MIAMI -- A South Florida man accused of posing as a cosmetic surgeon and disfiguring several people has been arrested in Belize, where he was teaching medicine.

SLIDESHOW See What Silvestre Is Accused Of Doing To Mr. Mexico

Federal agents say Reinaldo Silvestre is charged with organized fraud, aggravated battery, practicing medicine without a license and grand theft. He will remain in custody in Belize until he is extradited to the United States. Silvestre has been on the run for five years.

Investigators say Silvestre performed operations on champion bodybuilder and former Mr. Mexico Alexander Baez and at least two women, resulting in gross disfigurement and severe physical and emotional pain. He earned the nickname from police "The Butcher of South Beach."

Police say Baez went to Silvestre's Ocean Health Center in Miami Beach to have his pectoral muscles enhanced. But he woke up to find he had been given female breast implants.

Baez' attorney also says veterinary anesthesia was used on his client, who woke up three times during the procedure. A warrant for Silvestre's arrest was issued in September 1999 after he failed to appear in court.