My research shows that The Hospital Metropolitano de Santiago (HOMS) is the largest hospital in the Dominican Republic and one of the most modern in Latin America. I have also learned that it will accept my international insurance (I do not quality for DR insurance). If I decide to live in Puerto Plata, is there a reliable private medical transport service that I can subscribe to that would transport me to HOMS in case of an emergency? Or, if access to major health care is a priority, should I consider living in Santiago or Santo Domingo?