Depends on which ports you go to. Grand Cayman and Jamaica, for example, do have tour guides and, or taxicabs waiting at the pier. Some ports will only have cabs, but they will take you on a tour for a price.
There are usually taxis at each port that will take you on a tour of the islands. Make sure you agree on a price before you get in. You might want to do research on each port first. That way, you'll find out what the going rate is and if there are certain tags to watch for or avoid.
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