Saona island is o.k., Zip line is great and nearby,
in case of meds i never recommend, that only should be done by your doctor, not by a travel bord, during my growing up in Gremany i received much more mosqu. bites than in my 13 years on the island, they are present but during our european hot-summer-nights they've been far much more painful. use the repellant you would use at home, i never use some myself.
in case of scuba diving without a certificate you can take a "quick course" with the hotel's diving center and afterwards they take you out to the diving sides, of course to beginners sides, not the pro's.
mountains and waterfalls are not the usual surroundings in the punta cana area.
have fun
Mike
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