Position from the US Consulate:
"Legal residents here get documented as such, get a cedula, and can then get a DR license. People not applying for legal residence are supposedly here only on a temporary visa and likely have no need of a permanent drivers license here. As you noted, the U.S. license is good up to 90 days. If any amcits here plan to be here longer than 90 days in tourist/business status, they can always apply for the International Drivers Permit. That’s valid for a year and can be applied for again each year as need be."
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