Hi there,
Congratulations on your pregnancy!! 
I am a homebirth midwife here on the west coast of Puerto Rico. I pdo rovide full prenatal care, attend births and give postpartum care, do newborn exam, can fill out documents for birth cert. etc.
Tho many mothers also opt to have OB care, to get lab work and have a plan B.
If I can help you in any way, to navigate your pregnancy or provide you with some resources, feel free to email me directly or I can provide you my phone number... There is a Pregnancy and Family center started by a sister midwife in Manati... it is called GROW center and they also may be able to give recommendations for OBs and or pediatricians.
Also, even if you plan on birthing in hospital or off island, I am happy to provide collaborative care with your OB Gyn if you want a more personalized experience and support in your pregnancy.
I hope this helps you in some ways.
Love and blessings