I went to Pedro Santana with a friend who has a family there. This was about 2 months ago. I was told the following:
The road from PS to Restauracion is a bad shape gravel road. Best advised to use 4x4 "high" vehicle. Also heavy trucks travel the way. The stretch is quite narrow (one lane) and is about 50 kms long.
After you pass the river at PS you will be on Carretera Internacional which has Haiti to its left and DR to its right. You actually have to have passport or cedula, and you have to register at Ejercito Nacional Cuartel in PS. They will give you special permit which you will have to show at checkpoints and surrender after you get to Restauracion. There are about 5-6 checkpoints along the way. The permit has the driver's details and car details. That is for your protection in case you get robbed or your vehicle gets stolen.
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