Dominican RepublicOfficial Name: Dominican Republic
Must be valid at time of entry
BLANK PASSPORT PAGES:
One page required for entry stamp
TOURIST VISA REQUIRED:
No, but tourist card is required
CURRENCY RESTRICTIONS FOR ENTRY:
CURRENCY RESTRICTIONS FOR EXIT:
10,000 USD or its equivalent must be declared upon exit
Embassies and Consulates
Av. República de Colombia #57
Santo Domingo, Dominican Republic
Telephone: +(809) 567-7775
Emergency After-Hours Telephone: +(809) 567-7775
U.S. Consular Agent - Puerto Plata
Calle Villanueva esq. Avenida John F. Kennedy
Edificio Abraxa Libraria, 2nd floor
Telephone: +(809) 586-8017, +(809) 586-8023
Emergency After-Hours Telephone: Please contact American Citizens Services in Santo Domingo.
Fax: +(809) 586-8015
The U.S. Consular Agency in Puerto Plata is open to the public Monday through Friday, from 8:30am to 12:30pm, and from 2:00pm to 5:00pm except for U.S. and Dominican holidays.
U.S. Consular Agent - Bavaro/Punta Cana
Palma Real Shopping Center
Business Center 2nd Floor
Bavaro, La Altagracia
Telephone: +(809) 552-8990
Emergency After-Hours Telephone: Please contact American Citizens Services in Santo Domingo.
The U.S. Consular Agency in Bavaro/Punta Cana provides emergency services to American Citizens residing in or visiting the eastern Dominican Republic, including the cities of Higuey, El Seibo, Hato Mayor, and La Romana. The Consular Agency also does notarials and receives applications for U.S. passport renewals.
The Dominican Republic covers the eastern two-thirds of the Caribbean island of Hispaniola. The capital city is Santo Domingo, located on the south coast of the island. Tourist facilities vary according to price and location. Spanish is the official language. Though English is widely spoken in major cities and tourist areas, it is much less common outside these zones. Read the Department of State Fact Sheet on the Dominican Republic for additional information.
Entry, Exit & Visa Requirements
If you are traveling by air outside of the United States, you are required to present a passport to re-enter the United States. U.S. citizens traveling by sea must now have either a U.S. passport, passport card, or other WHTI-compliant travel document. “Enhanced driver’s licenses” or “enhanced ID cards” offered by many states are not accepted by Dominican authorities for ferry travel from Puerto Rico.
We strongly recommend that all U.S. citizens have a valid U.S. passport in their possession prior to their arrival in the Dominican Republic. Attempting to enter on expired or invalid documents will result in deportation and a direct return to the United States. Sea travelers should also check with their cruise line and countries of destination for any foreign entry requirements.
For information concerning entry and exit requirements, travelers may contact the Embassy of the Dominican Republic at 1715 22nd Street NW, Washington, DC 20008, tel. (202) 332-6280. There are also Dominican consulates in Boston, MA; Chicago, IL; Glendale, CA; Mayaguez, Puerto Rico; Miami, FL, New Orleans, LA; New York, NY, and San Juan, Puerto Rico. Visit the Embassy of the Dominican Republic in the United States for more information.
Visitors who do not obtain a Dominican visa prior to entry must purchase a tourist card upon arrival to enter the country. Tourist cards cost 10 USD, which must be paid in U.S. currency. Tourist cards may be purchased at the Dominican Embassy in Washington or Dominican consulates prior to arrival, as well as at Dominican airports at the time of entry. Tourist cards normally permit a legal stay of up to 60 days. Visitors who would like to extend their time in the Dominican Republic should visit the Migration Department in Santo Domingo and request an extension. Failure to request an extension will subject the visitor to a surcharge at the airport upon departure. The surcharge, assessed on a sliding scale, ranges from 30 USD for one month to as high as 500 USD for five years.
Travel of children and exit requirements: Strict exit requirements apply to minors under 18 years of age (of any nationality) who are residents in the Dominican Republic. Minor children traveling alone, without one parent, or with anyone other than the parent(s), must present written authorization from a parent or legal guardian. This authorization must be in Spanish, and it must be notarized at a Dominican consulate in the United States, or notarized and then certified at the Dominican Attorney General’s office (Procuraduria de la Republica) if done in the Dominican Republic. More information, including current fee information, can be found at the Immigration Office's website.
Though not a requirement for non-resident minors (in the Dominican Republic), we recommend that any minor traveling to the Dominican Republic without one or both parents have a notarized document from the absent parent(s). In addition to clarifying the reason for travel, this will facilitate departure from the Dominican Republic. Regulations governing the travel of children in the Dominican Republic can be found in Spanish on the Dirección General de Migración web site.
The U.S. Department of State is unaware of any HIV/AIDS entry restrictions for visitors to or foreign residents of the Dominican Republic.
Importation of firearms into the Dominican Republic is generally prohibited. For further information, the Ministry of the Armed Forces is located at Avenida 27 de Febrero esquina Av. Heroes de Luperón, in front of Plaza de la Bandera, Santo Domingo. The phone number is 809 530-5149.
Information about dual nationality or the prevention of international child abduction can be found on our website. For further information about customs regulations, please read our Customs Information page.
Safety and Security
Foreign tourists are often considered attractive targets for criminal activity and you should maintain a low profile to avoid becoming a victim of violence or crime. In dealing with local police, you should be aware that the standard of professionalism might vary. Police attempts to solicit bribes have been reported, as have incidents of police using excessive force.
Protests, demonstrations, and general strikes occur periodically. Previous political demonstrations have sometimes turned violent, with participants rioting and erecting roadblocks, and police sometimes using deadly force in response. Political demonstrations do not generally occur in areas frequented by tourists and are generally not targeted at foreigners. However, it is advisable to exercise caution when traveling throughout the country. Street crowds should be avoided. In urban areas, travel should be conducted on main routes whenever possible. Power outages occur frequently throughout the Dominican Republic, and travelers should remain alert during blackout periods, as crime rates often increase during these outages.
If you are considering overland travel between the Dominican Republic and Haiti, you should first consult the Country Specific Information page, the Travel Warning for Haiti, and the Messages for U.S. citizens page on the U.S. Embassy in Port-au-Prince's website for information about travel conditions in Haiti. While Santo Domingo and the majority of the tourist destinations within the Dominican Republic are located several hours from the Haitian border, the January 12, 2010 earthquake in Haiti has contributed to increased congestion in the area between Barahona, Dominican Republic, and the Haitian border along route 44.
The U.S. Embassy cautions its staff to use extreme caution while in Haiti. Other than official business, travel to Haiti for U.S. Embassy personnel is discouraged. The Department of State has issued a Travel Warning for Haiti. U.S. citizens who travel to Haiti despite this Warning, especially in the area along route 44 near the border of Haiti, should travel in groups during daylight hours and use caution. There have been several cases of convoys being attacked along this route despite the extra safety precautions.
Drivers who encounter illegal roadblocks should stop a significant distance away, drive in reverse or turn around, and drive to the nearest town to report the blockade to local authorities. Drivers should do their best to leave the danger zone and get to safety.
Stay up to date on safety and security information:
- Bookmark our Bureau of Consular Affairswebsite, which contains the current Travel Warnings and Travel Alerts as well as the Worldwide Caution.
- Follow us on Twitter and the Bureau of Consular Affairs page on Facebook as well.
- Call1-888-407-4747 toll-free within the U.S. and Canada, or a regular toll line, 1-202-501-4444, from other countries.
- Taking some time before traveling to consider your personal security – here are some useful tips for traveling safely abroad.
For additional safety and security information in the Dominican Republic, please review the Embassy's messages for U.S. citizens and security notices.
CRIME: Crime continues to be a problem throughout the Dominican Republic. Street crime and petty theft involving U.S. tourists does occur, and you should take precautions to avoid becoming a target. The dangers present in the Dominican Republic are similar to those of many major U.S. cities. Criminals many have weapons and are likely to use them if they meet resistance. Visitors walking the streets should always be aware of their surroundings. Be wary of strangers, especially those who seek you out at celebrations or nightspots. Travel with a partner or in a group if possible.
While pick pocketing and mugging are the most common crimes against tourists, reports of violence against both foreigners and locals are growing. Crime levels tend to rise during the Christmas season. You should take extra precautions when visiting the Dominican Republic between November and January.
Valuables left unattended in parked automobiles, on beaches, and in other public places are vulnerable to theft, and car theft remains a problem. Travelers to the Dominican Republic should strongly consider leaving valuable property at home. We recommend bringing no item on your trip that cannot be easily replaced, and to make contingency plans in case of theft. These precautions include: making photocopies of all credit cards and licenses which include the numbers to call in order to report theft; photocopies of passports and birth certificates; and leaving emergency funds with someone at home in case it is necessary for money to be sent on short notice.
Credit card fraud is common in the Dominican Republic and has increased significantly in Santo Domingo and other resort areas of the country. If you elect to use your credit or debit cards, you should never let the cards leave your sight. You should also pay close attention to credit card bills following time spent in the Dominican Republic. There have been reports of fraudulent charges appearing months after card usage in the Dominican Republic. Victims of credit card fraud should contact the bank that issued the credit card immediately.
Minimize the use of automated teller machines (ATMs), which are present throughout Santo Domingo and other major cities. ATM fraud schemes often result in cards becoming jammed within the ATM card reader. Once the card owner has concluded the card is irretrievable, the thieves extract the card for their use. Sophisticated “insiders” scams also occur, where criminals access and manipulate electronic data entered by legitimate card holders at properly functioning ATMs to steal funds from checking accounts. Exercise caution and be aware of your surroundings when using an ATM card.
Carry cellular phones in a pocket rather than on a belt or in a purse. Avoid wearing headphones, which make the bearer more vulnerable and readily advertise the presence of a valuable item. Limit or avoid wearing jewelry; it attracts attention and could prompt a robbery attempt. Avoid carrying large amounts of cash and credit cards on your person. Be sure to store valuables, wallet items, and passports in a safe place.
We strongly advise visitors to the Dominican Republic to take only hotel taxis or taxis operated by services whose cabs are arranged in advance by phone and can subsequently be identified and tracked. You should always use the taxi service authorized by the airport if you did not make arrangements before arrival. There are continuing reports that tourists have been targeted leaving the airport parking area and en route from the airport to their hotel or home. Some U.S. citizens have been victimized in taxis while stopped at traffic lights, allowing a passing motorcyclist to reach in and steal purses or other valuables.
Many public transportation vehicles are unsafe, especially the route taxis or “carros publicos” in urban areas. Passengers in “carros publicos” are frequently the victims of pick pocketing, and passengers have on occasion been robbed by “carro publico” drivers. Urban buses (“guaguas”) are only marginally better. U.S. citizens have been robbed by motococho (motorcycle taxi) operators. The U.S. Embassy cautions its staff not to use these modes of transportation. As an alternative, some scheduled interurban bus services use modern buses and run on reliable timetables. These are generally the safest means of intercity travel.
U.S. citizens residing in private homes have been the victims of robberies, sometimes resulting in fatal violence. In one case, an elderly couple in San Pedro de Macoris was violently assaulted in their home and the husband murdered. In another case, a home in Puerto Plata was broken into and the visiting U.S. citizen occupants assaulted, tied up, and robbed. In still another case, two elderly U.S. citizens in Santiago were robbed and attacked in their home with a machete. One died and the other was hospitalized with critical injuries.
U.S. citizens in privately owned vehicles have also been targeted. The U.S. Embassy continues to receive reports from U.S. citizens who have been stopped while driving and asked for “donations” by criminals who masquerade as police officers before they are allowed to continue on their way. Regulations require police to wear a nametag with their last name. If Dominican police stop you for a traffic violation, you should request a traffic ticket rather than paying an on-the-spot fine. You also have the right to ask police for identification. U.S. citizens have reported being robbed by youths in uniforms that resemble the green uniform of the Dominican traffic police or by individuals dressed in military fatigues who told victims they were police and requested the victims to follow them to a police station prior to robbing them.
Some travelers returning to local residences in privately owned vehicles have been followed, assaulted, and robbed upon reaching their destination. Several U.S. citizens have also been targeted and robbed at bus stations, possibly as a result of gang activity. Take measures to safeguard your personal security at all times.
Although kidnappings are not common in the Dominican Republic, U.S. citizens have been kidnapped and held for ransom in the past.
The U.S. Embassy calls attention to certain criminal techniques that have surprised U.S. citizens and other victims in recent years:
- Several individuals reported robberies perpetrated by criminals on mopeds (often coasting with the engine turned off so as not to draw attention). The driver approaches a pedestrian, grabs his or her cell phone, purse or backpack, and then speeds away. This type of robbery is particularly dangerous because the motorcyclist reaches the intended victim at 15–20 miles per hour and often knocks the victim to the ground.
- The Embassy has received reports of crime involving apparent police collaboration. A seemingly-friendly stranger shakes hands with a tourist, who then finds that the stranger has placed a small baggie of cocaine or other substance into the tourist’s hand. The tourist is then immediately apprehended by a police officer, and pays a “fine” to the police to be set free.
- U.S. citizens have been victimized at the airports in Santo Domingo and Punta Cana as they checked in their luggage and prepared to leave the country. Smugglers obtained an authentic airline baggage tag in a U.S. citizen’s name and placed it on baggage that contained drugs, presumably to be retrieved by an accomplice at the other end of the flight.
- Criminals may also misrepresent themselves in an effort to gain access to your residence or hotel room. In one case, Dominican police arrested a building’s maintenance man and an accomplice for a violent crime against a U.S. citizen. There have been instances when U.S. citizens were robbed of large amounts of cash immediately prior to a scheduled financial transaction by thieves with apparent inside knowledge of the transaction. In one case, a U.S. citizen was robbed just outside his attorney’s office, and in another case a U.S. citizen reported he was victimized by two police officers.
Beaches and Resorts: Crime can happen anywhere and everyone must take personal responsibility to stay alert and aware of their surroundings at all times. Read the U.S. Embassy’s security tips for more information.
The Embassy regularly receives reports of individuals and families who have become victims of crime while within the boundaries of their resort hotel. A growing number of these crimes involve the burglary of the room and even the removal of the room safe. In general, the criminals do not commit their crime in the presence of the guest, but it is not unheard of for guests to be victimized in their own room while sleeping. Hotels generally will not assume responsibility for valuables left in a room.
The Embassy has received numerous reports of sexual assaults at resorts, particularly at resort beaches. Victims are isolated and forced into compromising circumstances, sometimes by resort employees ingratiating themselves with the guest. Many hotels have policies that discourage employee fraternization with guests. Report any unwanted attention you receive to hotel management. Be aware of cultural differences and stay in the company of your traveling companions.
There have been reports of sexual assault targeting inebriated victims or involving date rape drugs. Be cautious of accepting any drink or food from a stranger, as it may have been tampered with. “All-inclusive” resorts are well known for serving abundant quantities of alcohol and there are no laws in the Dominican Republic against serving alcohol to intoxicated persons. Drink responsibly. Remember that excessive alcohol consumption may decrease your awareness of your surroundings, making you an easy target for crime.
If you become a victim of sexual assault and another violent crime, we urge you to report the incident immediately to the Embassy’s American Citizen Services Unit during working hours, or to the U.S. Embassy’s duty officer after hours. You should also report the incident to local authorities for a police report. It is essential that sexual assault victims insist on an immediate examination by an authorized police medical examiner (medica legista) to ensure that a documented report is available for any future prosecution of the case.
Water Sports: Visitors to the Dominican Republic, including to local resort areas, should carefully assess the potential risk of recreational activities. Some of the swimming areas at popular beaches around the Dominican Republic are subject to dangerous undertows. Many beaches lack life guards and/or warnings of unsafe conditions. Resort managers usually offer current information on local swimming and surf conditions. You should not swim alone, particularly at isolated beaches.
You are further cautioned to weigh carefully the risks inherent in sports such as white water rafting or activities involving jumping from or swimming near waterfalls, particularly following heavy rains when swollen rivers and streams increase the potential for dangerous flash floods. In flash flood conditions, helmets and life vests may not provide adequate protection. U.S. citizens have perished during flash floods that followed rains, even though they were wearing helmets and life jackets. Participants in eco-tourism adventures should carefully assess the risks of any activity, as safety standards and first response assistance are often not comparable to those found in the United States. Exercise caution while visiting isolated beaches during severe weather conditions. Areas of dangerous surf and undertow are often unmarked.
Tourist Police: The Dominican Republic has police that are specially trained to assist tourists who require assistance. This public institution is called CESTUR and represents a cooperative effort between the National Police, Secretary of the Armed Forces, and the Secretary of Tourism. CESTUR typically has personnel in tourist areas to provide first responder type assistance to tourists. If you are the victim of a crime, CESTUR can help you get to a police station so that you may file a police report and seek further assistance. CESTUR is located at the corner of 30 de Marzo and Mexico, Bloque D, Governmental Building, Santo Domingo. The general phone number is 809-221-8697. Visit CESTUR's website for more information.
Don’t buy counterfeit and pirated goods, even if they are widely available. Not only are the bootlegs illegal in the United States, if you purchase them you may also be breaking local law.
VICTIMS OF CRIME: If you or someone you know becomes the victim of a crime, you should contact the local police and the U.S. Embassy or. We can:
- Replace a stolen passport
- For violent crimes such as assault or rape, help you find appropriate medical care
- Put you in contact with the appropriate police authorities, and contact family members or friends
- Although the local authorities are responsible for investigating and prosecuting the crime, consular officers can help you understand the local criminal justice process and can direct you to local attorneys
The local equivalent to the “911” emergency line in the Dominican is “911”.
Please see our information on victims of crime, including possible victim compensation programs in the United States.
- Bookmark our Bureau of Consular Affairswebsite, which contains the current Travel Warnings and Travel Alerts as well as the Worldwide Caution.
Local Laws & Special Circumstances
CRIMINAL PENALTIES: While you are traveling in the Dominican Republic, you are subject to its laws even if you are a U.S. citizen. Foreign laws and legal systems can be vastly different than our own. In some places you may be questioned if you don’t have your passport with you. In some places driving under the influence could land you immediately in jail. There are also some things that might be legal in the country you visit, but still illegal in the United States, and you can be prosecuted under U.S. law if you buy pirated goods.
Engaging in sexual conduct with children or using or disseminating child pornography in a foreign country is a crime prosecutable in the United States as well as the Dominican Republic. If you break local laws in the Dominican Republic, your U.S. passport won’t help you avoid arrest or prosecution. It’s very important to know what’s legal and what’s not where you are going.
Persons violating laws of the Dominican Republic, even unknowingly, may be expelled, arrested, or imprisoned. Penalties for possessing, using, or trafficking in illegal drugs in the Dominican Republic are severe, and convicted offenders can expect long jail sentences and heavy fines.
Arrest notifications in host country: Based on the Vienna Convention on Consular Relations, bilateral agreements with certain countries, and customary international law, if you are arrested in the Dominican Republic, you have the option to request that the police, prison officials, or other authorities alert the nearest U.S. Embassy of your arrest, and to have communications from you forwarded to the U.S. Embassy.
Currency Regulations: It is legal to exchange currency at commercial banks, exchange booths in hotels and exchange houses. The exchange rate is set by the Central Bank, based on prevailing market conditions. The market determines the exchange rate. No more than 10,000 USD or its equivalent in another currency, including Dominican pesos, may be taken out of the Dominican Republic at the time of departure without declaring it.
Real Estate: Real estate investments in the Dominican Republic require a high level of caution, as property rights are irregularly enforced and investors often encounter problems in receiving clear title to land. Title searches in the Dominican Republic may not undergo the same rigorous examination as in the United States. We recommend consultation with a reputable attorney before signing documents or closing on any real estate transactions. Real estate investments by U.S. citizens have been the subject of both legal and physical takeover attempts. Absentee landlords and absentee owners of undeveloped land are particularly vulnerable. Investors should seek solid property title and not just a “carta de constancia,” which is often confused by foreigners with a title. An official land registry measurement (also known as 'deslinde' or 'mensura catastral') is also desirable for the cautious overseas investor. Investors should also consider purchasing title insurance.
Squatters, sometimes supported by governmental or non-governmental organizations, have invaded properties belonging to U.S. citizens, threatening violence and blocking the owners from entering their property. In at least one instance, a U.S. citizen landowner was physically assaulted by squatters. Several U.S. citizens with long-standing expropriation disputes with the Dominican government are still without compensation. On several occasions, U.S. citizens have faced lawsuits founded on false documentation that result in costly, protracted court proceedings. Litigation can last for years, preventing any productive use of the property. Eviction of squatters can also take years. The U.S. Embassy does not generally attend property dispute hearings on behalf of U.S. citizens and encourages you to take the necessary steps to safeguard your investment by researching the situation thoroughly beforehand. The Embassy maintains a list of attorneys on its website that can be consulted should legal representation be necessary.
Gambling: Many U.S. citizens have reported losing large amounts of money at Dominican casinos by playing a game (or variations thereof) known as “Super Keno,” “Caribbean Keno,” “Progressive Keno,” or “Progressive Roulette.” Players have complained that the game’s rules are unclear and/or misleading. Casinos have also been associated with cases involving credit card fraud. Any complaints arising from a casino should be directed to the Office of Casinos at the Secretary of Finance. To register a complaint with this office, call 809-687-5131, ext. 2120.
Divorce: In recent years, there have been a number of businesses, primarily on the Internet, which advertise “quickie Dominican divorces.” The services of these businesses should be used with caution, as they may misrepresent the process of obtaining a divorce in the Dominican Republic. While it is relatively simple for foreigners to obtain a divorce in the Dominican Republic, such divorces are only valid if specific steps are taken. Those seeking information regarding divorce should first consult with an attorney in their home state. Additional information on divorce is available on the U.S. Embassy's website.
Alien Smuggling: Dominican authorities may prosecute anyone arrested for organizing the smuggling of aliens into or out of the Dominican Republic. This is in addition to any charges individuals may face in the other country involved, including the United States.
Hurricanes: The Dominican Republic is situated in an area of the Caribbean prone to hurricanes. In the event of a hurricane alert, a notice will be posted on the U.S. Embassy in Santo Domingo's website. Further information can be obtained from the National Weather Service’s National Hurricane Center. General information about natural disaster preparation is available from the Federal Emergency Management Agency. Travelers are encouraged to enroll in the Smart Traveler Enrollment Program with the U.S. Embassy.
Carnival Celebrations: Visitors attending Carnival celebrations throughout the Dominican Republic should be aware that participants will frequently use sticks, whips, or rubber bags filled with bits of tire and rocks to physically strike spectators on their backsides. Such attacks can catch spectators off guard and produce serious injuries. Spectators are encouraged to safeguard themselves against such attacks by taking appropriate precautions. Visitors are also advised that Carnival celebrations tend to attract pickpockets and other violent criminals who prey on spectators.
Scams: Be alert to a scam which targets elderly citizens in the United States. The perpetrator contacts a grandparent on the telephone pretending to be a law enforcement official, an attorney, or a U.S. Embassy official and informs them that a loved one has been arrested overseas. The caller instructs the victim to wire cash through a money transfer service to pay fines or secure bail. In some instances, impersonators are used to portray the role of the scared grandchild, effectively perpetuating the fraud. Local law enforcement in the Dominican Republic follows a protocol to allow U.S. citizens that have been arrested to contact the nearest U.S. Consulate or Embassy. When in doubt, please contact the American Citizens Services Unit of the U.S. Embassy to confirm the welfare of a family member in the Dominican Republic.
Agricultural Products: Visitors to the Dominican Republic are reminded to review the information provided by the U.S. Department of Agriculture before attempting to import or export food or agricultural products. Severe penalties apply for violations. For further information about customs regulations, please see our customs information.
WOMEN TRAVELER INFORMATION: If you are a woman traveling abroad, please review our travel tips for Women Travelers.
LGBT RIGHTS: There is cultural discrimination against lesbian, gay, bisexual, and transgender (LGBT) individuals in the Dominican Republic and the government does not legally recognize same-sex unions. There is no current anti-discrimination legislation specifically protecting the LGBT community, but the community receives some protection from general anti-discrimination legislation. For more detailed information about LGBT rights in the Dominican Republic, you may review the State Department’s Country Reports on Human Rights Practices for 2013.
ACCESSIBILITY: While in the Dominican Republic, individuals with disabilities may find accessibility and accommodation very different from the United States. The law provides for physical access for persons with disabilities to all new public and private buildings, but the authorities do not enforce this provision. While public sidewalks can often accommodate persons with disabilities, many parts of sidewalks are in disrepair and pose a hazard to all pedestrians. Public transportation, lodging, and restaurants generally do not have the same accommodations for persons with disabilities as found in the United States.
Tap water is unsafe to drink and should be avoided. Bottled water and beverages are considered safe.
While adequate medical facilities can be found in large cities, particularly in private hospitals, the quality of care can vary greatly outside major population centers. There is an emergency 911 service within Santo Domingo, but its reliability is questionable. Outside the capital, emergency services range from extremely limited to nonexistent. Blood supplies at both public and private hospitals are often limited, and not all facilities have blood on hand even for emergencies. Many medical facilities throughout the country do not have staff members who speak or understand English. A private nationwide ambulance service, ProMed, operates in Santo Domingo, Santiago, Puerto Plata and La Romana; the telephone number is 809-412-5555. ProMed expects full payment at the time of transport.
The Embassy has received numerous complaints about hospitals in the Bavaro/Punta Cana area. Visitors should be aware that medical units within the large hotels are not independent facilities, but are generally satellite offices of these hospitals. These medical units aggressively market their hospital for ill or injured tourists. Once in the hospital, visitors should also be aware these institutions engage in flexible and non-transparent pricing. The two hospitals have declined to provide a price list even when requested by the U.S. Embassy. Many tourists have been successful negotiating significantly-reduced hospital fees. In any event, the Embassy recommends that clients inquire about fees before receiving services.
Consult closely with your medical practitioner in the United States regarding any locally available treatments or therapies before traveling to the Dominican Republic for procedures which are not licensed and approved in the United States. Experimental procedures carry certain risks as the quality of treatment varies from U.S. standards.
The U.S. Embassy maintains a non-comprehensive list of medical providers in the Dominican Republic. The availability of prescription drugs varies depending upon location. Also, specific brand name drugs may not be available in the Dominican Republic. There have been some instances of counterfeit drugs infiltrating the Dominican market. You are advised to make sure you are traveling with an adequate supply of prescription drugs to meet your needs while in the Dominican Republic.
Cholera: According to the Dominican Republic's Ministry of Health, more than 15,000 suspected cases of cholera and 262 related deaths have been reported throughout the country from November 2010 to early 2013. Several cases have been reported in travelers returning from Punta Cana resorts. Cholera vaccine, available in many countries, but not in the U.S., is recommended for aid and refugee workers only. Extreme care in hygiene and food habits for travel to risk areas, including resort areas, is advised. Carry oral rehydration salts in case of severe watery diarrhea. Azithromycin is recommended for diarrhea self-treatment; the epidemic strain of Vibrio cholerae has reduced susceptibility to ciprofloxacin and other quinolones.
Malaria: There are occasional reports of cases of malaria in areas frequented by U.S. and European tourists including La Altagracia Province, the easternmost province in which many beach resorts are located. Malaria risk is significantly higher for travelers who go on some of the excursions to the countryside offered by many resorts. Prior to visiting the Dominican Republic, travelers should consult the CDC web site for more information on malaria.
Zika Virus: Zika virus is a mosquito-borne illness that can be spread from a pregnant woman to her unborn baby. Among other effects, there have been reports of a serious birth defect of the brain called microcephaly and other poor pregnancy outcomes in babies of mothers who were infected with Zika virus while pregnant. For additional information about Zika, including travel advisories, visit the CDC website.
Chikungunya and Dengue Virus: Chikungunya and Dengue are mosquito-borne illnesses that are present in the Dominican Republic. Symptoms can include fever, rash, severe headache, joint pain, and muscle or bone pain. There are no specific treatments for Chikungunya or Dengue and vaccines are still in the developmental phase. Preventing mosquito bites is the most important way to prevent these illnesses. Avoidance and prevention techniques include: reducing mosquito exposure by using repellents, covering exposed skin, treating clothing and tents with permethrin and sleeping in screened or air conditioned rooms. You can also reduce exposure through mosquito control measures, including emptying water from outdoor containers and spraying to reduce mosquito populations. The Aedes mosquitos that carry these illnesses are primarily day biting and often live in homes and hotel rooms, especially under beds, in bathrooms, and closets. Travelers should carry and use CDC recommended insect repellents containing either 20% DEET, picaridin, oil of lemon eucalyptus or IR3535, which will help diminish bites from mosquitoes as well as ticks, fleas, chiggers, etc., some of which may also carry infectious diseases. For further information, please consult the CDC's Chikungunya Virus Website and Dengue Virus Website).
Sexually Transmitted Diseases: Be aware that sexually transmitted diseases are common in the Dominican Republic. Please take appropriate precautions to help stop the spread of sexually transmitted diseases.
Cosmetic Surgery: U.S. citizens should be aware of the risk associated with cosmetic surgery in the Dominican Republic. The Embassy is aware of 19 U.S. citizens who have died since 2013 during or after having cosmetic surgery in the DR. The CDC's Website also contains a report on patients who suffered postoperative infections following cosmetic surgery in the Dominican Republic. Plastic surgeons found online or referred may not have proper credentials and some reportedly have continued to practice after patients died during or after cosmetic surgery procedures. Please note there is no Dominican regulatory authority governing claims that some doctors or clinics make on their websites. Individuals considering travel to the Dominican Republic for cosmetic surgery may contact the Dominican Society of Plastic Surgeons (SODOCIPRE) (tel. 809-682-5808), e-mail email@example.com to verify the training, qualifications, and reputation of specific doctors.
You can find detailed information on vaccinations and other health precautions on the CDC website. For information about outbreaks of infectious diseases abroad, consult the World Health Organization (WHO) website, which contains additional health information for travelers, including detailed country-specific health information.
Tuberculosis is an increasingly serious health concern in the Dominican Republic. For further information, please consult the CDC's information on TB.
Travel & Transportation
TRAFFIC SAFETY AND ROAD CONDITIONS: While in the Dominican Republic, you may encounter road conditions that differ significantly from those in the United States. The information below concerning the Dominican Republic is provided for general reference only.
Traffic in the Dominican Republic moves on the right side of the road. Speed limits vary from 25 mph in the city to 60 mph on rural roads, but they are generally not enforced. Drivers are required to carry liability insurance.
If you do drive in the Dominican Republic, you should be aware that defensive driving is necessary and extreme caution advised. Traffic laws are similar to those in the United States, but undisciplined driving is common, due to a lack of adequate traffic controls. Drivers can also be aggressive and erratic, often failing to yield the right-of-way even when road signs or signals indicate that they should. Turning right on red lights is permitted, but should be done with caution. Traffic accidents often result in serious injury or death. Traditionally, vehicles involved in accidents in the Dominican Republic are not moved (even to clear traffic) until authorized by a police officer. Drivers who violate this norm may be held legally liable for the accident.
Travel at night on intercity highways and in rural areas should be avoided, due to animals on the road, poor road conditions, poor lane markers, missing manhole covers, large potholes, unmarked speed bumps, and other vehicles being driven at excessive speeds, often with malfunctioning headlights or taillights. Drivers should be aware that road hazards and closures are often indicated by piles of debris littered across the roadway, without any lettered signs or reflective surfaces to help call attention to the road condition. Often times, there is no indication of the road hazard whatsoever. Blackouts also increase the danger of night travel. Mudslides and bridge washouts can be a problem during and after heavy rains. The distances between reliable roadside services or major population centers can be considerable, which also increases the risk involved in driving after dark.
Dominican law requires that a driver be taken into custody for driving under the influence or being involved in an accident that causes serious injury or death, even if the driver is insured and appears not to have been at fault. The minimum detention period is 48 hours; however, detentions frequently last until a judicial decision is reached (often weeks or months), or until a waiver is signed by the injured party (usually as the result of a cash settlement).
Visitors to the Dominican Republic might want to consider hiring a professional driver during their stay in lieu of driving themselves. Licensed drivers who are familiar with local roads can be hired through local car rental agencies. In case of accidents, only the driver will be taken into custody.
Pedestrians tend to step out into traffic without regard to corners, crosswalks, or traffic signals. Many pedestrians die every year crossing the street (including major, multi-lane highways) at seemingly random locations. Pedestrians do not have the right-of-way, and walking along or crossing busy streets – even at intersections with traffic lights or traffic police present – can be very dangerous.
Seat belts are required by law, and those caught not wearing them will be fined. There are no child car seat laws. The law also requires the use of hands-free cellular devices while driving. Police stop drivers using cell phones without the benefit of these devices. Penalties for those driving under the influence and those involved in accidents resulting in injury or death can be severe.
Motorcycles and motor scooters are common in the Dominican Republic, and they are often driven erratically. Dominican law requires that motorcyclists wear helmets, but local authorities rarely enforce this law. Motor vehicle authorities report that less than one percent of motorcyclists in the country are actually licensed. As noted previously, public transportation vehicles such as the route taxis (“carros publicos”) and urban buses (“guaguas”) are unsafe.
While everyone driving in the Dominican Republic should abide by traffic laws and the instructions of legitimate authorities, U.S. citizens should exercise caution and keep your doors locked and windows closed at all times. Leave yourself an escape route when stopping in traffic in the event of an accident or other threat. Incidents should be reported to the police and to the Consular Section. Incidents involving police may be reported to the Internal Affairs Department of the National Police at 809-688-0777.
Please see the Crime section of this page for more information regarding crimes involving road safety. Please refer to our Road Safety page for more information.
AVIATION SAFETY OVERSIGHT: The U.S. Federal Aviation Administration (FAA) has assessed the government of the Dominican Republic’s Civil Aviation Authority as being in compliance with International Civil Aviation Organization (ICAO) aviation safety standards for oversight of the Dominican Republic’s air carrier operations. Further information may be found on the FAA’s safety assessment page.