Tricom is number two. Both offer complete phone services including cellual, Internet, pagers. Pre-schools throughout the city, but many hire nannies to care for children under 5. Medical Facilities Poor in the community. Embassy has a good Health Unit staffed by an American Health Practioner and contract U.S. Doctor and Registerd Nurse.
Local hospitals can be good, but aftercare is considerd lacking.
You will be Medivaced for many illnesses to Puerto Rico or Miami. Much available for Spanish speakers. Otherwise Internet courses are popular for college credits and degrees. Amusements, Attractions Great place for kids, parks and amusement centers. The National Theater offers plays, concerts, ballets, etc.