I'm sure, as in most hospitals, there are great doctors and possibly, some not so great ......... but there has to be a good reason so many knowledgeable islanders go off island for major medical issues, and I'm with Carol in that I wouldn't go there in the first place if there was any need for potential life sustaining medical services to be needed for a known illness. I'd stick to the Puerto Rico mainland if I wanted an island experience .....
There's always a chance medical situations can unexpectedly happen anywhere but...........why knowingly take that kind of risk?