By motorcycle (motoconcho or mototaxi), Santo Domingo
Another alternative when it comes to means of getting around. These are the most expensive and most dangerous. They're not as cheap as the buses or the share-a-taxis and they definitely do NOT have the same long routes.
Dominicans also use motoconchos for transporting stuff.
Many people cannot afford a car, so they use whatever transportation they can. There are lots of smoky little mopeds carrying multiple people, motorcycles, and regular bicycles. When there is a four wheeled vehicle it is usually packed with people. In the case of trucks, people ride in the truck bed in the back like we did when we were kids before everyone had to have a seat belt.