Paracreptotrema profundulusi n. sp. (Trematoda: Allocreadiidae) is described from the intestine of the freshwater fishes Profundulus punctatus and P. balsanus (Teleostei: Profundulidae) from the Tehuantepec and the Atoyac-Verde River basins, in Oaxaca, México, in the western extreme of Central America. The new species is distinguished from Paracreptotrema blancoi Choudhury, Pérez-Ponce de León, Brooks, and Daverdin, 2006, to which it is most similar, and from P. mendezi (Sogandares-Bernal, 1955) Choudhury, Pérez-Ponce de León, Brooks, and Daverdin, 2006, by the caeca extending beyond the testes, vitelline follicles that invade the postesticular area, and uterus with transverse loops located mainly between the testes and the genital pore. Paracreptotrema blancoi was collected from the same host species and also from Profundulus oaxacae. Here, we provide data that show its broad distribution in several river basins of Neotropical southern México, including the Papagayo River basin, Guerrero, México, and the Atoyac-Verde and Tehuantepec river basins, and other rivers in Oaxaca, México. Freshwater fishes of the Profundulidae are endemic to Central America and host a helminth fauna that includes at least 4 species found only in these hosts.