Port of Spain a shopping and business centre for much of the country. Most government offices are also located in the city and many important government services can only be accessed in the Ministry offices located downtown. Within recent years, local banks headquartered here have helped it become a financial centre for the Caribbean and Central America region. Two of the largest banks in the Caribbean, Republic Bank, Trinidad and Tobago Limited and Royal Bank of Trinidad and Tobago (RBTT, reacquired by the Royal Bank in 2008) are headquartered here or base their Caribbean operations in the city. Trinidad's economy is based on
Port of Spain General Hospital Street in the city and serves as the main hospital for the North West Region of Trinidad, the most densely populated region in the island. Among its services are obstetric and gynecological care, outpatient medical care, surgical specialties such as orthopaedics and plastic surgery, therapeutic support and emergency care. It also serves as a teaching hospital to medical students from the University of the West Indies, St. Augustine campus. This Institution falls under the North West Regional Health Authority (NWRHA). Port of Spain General Hospital Port of Spain General Hospital is a public hospital in Port of Spain, Trinidad and