I interpret your question as, "Even though Caribbean programs are M.D., can I submit my AACOMAS-prepared transcript to them instead of another copy of my college transcript? This saves time since I'm already applying American-DO, and allows me to report a higher GPA."
Is this correct? If it is, then the answer is no, you cannot. The AACOMAS transcript is for American D.O. programs only, so Caribbean schools would discard it - you will need to submit official transcripts to them, just as though they were American programs. They treat retakes the same way American MD programs too, so whatever your GPA is for DO applications after retakes, it is higher than what Caribbean programs view it as. While Caribbean programs are viewed as remedial compared to American programs, you do still have to play by the rules.