No, I haven't been to Puerto Plata.. But, if they have thousands of bikes too, then definitely the country needs to have some sort of mechanism in place to lower the carbon monoxide emissions. I thought Boca Chica was bad, until I experienced the clouds of exhaust fumes in San Pedro. Is Santiago as bad as the other towns? I haven't noticed that many bikes in Santo Domingo for some reason. The whole country is going to be affixiated.
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