Hey Bdrm,
When I was at BB on 2017, Dr Nights had just launched their BBFS option. The DR shares an Island with Haiti, one of the highest-AIDS infected countries on the planet. In addition, BB is located in Punta Cana, near the city of Sosua, which is rife with cheap street hookers ($20-40) that are a mixed bag of drug addicts, pimped out (not all voluntarily), and "drug you and you and sell your kidneys" scammers mixed in with the legit providers. There was (still is?) a lot of government pressure on sex providers to curtail the spread of STDs, though BBBJ is the norm for 90% of the BB Girls.
Now in the last 2-ish years, post COVID, I have seen reports on BB that some Chicas will allow BBFS for an upcharge - negotiated in the room only. The resort is just that, a resort. Brothels are not legal in DR, though many are tolerated (due to bribes, staying UTR, etc.). Picking up a street girl in Sosua runs a huge risk of STD's, even with condoms. These girls generally do not have access or interest in getting tested. The girls at BB must be tested regularly. And the same is true for DRN, of course, even if the guest does not pay for the BBFS upcharge.
As far as safety, BB is inside a gated neighborhood. I never felt unsafe or threatened, eve when I took a taxi outside the area along the coast and into Sosua for a bar crawl with a fellow BB guest. But I maintained my street smarts, of course, and did not do anything stupid, like walking alone, drunk, in the dark.
If you simply cannot abide condoms, Dr Nights may be your only viable option there, other than bringing an SB. I don't have any experience with Playboy. BTW: On getting the "right" girl, DRN does two things. On your arrival, you go to a mixer event where you can meet your chosen girl and if desired you can swap her out. Next, if you are staying multiple days, you can also request a new girl once a day. Any "bait and switch" risks are minimized.
On passports and immigration, in 2023 I applied for Global Entry. It took several months to complete the process but once I was approved, it has been an amazing benefit. The process includes background checks, disclosing your past travel outside the US, and some other vetting. The benefit? The last two times I returned to the US, I sailed through the special lane for Global Entry without breaking stride. Didn't even need to show my passport or GE card. They used a facial recognition device to validate me. No questions, no uncomfortable scrutiny, no demands to look at my phone or social media. Of course, I am a US citizen, in my 60's and not brown.
Life is good
The Cat