It depends on what you want.
Big City - SANTO DOMINGO of course; there's nothing else.
Small Town feeling with big city conveniences - SANTIAGO.
Quiet town, excellent to raise a family and accessible (20 mins. to Santiago-1 hr. to Sto. Dgo.) to both above - LA VEGA.
Small mountain towns - A tie - JARABACOA / CONSTANZA (La Vega province).
The heart of the DR is the best area, called El Cibao, and which includes Santiago, Moca, La Vega, Mao, Bonao, San Francisco, Puerto Plata, Sosua, Nagua, and others.
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