UM, you're not much more likely to get sick (unless you have a really weak stomach) there in the DR than you are in the States. It's always wise, of course, to use some discretion. I've done quite a few trips and got sick only once. It was at what might be considered a higher-end place in Puerto Plata called La Parillada, located on the southside of the rotary when entering PP from Sosua. Still, I've eaten there since with no problems.
I've also always used tap water delivered to my house by truck to brush my teeth and have never gotten sick. I don't drink it, but use it to rinse my mouth.
I do have to admit that the high alcohol content in my system during my trips might have something to do with sterilizing any bacteria that might be present, but I can't be sure. lol
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