Rico”, which is composed of the children, their parents and family, health professionals that care for them, students, and other volunteers of the community that are dedicated in improving the health services and quality of life of our children with special needs, 2010-Present.